Care Home: The Coppice

What the care home does well People who live at the home say they receive good care and support. One person said, `Jackie (manager/proprietor) can not do enough for us` another person commented `Jackie is kind and helpful`. People have the opportunity to pursue hobbies and interests, mix with the local community and maintain links with family and friends. One person said, `I go out a lot`. The environment is homely, clean and comfortable for the people living there. The manager acts in the best interests of people at the home.One person living there described her as `kind and very approachable` another person said, `nothing is too much trouble for her`. What has improved since the last inspection? Good standards have been maintained. People`s care records now include information about health care visits and appointments and outcomes from these. This will help in making sure that people`s health needs are met. The manager has obtained a DVD from a training organisation about abuse and how to recognise and respond to it. This will help in making sure any concerns are reported to the appropriate agencies to keep people safe. What the care home could do better: Care plan information could include information about the level of support needed for one person with mobility problems. The manager could have further moving and handling training. This will help her to be aware of current legislation and be up to date with best safe working practices. Records in relation to the monitoring of hot water temperatures could be kept up to date so that any problems can be identified at an early stage and an audit trail is provided if problems occur. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Coppice Tall Trees Drive Featherstone Pontefract West Yorks WF7 6BP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: David White     Date: 0 5 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: The Coppice Tall Trees Drive Featherstone Pontefract West Yorks WF7 6BP 01977790729 F/P01977790729 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Jackie Mitchell care home 3 Number of places (if applicable): Under 65 Over 65 3 old age, not falling within any other category Additional conditions: 0 To provide care for one named person only less than 65 years of age Date of last inspection Brief description of the care home The Coppice is a small family sized care home, which provides care for up to three older people. It is located in a suburban area in North Featherstone and the main shopping centre at Featherstone is a short car or bus journey away. The single storey premises are set back from the main road and situated on rising ground in a large mature landscaped garden, which is private and secluded. A long drive leading up to the house provides off-street parking facilities for visitors. The front entrance is accessed via steps, or a ramp as appropriate. There is a paved patio area with garden furniture. The home and garden are very well maintained and the people who live there have their own sitting room and bathroom. The provider/manager said people are made aware of the service through the local community networks, previous inspection reports and the service users guide. Care Homes for Older People Page 4 of 23 Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection peterchart Environment Staffing Management and administration Poor Adequate Good Excellent How we did our inspection: We went to the home without telling them we were going to visit. This report follows the visit that took place on 5th May 2009. The visit lasted from 09:00 until 11:30. The purpose of the visit was to make sure that the home is operating and being managed in the best interests of people living there. Information has been used from various sources for this report. These sources include reviewing information that has been received about the home since the last inspection visit. The manager of the home provided information in their Annual Quality Assurance Assessment (AQAA) questionnaire. Surveys were received from people living in the home and a person who works there. Care Homes for Older People Page 6 of 23 During the visit time was spent talking to a person who lives at the home and the manager who is also the proprietor. The manager was available throughout the visit and the findings were discussed at the end of the inspection. At the time of the site visit on 5th May 2009, the weekly fees for the home were 398 pounds per week. The previous inspection visit took place on 10th May 2007. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are only admitted to the home if they have had their needs assessed beforehand. This helps in making sure that people are only admitted to the home if their needs can be met. Evidence: The home has a statement of purpose and a service user guide explaining the care and services that are on offer at the home. Copies of both documents are given to people who are thinking about moving into the home to help them with their decision-making about whether the home is suitable to meet their needs. Surveys returned by people living at the home said that the person were given a contract on moving into the home and had been given enough information beforehand to help with their decision-making about moving in. Relatives are also offered this information. One person has recently been admitted to the home. The manager had carried out an Care Homes for Older People Page 10 of 23 Evidence: assessment of the persons needs before their admission. Information was also collected from the persons social worker and relatives. Although the manager had not received the local authoritys assessment as yet, the manager said that the person had been visiting the home for a lengthy period of time for day care and was confident she could meet their needs. Care Homes for Older People Page 11 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and health care needs are well met. Evidence: Each person has a care plan explaining their needs and how they are to be supported with these. The care records include information about peoples past history and their likes and dislikes. Care records are reviewed every month and updated with any changes to peoples needs. A survey returned by a person who works at the home said, care plans are up to date and very informative and handover periods are a great source of information. The manager said that the people in the home are mostly independent and mobile. One person has some visual impairment but has lived at the home for a number of years and was able to find their way around the home with the support of staff where appropriate. The care records showed that one person walked with a zimmer frame because of hip problems. The manager explained that the person is able to mobilise independently although some one does need someone to be with them when they are Care Homes for Older People Page 12 of 23 Evidence: having a bath in case any support was needed. This was not recorded in the persons care records. This was discussed with the manager who said she would be including this information in the persons care plan. Each person at the home has a GP (General Practitioner) and can access dental and optical and chiropody services. Improvements have been made to the recording systems so that records of health care contacts and appointments are maintained including any any actions that are to be taken from health care input. Regular weight checks are now carried out on people and these are recorded. People living at the home have annual medical check-ups with their GP. Surveys returned by people who use the service indicated that people always receive medical support when they need it. The manager said that none of the people living in the home currently take any medication. Whilst two people who live at the home had gone out at the time of the visit, the other person living there was spoken with. This person spoke very positively about the care and support they receive and commented Jackie (manager/proprietor) can not do enough for us. A survey returned by another person at the home said, Jackie is very kind and helpful. At the time of the visit support was observed to be given in a sensitive and respectful manner. Care Homes for Older People Page 13 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to live a lifestyle to suit their needs and personal choices. Evidence: On the day of the site visit two people were out attending a reading class at a local day centre. One person particularly enjoys poetry and is part of a writing group at a local day service. The person had written one particular poem that had been published and a copy of this publication was available at the home. Also on display on bedroom walls were paintings that had been completed at local classes. People have the opportunity to watch television in lounge areas if they chose to do so. The manager said that there are also trips out to the library, garden centres and other local attractions. One person likes to attend church and is supported in doing this. The person who was spoken to said, I go out a lot. People are encouraged to maintain their relationships with family and friends. One person said that they go out regularly with their family who also visit the home frequently. Surveys returned by people living at the home commented that the food is always Care Homes for Older People Page 14 of 23 Evidence: nice. The food is home cooked and at the time of the visit people were looking forward to homemade steak and kidney pie. Peoples preferences regarding their menu choices are discussed with the manager on a daily basis. There are always alternative meals available if someone does not want a particular meal and drinks and snacks are on offer at all times if people want them. Most people sat and ate their meals together. However, one person preferred to eat their meals on their own and this choice was respected. The manager said that in good weather barbeques are held outside on the patio in the spacious garden area. Care Homes for Older People Page 15 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to make sure peoples concerns are listened to and acted on to keep them safe. Evidence: The homes manager said that she has never received any complaints about the service but has a complaints procedure in place should anybody have cause to complain. A person spoken with said that they would speak to the manager about any concerns. Surveys returned by people living at the home commented that people would know who they would need to speak to about any issues of concern. The manager has a copy of the local authoritys Multi Agency Safeguarding Adults polices and procedures. She has also obtained a DVD from an external training organisation explaining abuse and how to respond to it. Care Homes for Older People Page 16 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy living in a clean, homely and well maintained environment. Evidence: All accommodation is on the ground floor and there is ramped access to and from the home to accommodate people with mobility problems. The home has a very well maintained garden area that has a patio with plenty of seating so that people can sit out. All bedrooms seen were personalised to suit individual tastes. Records of peoples achievements could be seen on bedroom walls. There are lounge areas where people can sit quietly or watch television. The home is decorated and furnished to a high standard. Aids and adaptations are available to help people with their independence and mobility. On the day of the visit the environment was found to be very clean and had a homely feel. The person living at the home who was spoken with said how much they enjoyed living at the home. A survey returned by a person who works at the home said, the care is excellent and the home is always fully equipped with food and toiletries. Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory staffing arrangements are in place. Training updates are needed in one aspect of care practice to make sure good and safe working practice is being maintained. Evidence: The manager who is also the proprietor of the home does not employ any other staff. A voluntary worker takes care of people in the home in her absence. The manager said that before the voluntary worker started working at the home all the necessary CRB (Criminal Record Bureau) checks had been completed. This had been confirmed at a previous inspection visit. The manager had undertaken some further training in infection control and first aid. The need for a manual handling training update was discussed and the manager said she would arrange this. The manager had obtained information from the local authority and an external training organisation to keep her knowledge updated. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in the best interests of people who live there. Overall peoples health and safety is well maintained and this would be enhanced further if improvements could be made to two aspects of health and safety. Evidence: The manager/proprietor is experienced in running the home and has a very good understanding of the needs of the people who live there. A person living at the home described the manager as kind and very approachable and said, nothing is too much bother for her. The manager has daily discussions with people living at the home about their preferred choices with regard to such things as activities and meals. She is also in regular contact with relatives to seek their views and opinions on the service being provided. The home does not have any involvement in the management or storage of peoples Care Homes for Older People Page 19 of 23 Evidence: finances. Written information received from the manager before the site visit confirmed that systems relating to health and safety are well maintained. Fire alarm checks are carried out monthly. The manager said that hot water temperature checks are carried out but these are still not recorded. At the previous inspection visit it was recommended that the manager/proprietor should approach the homes insurers to discuss any actions with them relating to an unpaid worker managing the home in the registered managers absence. At the time of the visit the manager said that this had not been done. However, the manager said this issue is about to be addressed within the next month and has agreed to send information onto the Care Quality Commission to confirm the outcome from this discussion. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 8 Care plan information should include the level of support that is needed for one person who has mobility problems. This will help in making sure the person receives the right kind of support to minimise any potential risks. Arrangements should be put in place for the manager/proprietor to have updated moving and handling training so that she is up to date with current legislation and safe practice. Checks of hot water temperatures should be recorded so that any problems can be identified at an early stage and to provide an audit trail if problems occur. 2 30 3 38 Care Homes for Older People Page 22 of 23 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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