Care Home: Copper Beeches Lodge Care Home

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What the care home does well The registered persons provide a good quality home for the people who live there. People who use the service are positive regarding care and support received. There is always a choice of two hot meals in the evening, and people who use the service said food is to a good standard. People who use the service have a range of day opportunities available to them, and the home has a minibus. Facilities are to a high standard for example bedrooms are spacious, most have a double bed and all have en suite facilities including a bath/ shower. Staff seem professional, organised and competent. Records, recruitment practices, and staff training are to a good standard. What has improved since the last inspection? The registered providers continue to provide a good service to people living at the home. There is now a self contained flat adjacent to the home where someone can live with more independence. This is an excellent facility. The communal areas of the main home have been recarpeted which looks attractive. The owners continue to maintain and upgrade decorations and furnishings as required. CARE HOME ADULTS 18-65 Copper Beeches Lodge Care Home 52 Truro Road St Austell Cornwall PL25 5JJ Lead Inspector Ian Wright Unannounced Inspection 27th and 29 August 2008 15:00 th Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copper Beeches Lodge Care Home Address 52 Truro Road St Austell Cornwall PL25 5JJ 01726 74024 01726 74024 steven.tarrant@btinternet.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Steven Jon Tarrant Mrs Maureen Joy Tarrant Mrs Christine Marie Tarrant Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC To People who uses the service of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of People who use the service who can be accommodated is 13. 6th November 2006 Date of last inspection Brief Description of the Service: Copper Beeches provides care for twelve adults with a learning disability. Some of the people who use the service are diagnosed as autistic. Mr Steven and Mrs Maureen Tarrant are the registered persons. Mrs Christine Tarrant is the registered manager. The home is situated in St Austell, near to the town centre. , Accommodation is provided on the ground and first floor with twelve single bedrooms. All bedrooms have an en suite bathroom consisting of a toilet, bath and shower. People have access to a lounge, dining area, kitchen, and a quiet lounge. The ground floor of the home is accessible for people with a physical disability. There is sufficient car parking to the front of the property. A copy of the inspection report is available in the hallway. It is suggested a copy is requested from management if required. Alternatively a copy is available free of charge from the CSCI website, or via our customer services team, details of which are on the back page of this report. The range of fees at the time of the inspection is £800-2615 per week. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This Key Inspection took place in just over fourteen hours over two days. All of the Key Standards were inspected. The methodology used for this inspection was: • To case track five people who use the service. This included, where possible, meeting and discussing with them their experiences, and inspecting their records. • Discussing with staff their experiences working in the home. • Discussion with other people who use the service and their representatives. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? What they could do better: Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 6 There are three statutory requirements. Action is required by law within the timescales set: • The adult safeguarding procedure needs amendment to state the Department of Adult Social Care is the co-ordinating agency regarding any safeguarding issues. This is a policy amendment, and there are no concerns regarding adult safeguarding issues. Staff must not commence employment until a satisfactory Protection of Vulnerable Adults ‘First’ check has been received. There must be satisfactory first aid cover at all times. • • Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment information obtained about people who use the service prior to admission, and information issued to people when they move in is good. This helps to ensure people’s needs are met, and suitable information is issued regarding people’s rights and responsibilities. EVIDENCE: The registered manager said people who use the service are issued with a contract of care / statement of terms of conditions of residency when they are admitted. Copies of these were inspected. Copies of pre admission assessments were also inspected and these were comprehensive, although it is important these are always dated. A copy of the registered persons’ assessment policy was also inspected and this is satisfactory. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home appear to have their individual needs and choices met so they should be able to live a life style according to their wishes and needs. EVIDENCE: Each person has a care plan, and there is evidence these are reviewed appropriately. People who use the service appear to be encouraged to make decisions regarding their lives where possible. Suitable risk assessments are in place to assess any risks or actions to promote independence. The registered persons look after some people’s monies, for which suitable records are maintained. The registered person’s act as an agent for financial benefits / saving accounts for some people’s monies for which suitable records are kept. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable opportunities for activities, educational opportunities and contact with the wider community are provided so people have the opportunity to live a varied lifestyle. Food provided appears excellent. EVIDENCE: People who use the service said they have a range of activities. Care plans and daily records illustrate people have a variety of opportunities available to them on a regular basis. The registered persons have a minibus to help people to move around the community. People who use the service said they visit friends and relatives regularly, and they are encouraged to maintain contact via the telephone or post. Visiting arrangements are flexible, and there is suitable space for people to receive visitors privately. Some development should occur to provide more activities for a minority of individuals who do not enjoy what is provided. This tends to be some of the more cognitively able, older people who use the service. However, if these people do not wish to participate in any structured activities this should be respected. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 11 People who use the service said they could get up and go to bed when they wish. However staff finish their duty at ten o’clock each evening so people may need to go to their bedrooms at this time- to watch TV etc. even if they do not wish to go to sleep. Some people who use the service may also need reminding to get up on the days e.g. when they attend the day centre. People who use the service said staff worked with them in a way, which respected their privacy and dignity. Staff were observed knocking on doors, and mail is not opened without the agreement of people who use the service or their representatives. Locks are fitted to bedroom doors and keys are provided to people. People who use the service have some involvement in household tasks for example doing laundry, some cleaning tasks, cooking etc. Food provided appears to be to a high standard. There are two choices of meal provided in the evening. People who use the service all said they enjoyed the food provided, and said it was provided in sufficient quantities. Some people using the service were observed assisting with the preparation of the meal for example peeling potatoes. The inspector shared a meal with people in the home, and food provided was very good. Drinks are available whenever these are requested. Suitable records are maintained regarding food provided. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care support is delivered to a good standard, and there are suitable links with medical professionals. The management of medication is to a good standard. People who use the service, and their representatives therefore should be able to be assured personal and health care needs are suitably met. EVIDENCE: People who use the service said they received suitable care and support from staff. Any personal care needs are clearly documented in care plans, and staff seem clear regarding what assistance people require. Care plans document appropriate links with GP’s, dentists, chiropodists and other professionals. People who use the service said they regularly saw medical professionals when required. Medication is stored securely, and dispensed via a ‘monitored dosage system’. Medication records kept are appropriate. There is a suitable medication returns system. Staff have received suitable training regarding the handling of medication. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is generally good. This judgement has been made using available evidence including a visit to this service. There is a suitable complaints procedure but some amendment is required to the adult safeguarding procedure. Practice regarding dealing with complaints and adult safeguarding issues however appears appropriate. Subsequently people who use the service, and their representatives can be assured there are appropriate procedures to deal with any concerns or bad practice. EVIDENCE: The registered persons have a satisfactory procedure regarding dealing with complaints. The Commission for Social Care Inspection received one complaint, prior to the inspection. This was regarding care practices about one person who used to use the service. This has been referred to the provider, and the complainant has been informed of their right to use social service’s statutory complaints procedure. Although the commission no longer investigates complaints, the issues raised were looked at as part of this inspection in regard to how the needs of other people using the service were met. We could find no evidence of any regulatory breaches. The registered persons have an adult safeguarding procedure. This requires some amendment so it is in line with safeguarding procedures in Cornwall. For example allegations must be reported to Cornwall County Council’s Department of Adult Social Care who will act as the co-ordinating authority for the investigation of any allegations. The registered persons should not investigate any allegations, beyond basic information gathering, unless delegated by social services to do so. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 14 The majority of staff have also attended training regarding the prevention of abuse. Staff and people who use the service all said they had not witnessed any bad or abusive practices. All staff have Criminal Record Bureau check, and a Protection of Vulnerable Adults check (where applicable). Staff however should not commence employment until a POVA First check is obtained. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Copper Beeches provides a pleasant, homely, clean and well-maintained environment for people who use the service. EVIDENCE: The building was inspected. The building appears to be well maintained, clean, pleasantly decorated and homely. There is a pleasant garden, which people living at the home can use. All communal rooms are homely and comfortable. There is a lounge, and a dining room. The lounge has a computer area for people to use. The dining room is also used for recreational activities. There is also a second lounge, which is currently used for craft activities. Bedrooms are to an excellent standard. They are spacious, individualised and comfortable. Many bedrooms have double beds. All bedrooms have en suite facilities including a bath, shower and a toilet. Decorations throughout the home are maintained to a high standard. There are suitable toilet facilities for communal use. Suitable kitchen and laundry Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 16 facilities are provided. The home was clean and hygienic at the time of inspection. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 Quality in this outcome area is generally good. This judgement has been made using available evidence including a visit to this service. Staffing levels, recruitment checks and staff training appear to be to a suitable standard. However improvement is required to ensure staff do not commence employment until they receive a Protection of Vulnerable Adults check (POVA First). There must also be suitable first aid cover at all times. Generally, however, people who use the service receive appropriate staff support from suitably recruited and trained staff. EVIDENCE: Rotas show at least three, and often more members of staff are on duty in the morning. There are at least three, and often more, members of staff on duty in the afternoon and evening. Two staff sleep in between 2200 and 0800. A cleaner is also employed. The registered manager also works in the home. Mr Tarrant will also be at the home several times a week. The registered persons have a suitable approach to providing National Vocational Qualifications (NVQ) or the Learning Disabilities Qualification (LDQ) for care staff. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 18 Recruitment records were inspected. These were generally to a good standard. Records obtained include an application form, two references, a record of staff induction, a protection of Vulnerable Adults ‘First’ check (POVA First) and a Criminal Records Bureau check (CRB). It is essential staff do not commence employment until a POVA First check has been completed. It is illegal to recruit someone who is on the Protection of Vulnerable Adults list (A list of people deemed unsuitable to work with vulnerable adults) and this must be checked. From the records inspected some staff commenced employment before the results of this check was returned. The registered persons said they would ensure this check was completed appropriately in future. The registered manager said where staff are awaiting their subsequent full CRB check, they are supervised, and do not participate in any personal care duties. Suitable induction records were available for all staff. Staff members we spoke to said induction includes shadowing more experienced staff; formal instruction from management and viewing videos/ DVD’s regarding various issues such as food hygiene. Staff training required by regulation is to a good standard. Staff appear to have received most training required by regulation (i.e. first aid certificate (at appointed persons level), training in manual handling, fire training, infection control training and food handling). If this training has not been received there is a suitable plan in place so staff will receive this training shortly. Staff also receive training regarding epilepsy and autism. However, on the night before the first day of the inspection neither of the two staff on duty had a first aid certificate. It is essential that suitable first aid cover is always maintained. The staff however were booked to receive this training in October 2008. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. Management appears to be professional, well organised and supportive. This will help to ensure people who use the service receive a good quality service that meets their needs. EVIDENCE: The registered persons appear caring, approachable and competent. Staff and people who use the service were positive about their approach. There is a suitable approach to quality assurance. Surveys to ascertain the views of stakeholders involved in the service were completed in 2007. A survey will be completed again shortly. The registered persons ensure all aspects of the service are maintained to a good standard, for example as evidenced in this report. Before the inspection, the registered provider supplied the commission with a copy of the company business plan, which outlines plans for the service’s development over the next year. The registered persons have a suitable health and safety policy. Regular health and safety checks are completed. Other records kept of checks required by Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 20 regulation are satisfactory. For example there are suitable records of the testing of fire equipment, gas appliances, portable electrical appliances and the electrical hardwire circuit. Accident records are suitably maintained. Health and safety risk assessments are satisfactory including a suitable system regarding the prevention of Legionella. Suitable insurance cover was available for inspection. Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA23 Regulation 10, 12, 13, 19 Requirement The registered provider must update its adult safeguarding policy to state Cornwall County Council’s Department of Adult Social Care is the coordinating agency regarding any investigations of suspected abuse. This will help provide more assurance that agreed multi agency procedures will be followed when necessary. New staff must not commence employment until a Protection of Vulnerable Adults POVA ‘First’ check has been completed. This will ensure the person is not on the POVA list; which means they are forbidden with working with vulnerable adults. Timescale for action 01/11/08 2 YA23 YA34 7, 17, 18,19 01/11/08 3 YA35 12, 18, 19 The registered provider must ensure there are satisfactory levels of first aid cover at all times. This will ensure people who use the service have appropriate support in this area in an emergency. 01/11/08 Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Copper Beeches Lodge Care Home DS0000065158.V370768.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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