Care Home: Copperfield House

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What the care home does well The home is well managed. It has a good organisational structure. This means all staff are clear about their roles and responsibilities. The residents are treated with a great deal of respect. Their privacy and dignity are preserved and the home actively promotes their health and wellbeing.The care at the home is good. Residents said that the staff are kind and caring. One resident said, "They care for us very well here." There are very good staffing levels and staff turnover is low. Staff training is well organised and staff morale is good. Residents and relatives all commented very positively about the staff and the quality of their care. The home provides a comfortable, spacious and clean environment and a homely and friendly atmosphere. What has improved since the last inspection? Practices in the administration of medicines have improved. Medication policies and procedures are now included in the file along with the Medicines Administration Records (MARs) and staff monitoring and in house training in the respect of the management and administration of medicines has increased. Staff recruitment procedures have been tightened and the home ensures all appropriate pre-employment checks are made. There have been some environmental improvements and more are planned. What the care home could do better: Care should be taken to ensure that all pages included in assessment forms are signed and dated. The environmental improvements should continue to schedule, in line with the home`s improvement plan. CARE HOMES FOR OLDER PEOPLE Copperfield House 13 Worple Road Epsom Surrey KT18 5EP Lead Inspector Wendy Mills Unannounced Inspection 29th January 2008 10:00 X10015.doc Version 1.40 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 Copperfield House DS0000013609.V357981.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 Older People. 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. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copperfield House Address 13 Worple Road Epsom Surrey KT18 5EP 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) 01372 726725 01372 728 753 Mr Haroon Chaumoo Mrs Seering Bibi Chaumoo Mr Haroon Chaumoo Mrs Seering Bibi Chaumoo Care Home 16 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (14) Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to four of the service users may be in the category DE(E) or MD(E) Date of last inspection 6th March 2007 Brief Description of the Service: Copperfield House is residential care home registered to provide care and support for up to sixteen older people. It is located in a residential area in Epsom, Surrey, close to the town centre and local amenities. The accommodation is provided on two floors and can be accessed by stairs or a shaft lift. The home has single bedrooms, some with en-suite facilities. There is a lounge, dining area, conservatory, kitchen, office and bathing, washing and laundering facilities. To the rear of the home there is a large, enclosed garden. Parking is available to the front of the home. The fees, given at the time of this visit range between £350 to £480 per week. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced. It formed part of the inspection process of the Commission for Social Care Inspection (CSCI) under the Regulations of the Care Standards Act 2000. This report has been compiled using information gained during this visit and information supplied prior to the visit from a variety of sources, including the home’s Annual Quality Assurance Assessment (AQAA) that is required by the CSCI. During the visit time was spent with residents and staff, talking to them both in private and informally. In-depth discussion was held with the registered manager/provider, Mr Haroon Chaumoo. The responses to surveys that were sent to residents, relatives and advocates prior to this visit, were considered. A tour of the home was made and documentation, including staff files and care plans, was examined. Both direct and indirect observation was used throughout the visit. The home meets the National Minimum Standards. The residents and their relatives say that they are well cared for. They say they are able to make choices and that there is a good level of activities in the home. The home has met the two requirements that were placed at the last inspection. The residents, staff at the home, the registered manager/provider and registered provider are all thanked for the welcome they gave and their help throughout this visit. Relatives, advocates and health and social care professionals are thanks for taking the time to complete the surveys so fully. The overall outcome for users of this service is good. What the service does well: The home is well managed. It has a good organisational structure. This means all staff are clear about their roles and responsibilities. The residents are treated with a great deal of respect. Their privacy and dignity are preserved and the home actively promotes their health and wellbeing. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 6 The care at the home is good. Residents said that the staff are kind and caring. One resident said, “They care for us very well here.” There are very good staffing levels and staff turnover is low. Staff training is well organised and staff morale is good. Residents and relatives all commented very positively about the staff and the quality of their care. The home provides a comfortable, spacious and clean environment and a homely and friendly atmosphere. What has improved since the last inspection? What they could do better: 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. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the service users, their relatives and supporters with the information they need so that they can make an informed decision about their choice of home. Comprehensive preadmission assessments are carried out. This means that only those people whose needs can be met and who are suitable are admitted to the home. EVIDENCE: The statement of purpose and service user guide are available to all prospective service users and their relatives to help them to make an informed decision about living in the home. These documents are reviewed regularly. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 9 Individual contracts of occupancy are in place. These outline the care to be provided, the accommodation offered, and the fees payable. The resident or their designated representative signs the contracts. There are needs assessments in place for each resident. These assessments are undertaken by the registered manager/provider prior to admission to the home. A sample of four care plans was examined. All contained comprehensive and informative needs assessments. The preferences of the residents were clearly noted, health needs, including medication had been identified and there was clear evidence that equality and diversity issues such as religious practices and cultural needs had been taken into consideration. The home does not provide intermediate care. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home promotes the health and well being of the residents. This means that they can enjoy as healthy a life as possible. EVIDENCE: Individual care plans are in place. Four care plans were selected at random for detailed examination. The care plans are well written and there is evidence to show that the residents and their supporters have been able to provide input into these plans. Those residents who are able, sign their own care plans. The plans are reviewed regularly or when needs change. A few omissions of date and signature were noted on some long assessments forms but otherwise these documents were in very good order. They are well maintained and upto–date. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 11 All residents are registered with local General Practices and are visited regularly by the doctor. The district nurse also visits the home and advises on specific treatments and undertakes other procedures such as blood tests and flu vaccines. Chiropody is arranged every six weeks and is exclusive of fees. The optician provides a domiciliary service and dental care is also available. Physiotherapy can be arranged by request. The responses to the surveys sent to visiting health and social care professionals were very positive. One said, “I am always impressed with this home”. Another spoke of the high level of co-operation she receives from the staff at the home. The home maintains very good records of the visits made by visiting health and social care professionals and the advice that they have given. Response to surveys from residents and their supporters were also very positive. One relative said, “Not only do they preach that each resident should be treated with respect but they practise it”. Another said, “I am very happy with the support I have received and am very happy with the care given”. Residents said that the home cares for them very well and that the staff are always friendly and kind. There are sound policies and procedures for the management and administration of medicines in the home. Boots the Chemist supplies the medicines to the home in blister pack format. They also provide regular audits of medicines in the home. This is to make sure that the right quantity of the correct medicines is in the home and that medicines are administered properly. Staff are trained in the management and administration of medicines and inspection of staff files confirm that there are enough appropriately trained staff to administer medication. The medication procedures in the home have been revised and the policies and procedures updated. It was noted that hand written entries on the MAR sheets, for example, when antibiotics are started half way through a month, were signed but not countersigned. It is recommended that all handwritten entries concerning medication are signed by the person making the entry and countersigned by another member of staff who is trained in the administration and management of medicines. The records of medication in the care plans were tracked to the to MAR sheets and staff understanding. The staff spoken to showed very good knowledge about the medicines each service user is taking. The records in the care plans and in the MAR are in good order. The entries in the care plans match those in the record of administration of medication. This shows that the staff are making sure that information entered into the care plans is transferred Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 12 correctly to other documentation. This avoids confusion and ensures that the administration of medicines is safe. During the inspection staff were observed to be very respectful towards the residents. They worked to protect their privacy and dignity. Any prompts were given discretely, help was given gently and staff took time to talk to the residents. Staff were observed to address the residents by their preferred names and to knock on doors before entering bedrooms. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home promotes ability and activity. This supports the residents to maintain as much independence as possible EVIDENCE: There is a very good ratio of staff to residents. An activities programme is in place and this is displayed in the communal areas so the residents can see what is going on. Staff coordinate activities, which include playing cards and board games, music, and movement, gentle exercise, reminiscence, manicure, pedicure, and sing alongs. In addition, the library service visits the home on a regular basis. On the day of this visit staff were spending time with individual residents. Residents spoken to said that they liked to spend time reading or watching Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 14 television in their rooms. Some said that they enjoyed chatting with the staff. Some of the staff are very artistic and creative. One said she really enjoys doing art and craft work with the residents. The residents said how much they enjoyed doing creative work. They said they really like the art and activity sessions. One resident said that she loves the colouring sessions and enjoys working on puzzles and the sing along sessions. There were plenty of puzzles, art and craft equipment and large print books in the home on the day of inspection One relative said that she had observed staff “working in a harmonious and supportive way with the residents, irrespective of ethnicity or age”. Several relatives said they were very satisfied with the detailed communication they receive from the home. Visitors are always welcome and they said they are always made to feel at home. Residents participate in decision making as much as possible within the home. They are encouraged to choose meals, what to wear, and what time they go to bed and get up. Spiritual needs are supported and residents are assisted to attend church. Worship groups are also organised within the home. A visiting chaplain gave very positive comments in response to the CSCI survey. He said that he was always able to visit the home at any time and to speak freely to any of the residents and staff. Relatives said that the home helps the residents keep in touch with them. Some relatives live in abroad and one was very positive about the way the home keeps in touch and helps him stay involved in his mother’s care. The registered manager stated that regular contact is maintained with relatives and that visitors are welcome in the home at any reasonable time. He said he always tries to involve relatives in reviews of care. The catering arrangements in the home are well organised. Menus are planned in conjunction with the residents. Meals are wholesome, fresh and appetising. There were delicious cooking aromas in the home at lunchtime on the day of this visit. Lunch was served in the dining room, in an unhurried and pleasant atmosphere. Residents said that the food is good, that they enjoy their meals and that they always have plenty to eat. One especially mentioned how good the puddings are. One comment from a resident was “The meals are delicious – I especially like the puddings”. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sound policies and procedures in place for dealing with complaints and concerns, and for protecting the residents from harm. This means that the views of the residents and their supporters are listened to and that the home works hard to ensure that the residents are protected from all forms of abuse EVIDENCE: The home has a sound complaints policy and procedure. All residents and their relatives have access to this and a copy of the complaints procedure is included in the service user guide. There have been no formal complaints since the last inspection. Residents all said that they know they can talk to any of the staff if they have concerns. They said that if they had a serious complaint they would talk to Harry (the registered provider/manager). They said that they have, “no complaints,” but were sure that, if they did, Harry (the registered manager/provider) would listen to their concerns. All staff have induction training in the protection of vulnerable adults (POVA). This is updated each year. There is also a copy of Surreys Multi Agencies Policies and Procedures on Safeguarding Vulnerable Adults in place. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 16 Staff spoken to were very clear in their understanding of POVA and knew the procedures to follow if there were ever any concerns. They said they felt this was very unlikely as there are always a good number of staff on duty and that the registered persons were in the home a great deal. Relatives said that the home maintains very good communication with them and that any concerns they may have are listened to and acted upon. They said that they feel the residents are very well cared for and that they have peace of mind in knowing that their relatives are receiving good care from, “Well trained and gentle staff”. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is odour free, well maintained and safe. This gives the residents a pleasant and homely place in which to live EVIDENCE: On the day of the inspection the home was clean, well ventilated and well maintained. The home has a large lounge and dining area. This is decorated to a good standard. There is a conservatory, which overlooks a wellmaintained rear garden and patio area. Several residents and relatives commented on the facilities in the home. Some said they liked to sit in the garden and the conservatory, weather permitting. Others said that they like to sit and enjoy the company in the lounge. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 18 Bedrooms are single occupancy with some are en-suite. These rooms are personalised and reflect the individual personalities and interests of the residents. There is an infection control policy in place. There are several hand washing facilities and anti-bacterial hand washing outlets throughout the home. Arrangements are in place for the collection of clinical waste. The laundry facilities meet the requirements of the home. No offensive odours were noted during a tour of the home. One resident said, “My room is always fresh and clean.” There is a redecoration and refurbishment programme in place. There are plans to upgrade the downstairs bathroom and to replace the flooring in the conservatory. The registered provider said that the work will be done with due consideration of the wishes of the residents and with as little as possible disruption. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service Staffing levels, staff training and staff morale are all good. This means that a well-qualified and cheerful staff team cares for the residents. Recruitment practices are sound. This means that the residents are protected from staff who may be unsuitable to work in a care environment. EVIDENCE: There were enough staff on duty on the day of this visit to meet the assessed needs of the residents. Both providers spend a great deal of time in the home. The home does not employ agency staff. The registered manager said that this is because they want to ensure that the residents are cared for by staff who know and understand their needs. If shifts need to be covered then the permanent staff work extra hours. Discussion with staff showed that they have a clear understanding of their roles and responsibilities. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 20 There is a very good level of training being undertaken by staff. The senior carer and the registered manager/provider both talked enthusiastically about the training programme. The home works very closely with a local college, Necot, to ensure as many staff as possible achieve the National Vocational Qualification (NVQ) at level II or above. Currently eighty percent of staff have NVQs at level two or above. There is a comprehensive induction programme for all new staff as well as an on-going training programme for existing staff. Training records were examined and showed that there is plenty of statutory training such as fire safety and infection control as well as specialist training such as diabetes and dementia care. Staff receive a handbook at induction. They then work through the book and the manager signs off each item once they have been assessed as competent in that area. Training records are in good order and show a high level of training taking place The registered manager/provider has a background in nursing and nurse education. He has an MA in education. Direct and indirect observation showed he is very skilled at giving on the job advice and positive feedback to staff. The other registered provider has a nursing background. One member of staff said she has, “learned so much from the providers”. She said that, originally she only worked at the home on a temporary basis but loved it so much she decided to make it her career and is now undertaking NVQ level IV. The recruitment files were sampled during the inspection. These contained employment documentation to include a completed application form, written references, employment history, and Criminal Records Bureau (CRB) disclosure number. Records showed that all appropriate pre-employment checks have been made. Residents’ and relatives’ comments about the staff were very positive. They said, “The staff look after us very well”; “The staff are always friendly and helpful”; “If I have any queries they will listen and do their best to help”; “I have observed staff supporting, encouraging and caring for my mother in a patient, tolerant and cheerful way”, and, “Staff are always very accommodating and willing to answer any questions”. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home is well managed. The views of the residents and their supporters and listened to and acted upon. This means that the home is run in the best interests of the residents.. EVIDENCE: The home is well managed by the registered manager who is also the provider. His wife, the other registered provider, supports him. They are both qualified nurses with several years experience in the provision of care to older people. They also have experience in nurse education and in management. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 22 Staff said they feel very well supported by both the providers. They said that there is a strong management presence in the home and they praised the leadership qualities of Mr and Mrs Chaumoo. Residents said they know that they can, “Speak to Harry or his wife”, if they have any concerns. They said that they are very satisfied with support they receive and that they are consulted, “As much as needs be”, about the running of the home. Relatives all praised the way the home keeps them in tough and involves them when necessary. Conversation with the registered manager/provider and the senior carer showed that there is a very good understanding of best practice in care. The home seeks the views of the residents, relatives, and staff by sending out questionnaires periodically. The responses are retained on file for reference. The arrangements for safeguarding residents’ finances are satisfactory. The home only keeps small amounts of personal monies on behalf of residents. This is to pay for items such as hairdressing, chiropody and toiletries. There is a policy in place for all financial transactions and any money withdrawn is signed for. There are appropriate health and safety policies and procedures in place in the home. All new staff are inducted in health and safety policies, manual handling, food hygiene, first aid, fire safety, and COSHH. Risk assessments are in place for all identified environmental risks and for safe working practice. Fire safety records were in order and fire alarms are checked weekly. There is a contract in place for the maintenance of the fire fighting equipment and emergency lighting. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 X 3 X X 3 Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP19 Good Practice Recommendations Care should be taken to sign and date each of long assessment forms. It would be useful to review some of the templates used to add some prompts to do this. The home should continue to keep the environmental improvement plan to schedule. Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Copperfield House DS0000013609.V357981.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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