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Inspection on 10/10/05 for Forde Park Residential Home

Also see our care home review for Forde Park Residential Home for more information

This inspection was carried out on 10th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

A high standard of physical care is provided and all the residents looked smartly presented, with well laundered clothes. Although some of them were unable to express an opinion clearly, those who could were complimentary about the attitude of the staff. A card of thanks recently received from a resident`s relative stated that "she was so happy with you all". Most of the staff have worked at the home for several years and so there is a stable staff group, contributing to continuity of care for the residents. The staff on duty were cheerful and worked well together. The lunch served looked nourishing and appetising, and the residents consulted said they were very satisfied with the meals provided.

What has improved since the last inspection?

What the care home could do better:

A requirement has been made following this inspection that the administration recording sheets in respect of residents` medication must be signed by the staff member giving out the medication at the time this is done (rather than at some later time). This arrangement avoids any confusion about whether the medication has been given to residents or not. Also the manager should ensure that the records relating to residents` personal money are kept right up to date in her absence from the home for any substantial period.

CARE HOMES FOR OLDER PEOPLE Forde Park Residential Home 18 Keyberry Park Newton Abbot Devon TQ12 1BZ Lead Inspector Mark Sharman Unannounced 10th October 2005 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 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. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Forde Park Residential Home Address 18 Keyberry Park, Newton Abbot, Devon, TQ12 1BZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01626 352904 01626 356847 The Wilson Crawford Partnership Mrs Barbara Elsie Underhill Care Home 15 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (15), Physical disability over 65 of places years of age (15) Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5/4/05 Brief Description of the Service: Forde Park residential home is a large detached house in a quiet and attractive residential area about a mile from the centre of Newton Abbot. There is a public park nearby. The home cares for up to fifteen people aged 65 or over, who may also have a dementia. There are three ground floor bedrooms, and there are stair lifts on the main staircase. It is necessary to use a short flight of stairs to reach two of the first floor bedrooms. There are seven single rooms and four double rooms. There is an attractive lounge, separate dining room and a small conservatory. The home is on a level site and has a decked area and a large garden. However there are some steps to the front door, making access into the home more difficult for people with reduced mobility. There are ample car parking areas. The organisation which owns this home also operates a home providing nursing care two doors away. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection lasting about four hours. Ten of the residents were consulted (most of them were quite confused), and the manager and three of the staff were also consulted. A sample of the home’s records was inspected, and most of the rooms in the home were seen. What the service does well: What has improved since the last inspection? A requirement was made at the last inspection for the refurbishment of the kitchen. This has now largely been completed, including the installation of new equipment, and this will contribute to good hygiene and food safety. A requirement was also made for better storage arrangements for the residents’ medication, and a good metal drugs trolley is now in use. This has improved the safekeeping of the medication. The décor and appearance of the home has been improved in certain respects. The dining room and some bedrooms have been redecorated, and smart new armchairs have been provided in the lounge. A new mobile hoist has been bought, which will benefit residents with very poor mobility and the staff who care for them. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 6 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. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. Standard 6 is inapplicable to this home. The needs of new residents are assessed before they are admitted to the home. EVIDENCE: One new resident had been admitted since the last inspection, and a local authority care manager’s assessment/care plan was received by the home prior to his admission. Because he was admitted from the Midlands the home’s manager was unable to carry out her own assessment of his needs until his arrival at the home. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9 and 10. Care planning was found to be satisfactory. The administration of residents’ medication was generally satisfactory, although one shortcoming was identified. EVIDENCE: Two care plans were examined. They described the residents’ health care needs and social needs, had been reviewed regularly and had been signed by the resident in question. They included a manual handling assessment and a skin/pressure area assessment. All of the residents looked well cared for and well presented, and were neatly and appropriately dressed. The storage of medication has been improved with the use of a metal drugs trolley, and the manager said that all carers have recently had medication training (certificates not yet available). However the medication administration recording sheets had not been signed by staff for the morning of the inspection to verify that the residents had been given their medication that morning. The more capable residents were able to confirm that the staff treat them in a kind and respectful way. One resident occupying a double bedroom said that a screen is used in the room to provide some privacy. Another said that a Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 10 portable telephone is available for residents’ use, thus allowing privacy for calls if needed. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15. The standard of the meals provided is good both as to quality and quantity. EVIDENCE: All of the residents able to express an opinion said that the meals are good. The lunch on the day of the inspection looked appetising and substantial, consisting of beef stew, dumplings and three vegetables followed by rice pudding. For tea there was to be cheese and potato pie and a dessert, or sandwiches are always available. The manager said that there is always a hot dish at tea time. Several of the residents choose to have their meals in their own rooms, which was the case during the inspection. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. The home has a satisfactory complaints procedure, with some evidence that service users feel that their views are listened to and taken seriously. EVIDENCE: The home has an appropriate complaints procedure which was displayed in the hall, where the last Commission for Social Care Inspection report was also available. The Commission has not received a complaint about the home since the last inspection. Residents who were consulted thought that they would be listened to and that the manager would try to sort out any complaint. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26. The home is maintained in a safe condition, and a programme of redecoration and refurbishment in recent months has significantly improved the environment. The home was clean and free from odour. EVIDENCE: The home has a warm, welcoming ambience and the communal rooms looked attractive. New armchairs have been provided for the lounge and the dining room has been redecorated. Some of the bedrooms have also been redecorated. The kitchen has been substantially refurbished, and new equipment was in the process of being installed at the time of this inspection. An assessment with regard to access into the building and access within it was carried out some time ago by the organisation’s occupational therapist. However there are steps at the home’s front door, and the problem remains of access into the home for people with reduced mobility. All parts of the home which were inspected were clean, and the residents who were consulted said that this was normal. There was no unpleasant odour. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. Staffing levels were adequate and there is a stable staff group, which contributes to continuity of care. Residents are protected by the home’s recruitment practice. EVIDENCE: This was an unannounced inspection and there was an adequate number of staff on duty. The staff are appropriately experienced and most of them have worked at the home for a number of years. The staff on duty were cheerful and worked well together, and residents were complimentary about the staff group as a whole. One new staff member who has worked for the organisation for several years in another role confirmed that a Criminal Records Bureau check had been carried out on her. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 and 35. The home is managed by an appropriately experienced person with good administrative support from the Forde Park organisation. There is a well established quality assurance system in place. EVIDENCE: The registered manager is experienced, and has managed this home for about eight years. She is an NVQ assessor and is currently working towards the registered managers award and NVQ level 4 in care. The Standard will continue to be met when she attains those qualifications. The organisation has a quality management system, including a requirement for the manager to submit monthly quality audit sheets to head office. A satisfaction questionnaire about services provided is given to residents’ relatives from time to time (some have been seen), and the manager said this was now due to happen again. In many cases residents’ personal finances are administered by relatives, but in a few cases a float is maintained by the manager. She had been away on leave just prior to this inspection, and two of these records were not Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 16 completely up to date. Accordingly this task should be delegated to another staff member in the manager’s absence. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x 2 x x x Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 18 Yes. 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 9 Regulation 13 Requirement The medication recording sheets must be signed at the time the medication is given to service users. Timescale for action With immediate effect. 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. Refer to Standard 35 Good Practice Recommendations The manager should ensure that the records relating to residents personal money are kept right up to date in her absence from the home for any substantial period. Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 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 Forde Park Residential Home D54-D07 S3702 Forde Park V241822 101005 Stage 4.doc Version 1.40 Page 20 - 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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