Inspection on 01/02/07 for Forest Court Nursing Home

This inspection was carried out on 1st February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

Other inspections for this house

Forest Court Nursing Home 05/05/10

Forest Court Nursing Home 23/02/09

Forest Court Nursing Home 23/03/06

Forest Court Nursing Home 08/10/05

Forest Court Nursing Home 23/03/05

Forest Court Nursing Home 12/10/04

Forest Court Nursing Home 16/01/04

Similar services:

Fairfields Country Rest Home

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Fairfax House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Forest Court Nursing Home Bradley Court Road Mitcheldean Glos GL17 0DR Lead Inspector Mrs Janice Patrick Key Unannounced Inspection 1st February 2007 10:50 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 Forest Court Nursing Home DS0000016438.V323584.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. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Forest Court Nursing Home Address Bradley Court Road Mitcheldean Glos GL17 0DR 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) 01989 750775 01989 750348 www.bupa.co.uk BUPA Care Homes (CFCHomes) Limited Mr Christopher James Rowlands Care Home 49 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (49), Mental disorder, excluding learning of places disability or dementia (1) Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users accommodated under Dementia (DE) must be aged between 50 and 65 years of age. 23rd March 2006 Date of last inspection Brief Description of the Service: Forest Court is a large imposing building situated on high ground outside the town of Mitcheldean in the Forest Of Dean. There are large gardens with an enclosed area that provides a safe and sheltered garden for residents and their relatives to enjoy. There is also plenty of parking with level access into the home. This care home specialises in the care of the older person who has dementia and who requires nursing care. There are qualified nurses on duty at all times and all staff have experience or have appropriate training in this specialist area of care. The home has predominantly single bedrooms although there are rooms that can be shared. There are large communal areas and wide corridors for residents to wander in freely. Daily activities are available and family and visitors are welcome to visit at any time. Public transport goes as far as the town of Mitcheldean. Charges for fees range from £750.00 to £800.00 per week. Funded places are considered on an individual basis. Fees exclude, Chiropody (foot care), toiletries, hairdressing and papers/magazines. Information on the home can be found in the front hall or can be supplied on request. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector carried out this unannounced inspection on one day between the hours of 10.50am and 7.30pm. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service where possible. As part of the inspection process the arrangements to provide visitors and existing residents with adequate information about the home were inspected. This included transparency in information relating to finances. Three residents were selected and their care and relevant records were inspected in detail. In addition to this several other care records and additional documentation was inspected. The pre admission assessment process was explored and records inspected. Residents’ healthcare needs were explored and how these were being met was inspected. The degree of resident/representative involvement in this was inspected. The homes medication system was inspected, its storage, arrangements for administration and all related records. Arrangements to maintain residents’ privacy and dignity were inspected. How residents are able and supported to make choices were inspected. Social and recreational needs were explored and the arrangements to meet these inspected. The choice, standard and delivery of food were inspected. Arrangements for dealing with complaints and any action taken were inspected. How the home protects vulnerable residents and staffs’ understanding of elderly abuse was explored. The home’s environment and provision of specialised equipment was inspected, including relevant records. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 6 Arrangements for good infection control were inspected. All requirements relating to staffing were inspected; this included the number, staff training, skill mix and recruitment processes. The general management arrangements were inspected, which included how senior staff communicate with residents, relatives and staff. The systems in place for measuring the quality of the services and care and how the home improves these were inspected. Systems for the safe keeping of residents’ monies were inspected. Arrangements for staff supervision and support were inspected. Several areas of health and safety and general maintenance were inspected, including records held. What the service does well: What has improved since the last inspection? What they could do better: Ensure that residents’ representatives are getting all the information they need. This is with reference to the distribution of the Service User Guide and the Complaint Procedure. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 7 Ensure all staff are aware of the issues/law surrounding the Protection of Vulnerable Adults (POVA). Staff trainings in moving and handling and fire awareness must be kept up to date. 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. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 8 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 Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 9 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, 2, 3, 4, 5 & 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information is being given to representatives although how some information reaches them may require a review and some needs updating. Residents and their representatives can be reassured that a robust assessment of needs is carried out prior to admission to ensure their needs can be adequately met. There are enough staff experienced in the specific needs of the residents to ensure their needs are met. The involvement of relatives and friends are considered an integral part of a resident’s care. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 10 EVIDENCE: There has been no change to the home’s Statement of Purpose or the Service User Guide since the last inspection. This along with additional information on dementia care and how to choose a care home is located in the front hall. The Statement of Purpose needs updating to include the provision in the home for 5 admissions under the age of 65 years of age. Service User Guides are not specifically given to each representative but located in each bedroom. On discussion with staff about how sure they were that representatives were getting this information, it became apparent that there was a high chance that residents did move these documents. Representatives are given various pieces of information as their initial enquiry moves forward but consideration should be given to issuing the guide to the representative on the resident’s admission. The home’s administrator carries out the process of providing contracts and terms and conditions in a very organised way. Residents who are funded however are not receiving a copy of the home’s terms and conditions as is now required within the Care Home Regulations 2001. Residents irrespective of how their fees are being met are made aware of their Registered Nurse Care Contribution (RNCC). All residents are robustly assessed prior to admission. The home rarely accepts emergency admissions and if they do they usually have had the resident in the home before, maybe on respite care, as was the case of one resident discussed. This resident’s next of kin described how she had felt ‘let down’ by the local mental health services and how the home had helped her with the admission of her very poorly relative. The home use a specific assessment tool prior to admission which is designed to be reviewed at set intervals following admission and thereafter. These were seen for the three residents case tracked. Qualified nurses are either trained in mental health or have attended relevant trainings. BUPA currently provides training for care assistants in dementia care, however only four staff have completed this. The acting manager confirmed that all staff will attend the training and it is low due to the amount of new staff. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 11 One of the new recruits has previous dementia care experience. One particular senior carer who has extensive training and experience was observed to be very skilled in her approach with residents. Visitors are welcome at anytime and two visitors confirmed this. This home does not provide designated rehabilitation care. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 12 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. Residents’ care is well planned and reviewed. Healthcare needs are met and reviewed well by relevant external healthcare professionals. The medication system is safe and protects resident from poor practice. A strong emphasis is placed on maintaining residents’ privacy and dignity. EVIDENCE: The care plans of the three residents were read in detail including additional documentation relating to other residents. Care plans were ‘person centred’ (individual) and relevant to the person’s needs. They were on the whole well reviewed and updated. All care plans are audited. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 13 A specific care plan relating to one resident’s hearing impairment and how this had an impact on other areas of care was very relevant as the key relative also had a hearing impairment. The healthcare needs of the residents are met well with the support of external healthcare professionals such as the local Doctor (GP), Chiropodist, Mental Health Team from the Primary Healthcare Trust and Continuing Healthcare Nurse. The home also liaises with several Social Workers. The medication system was inspected. Trolley storage was secured to a solid wall. The Medication Administration Records (MAR) sheets for the three residents who were part of the case tracking exercise were inspected. Hand written entries for one recently admitted resident had two signatures. All bottles of liquid medication and packets of medication had dates of opening. Eye drops were dated on opening. One resident’s medication had been reviewed by the GP. Due to this resident’s high refusal rate and high levels of upset when staff tried to administer the medication, a decision had been taken to stop several that were not considered necessary any more. The same review had been carried out for one other resident, but in this case all involved professionals considered one medication to be ‘in the resident’s best interest’ that it still be administered. This medication reduces ‘fits’. The resident lacks mental capacity to make this decision, therefore a process will begin where the agreement of all professionals and any next of kin is sought and documented. The medication is not then just given to the resident (covertly) without the resident knowing without a legal and proper course of action being taken first. This is an example of the home actively protecting the resident from poor practices. Staff will then be able to administer this medication in liquid form added to food/drinks, which the resident is likely to accept without upset. All returns to the Pharmacy were seen as correctly recorded. All stocks of controlled medications corresponded with the records held. Good practice was observed during the administration of medications. Residents’ privacy and dignity was observed to be upheld at all times. This was particularly so during times when residents’ behaviour was inappropriate such as undressing. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to lead their day-to-day life as they wish to and to make choices within their capabilities. Friends and family are actively supported to remain an integral part of the resident life. Residents are provided with a high standard of food which meets with their very individual needs. EVIDENCE: Through observation it was apparent that residents are supported to make simple choices. This was done by staff asking simple questions or by giving options in a non-threatening way. Several residents were served their tea in areas that they preferred to have it. One resident gets very upset if she is not able to eat in the lounge. One resident prefers to remain in the room where he can smoke with his relative. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 15 Another resident wanted his food where he was seated in the corridor. There were several examples of staff knowing exactly what residents preferred or what would upset them. One resident was seen in bed. She had remained in bed most of the day. Staff explained that on some days she will get up on others she does not wish to and her care is given accordingly. It is recognised that this has been a pattern of behaviour for many years. Another resident took a telephone call from a relative abroad. After finishing her call the phone rang again and she answered it. Staff dealt with this in a sensitive way that did not belittle her. One observation was made in the dining room. A pile of dirty tablecloths had been collected together and placed on a table in front of a resident whilst she was still drinking her tea. She expressed her wish not to have these in front of her by saying “ I’ve been brought up proper, this is not right” and by hitting them. Care staff who watched this did not respond by moving them. This was pointed out to the acting manager. The home’s activities co-ordinator explained that he provides different activities for different residents. He clearly knew what would capture the interest and concentration of each resident. There is a separate room for activities, which is bright and stimulating to look at. It is also used when a small group has lunch together and the time is used to foster group interaction. One resident became very agitated during this inspection and the activity coordinators interaction helped calm this resident. A quiet environment and the use of art therapy was used to diffuse the situation. Music is also used a lot within the home within activities or on an individual basis. An advocate liaises with the home regularly about the care and financial affairs of one resident. The acting manager is also very keen to improve connections with the home and the Alzheimer’s Society At mealtimes as mentioned above residents are free to eat their food where they feel most comfortable to do so, although the majority are encouraged to sit at a table in the dining room. Assistance was given to those requiring help to eat in a respectful manner. Residents who wandered off were given food to eat as they walked. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 16 Staff were seen going back to residents who initially refused food. One member of staff sat with a resident while he ate his tea in the hallway. The chef has been at the home for many years and is experienced at providing high calorie food. The company have in place systems that ensure residents receive a balanced and varied diet. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Representatives can be assured that their complaints will be dealt with in an appropriate way, although the complaints procedure needs to be more robustly distributed. There are many systems within the home that help to protect vulnerable adults but a shortfall in the majority of staff having not had any training on the subject could potentially put residents at risk. EVIDENCE: The home has a complaints policy with specific procedures in place. Monthly audits are carried out by BUPA and complaints are robustly dealt with. The one complaint received by the home had been entered into the home’s complaint file along with the action taken. This was substantiated and related to a resident found poorly positioned in a chair. The home has not had any complaints or concerns since. The complaints procedure is on the wall in the hall, but staff agreed that an improvement in how the Service User Guide (where the complaints procedure is also found) would ensure that this procedure reached all concerned. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 18 The acting manager confirmed that the majority of staff have not had specific training in the Protection of Vulnerable Adults (POVA). BUPA are very aware of the subject within their policies and procedures and their Adult Protection Policy has been reviewed. The subject is now covered in induction training. Consideration should be given to staff accessing the Gloucestershire County Council’s training on POVA. The telephone contact number was given during this inspection. The Inspector is confident that within this home there are other systems in place such as good staff supervision and leadership to ensure residents are protected. The rights of residents are also fundamental to this home. However this lack of training is a real shortfall and must be addressed. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 19 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, 24, 25 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The environment is well maintained and offers residents a comfortable and clean environment to live in. EVIDENCE: The home is well maintained both inside and outside. The company’s estate manager, who was onsite during this inspection, is responsible for the rolling programme of refurbishment. Since the last inspection several windows have been replaced and the usual ongoing refurbishment and decorating has taken place. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 20 There were no obvious odours. One corridor upstairs has improved where this is concerned as the flooring has been replaced. Several other bedrooms have had new flooring. All were in good decorative order and contain the required furniture and soft furnishings. Communal rooms are bright and airy and well maintained. The home has a dedicated activities room and smoking lounge. All communal areas and corridors are wide and safe for residents to wander freely. Work has been completed within the home to meet the new fire regulations. All radiators and water pipes have been covered and several windows were seen to have window restrictors in place. It is understood that all windows are restricted. The maintenance person checks these safety precautions as part of the routine health and safety monitoring system in place. Good infection control practices are in place and include specific cleaning regimes that support this. All staff wear appropriate protective clothing as required. The home has a contract for the removal of different grades of rubbish and clinical waste. The home has extensive gardens, however these would not be appropriate for the use by residents who are unable to maintain their own safety or who would get lost. Therefore a specific area off one of the communal rooms has been enclosed and can be used safely. The laundry was not inspected on this visit, but the Inspector understands there have been no changes to this area. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. The home is adequately staffed to meet the needs of the residents. Residents and their representatives can be assured that they will be cared for by staff trained to meet their needs. Recruitment practices are robust and help to protect vulnerable residents. EVIDENCE: The Inspector has taken a proportionate view in assessing this outcome. There are however current shortfalls in routine staff trainings that must be addressed. Staff rotas were inspected. The home is staffed with enough staff to meet the needs of the residents. There are two nurses on duty each day except three days in the week when there is one. The acting manager is supernumerary five days of the week. There is a full compliment of staff in all other support departments. 51 of care staff are trained to the National Vocational Qualification (NVQ) standard in care, Level 2 or more. Five of these are night staff and four are Level 3. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 22 The recruitment files of five new staff were inspected. All the criteria had been met, including clearances by the Criminal Records Bureau (CRB). The home is currently recruiting night staff but these vacant hours are usually covered by the home’s own staff. All staff are provided with a robust induction and probation training. The company has recently changed the format of this training and the new booklet was seen. Staff are recruited on a trial basis and have to meet required standards to remain in employment. The acting manager is effective in communicating the standard of care she expects. New recruits are employed for one week as supernumerary to the care team and are allocated a supervisor until assessed as being competent. The acting manager confirmed that moving and handling training is behind for staff. This has been due to the loss of the home’s trainer and the gap between training someone new. Training was due to recommence 7/2/07. Fire training updates are also behind. The CSCI have had to make a requirement before regarding this. Due to the extreme vulnerability and sometimes non–compliance of this client group and the high percentage of new staff, adequate and frequent training must be provided. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home that is well run and where there is strong leadership. Arrangements are in place for the home to be able to measure how well its services perform and make improvements where needed. Residents’ monies are kept safe. Residents benefit from being cared for by staff who are well supported and supervised. Residents live in a home that is safe, however shortfalls in basic staff training may put them at risk. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 24 EVIDENCE: The Inspector has taken a proportionate view in assessing this outcome. There are however current shortfalls in routine staff trainings, which have previously identified in this report, which do have an impact on the home’s ability to ensure residents’ health and safety. The acting manager used to be the home’s Deputy Manager and has been in her current position for 8 months. The Registered Manager has been absent from the home for sometime now due to ill health. The acting manager is competent and capable of managing the home and is near the end of her Registered Manager’s Award (RMA). She has also completed some of BUPA’s own management trainings. She is well respected by the staff and is able to show good leadership skills. She communicates effectively and holds meetings on a regular basis with all staff groups. The last trained staff meeting was held on 8/2/07 and was primarily about resident dependency levels in the home. A general meeting was held on 11/1/07. Minutes are taken of all meetings and made available. Historically relative meetings are not held as the home has found that an open door policy for relatives works well. The acting manager said she communicates with relatives during visits or over the telephone. BUPA has a comprehensive quality assurance system, which is used by the home management as a working tool. This includes many audits and is monitored by senior BUPA staff. The home also meets the requirement within Regulation 26 of the Care Home Regulations and submits a monthly report on the home to the CSCI. Satisfaction surveys are sent out to relatives and are given to residents where possible. This information is collated and published. This was last carried out at the end of 2006. Staff are also asked to complete questionnaires on the effectiveness of the home manager, working practices, job satisfaction and levels of stress. Action plans are developed from both of the above. No monies are physically held on behalf of residents. Representatives can open an ‘in house’ account. Monies are paid into an external account kept solely for this purpose. This can be used to pay for hairdressing, chiropody, toiletries and other items such as clothing. Receipts are kept of all purchases and transactions are recorded electronically. This system is audited by BUPA yearly. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 25 Staff all receive supervision. Records were seen demonstrating fairly recent supervision sessions with night staff. Qualified nurses do not receive supervision that is recorded; however they do have regular meetings where various clinical topics are discussed. This includes night nurses. BUPA has ongoing contracts with external companies who service and maintain all utilities and equipment. The records for these were not inspected on this visit but there has been no change in this arrangement, which has been fully inspected on previous visits. Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 26 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 2 2 3 3 3 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 X 3 3 X 3 Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 27 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. 1. Standard OP1 Regulation 5(1) Requirement The Registered Person must ensure that all representatives and (residents where appropriate) are issued with a copy of the Service User Guide (welcome pack) which must contain a copy of the home’s terms and conditions and complaint procedure. The Registered Person must ensure all staff are adequately aware of the issues around the Protection of Vulnerable Adults (POVA). The Registered Person must ensure staff are provided with adequate training in safe moving and handling. The Registered Person must ensure staff receive adequate fire training. Timescale for action 30/04/07 2. OP18 13(6) 30/04/07 3. OP38 13(5) 30/04/07 4. OP38 23 (4)(d) 30/04/07 Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 28 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 Forest Court Nursing Home DS0000016438.V323584.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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. 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