Inspection on 28/04/05 for Forest Drive Rest Home,

This inspection was carried out on 28th April 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Forest Drive Rest Home, 04/12/07

Forest Drive Rest Home, 28/07/06

Forest Drive Rest Home, 30/11/04

Forest Drive Rest Home, 02/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Forest Drive Rest Home 2 - 4 Forest Drive East Leytonstone London E11 1JY Lead Inspector Glen Baker Unannounced Inspection 28th April 2005 10:00am 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. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Forest Drive Rest Home Address 2 - 4 Forest Drive East, Leytonstone, London, E11 1JY 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) Category(ies) of registration, with number of places 0208 925 4805 0208 281 2343 Mr Nadeem Diwan Mr Nadeem Diwan Care Home - PC 10 OP - Old Age (10) Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30th November 2004 Brief Description of the Service: Forest Drive care home is registered to provide personal care and accommodation for up to 10 people over the age of 65. The home is a family run concern and a number of family members work in the home. The registered manager and deputy are brothers and their parents act as cooks. The property is in a residential area and is indistinguishable from other properties in the area. Accommodation is provided in 8 single rooms and 1 shared bedroom. There is lift access to the bedrooms on the first floor. The shared bedroom is reached via a small staircase and is one the mezzanine floor. There are no specialist services offered at the home, although the registered provider and his family would be able to meet the cultural and language needs of Asian elders of the Muslim faith. The proprietor has recently purchased the neighbouring property and is in the process of developing this to improve the standard of accommodation and to increase the number of places available. During this redevelopment there are restrictions on the use of the grounds to the rear of the property which is being used by the builders. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 28/04/05 and was unannounced. The home’s manager, who is also the proprietor, was present throughout the inspection. The inspector also had the opportunity of speaking with service users and members of the staff team. To assist in the inspection of the home a number of policies, procedures and other documents were inspected. What the service does well: What has improved since the last inspection? What they could do better: The proprietor needs to improve the variety and quality of activities provided within the home. The move to the new extension to the home should improve opportunities in this area. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 6 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. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 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 Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 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) 1, 2, 3, 4, 5, 6. The proprietor is currently updating all documentation as part of the process of registering both the extension to the home and application for registration to provide care for Elders with age-related mental health problems. There have been no admissions since last inspection, and will be none until the extension to the home is opened. The admissions procedure for the home allows for, and encourages, prospective residents to visit the home prior to making a decision about moving to the home. EVIDENCE: The current Statement of Purpose describes the aims, objectives and philosophy of care at the home. The Statement of Purpose is available in Urdu and Swahili and the proprietor is further developing the document to include large print and pictures. The home is currently the subject of an extensive extension and refurbishment programme and the Statement of Purpose and Service User Guide are being updated as part of that process. There have been no admissions since last inspection. It is the policy of the home that prospective residents are only admitted after being fully assessed by a senior member of the homes staff. All prospective residents are seen either in their own homes or in hospital prior to admission. The homes Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 9 admission/assessment document covers the areas detailed in 3.3 of the National Minimum Standards. The policy includes the undertaking of risk assessments prior to admission for assessment. The preadmission assessment informs a detailed care plan showing how the assessed needs of the resident are to be met and identifies the resources needed to do so. The home currently has residents from a variety of ethnic/religious groups including Jewish, Muslim, Hindu, Afro-Caribbean and White European. Where required food and cooking utensils are appropriately stored. The home does not provide intermediate care. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11. The proprietor has continued to develop the detailed care plans. Care plans were detailed, regularly reviewed and were up-to-date. Care plans identified resources required to meet residents needs. Residents receive appropriate medical attention. Medication was administered appropriately. Residents who were spoken to confirm that they were treated with respect. The home is committed to providing a permanent home for residents including caring for them at the time leading up to death. EVIDENCE: Care plans are developed from the initial assessment document and from regular reviews of the needs of residents. Records showed that care plans are reviewed on a monthly basis and individual changes are discussed at weekly senior meetings. Keyworker sessions were recorded. The degree to which residents are involved in the formation of the care plans should be recorded and where possible residents should indicate that they are in agreement with the plan. No residents had been admitted to Accident and Emergency since last inspection. There are no residents currently suffering from pressure area problems. Residents are registered with members of the primary health care to include GP, community nurses, optician, chiropodist and dentists. The Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 11 involvement of each medical professional is recorded separately within the care plan. Risk assessments in respect of falls have been completed. Each resdident has an individual dietary plan that includes a nutritional assessment and details of any special religious, cultural or medical dietary needs. Care staff record what is eaten by each resident. Fresh food is purchased on a daily basis and prepared at the home. Community nurses undertake initial assessments in respect of residents who are at risk of developing pressure area problems. Community nurses offer advice in respect of continence and make referrals to the continence adviser and tissue viability nurse where necessary. Senior staff administer all medication within the home. All senior staff have been appropriately trained. The home uses the Boots medication administration system. Medication is administered directly from the compliance aid. Administration records were inspected and found satisfactory. Personal care is given in private. The home operates a knock and wait policy in respect of residents bedrooms. Where residents require to see health care professionals at the home this is arranged within the privacy of the bedrooms. The home currently has a lounge area, dining area and the conservatory area. Arrangements can be made for residents to meet guests in private. The home has a cordless phone that can be used by residents to make and receive calls in private. When requested, by residents or their families, terminal care is offered at the home where this can be supported by members of the community health care team. Residents are able to spend the final days in their own rooms, where this is appropriate, dignity of residents is respected and maintained at all times. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 12 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) 12, 13, 14, 15. Currently the home is being extended and developed. Access to the grounds at the rear of the property is not possible due to the storage of building materials. Activities are restricted to those that can take place indoors. Visitors are welcome at all times. Residents are encouraged to make as many decisions as possible affecting their day to day activities. Meals at the home are cooked, using fresh ingredients, on a daily basis. EVIDENCE: Residents have access to a number of activities including televisions with foreign language services, radio/music centres and a number of board games/individual activities. In addition staff arrange for some exercise programmes. A number of residents have been involved in selecting colour schemes for the extended part of the home into which they will be moving shortly. Residents are able to have visitors at any time. The home has three communal areas and it is often possible to arrange for visitors to meet residents in private. Residents can also receive visitors in their own rooms. Residents are encouraged to retain as much personal autonomy over their own lives as possible. Residents were able to choose the times that they rise in the morning and retired at night. Residents are involved in the creation of menus and have a choice of meals on a day-to-day basis. In the majority of cases the Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 13 home manages day-to-day finances on behalf of residents. A sample of accounts was inspected and was found to be satisfactory. Residents confirmed that meals provided were of a good standard. The Inspector ate at the home as part of the inspection. The menu chosen was from the ethnic/cultural section of a menu and was prepared to a high standard, was very tasty and was well presented. Three cooked meals are prepared each day and residents are able to have snacks and drinks between times. Fresh fruit and vegetables are purchased on a daily basis. Fresh fruit is available at all times. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 14 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, 17, 18. There have been no complaints since last inspection. The home has a complaints procedure. Residents have the same civil and legal rights as other elders in the community. The home has an adult protection policy and staff receive adult protection training. EVIDENCE: The record of complaints was inspected, there have been no complaints since last inspection. The complaints procedure includes timescales for complaint investigation and includes telephone contact details and address of the Commission for Social Care Inspection. Residents can be supported, through the complaints process, by an advocate or relative if they require. Residents have the same civil legal rights as other elders in the community. The home has a policy on residents civil rights. All residents are registered on the electoral roll and also registered for postal votes. The home has an adult protection policy. All staff have received training to ensure they are aware of the appropriate action to take if an adult protection issue is reported or discovered. Staff who were interviewed appeared to be aware of their responsibilities. The proprietor is aware of his responsibilities in respect of Protection of Vulnerable Adults legislation. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 15 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, 20, 21, 22, 23, 24, 25, 26. The home consists of a former family home and is indistinguishable from others in the street. The home is currently being developed to include an adjoining property. The extended part of the home has been developed to meet the current standards as set out in the National Minimum Standards. Due to building work being undertaken the grounds to the rear of the property cannot be used by residents. The home was clean, tidy and odour free from odour on the day of inspection. EVIDENCE: The home consists of a former, large, family home and is indistinguishable from others in the street. It is situated in a quiet residential road and has good access to shops, public transport links, hospital services and other facilities. The proprietor has recently purchased and started to refurbish an adjoining house with the aim of increasing the number of places available at the home and improving the quality of the facilities. The new facilities are designed to meet the national minimum standards. When the extension has been completed it is proposed that residents will move to the new Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 16 accommodation and refurbishment will begin on the existing accommodation to bring that up to current standards. Whilst building work is being completed the grounds to the rear of the building are not accessible, except in emergencies, as building materials have been stored there. The existing home currently has three communal areas; a lounge, a dining room and the conservatory. Furnishings throughout the home are domestic in character. Toilet, washing and bathing facilities were inspected and were satisfactory. These will be upgraded as part of the refurbishment programme. As part of the redevelopment plans an Occupational Therapist has advised the proprietor on design and facilities to ensure that appropriate disability equipment has been provided. All bedrooms in the existing home are to be refurbished to meet current registration standards. It is proposed that all bedrooms will be single bedrooms. A sample of bedrooms was inspected and were satisfactory. The home has a cordless phone which can be used by residents to make and receive private telephone calls if they wish. Water temperatures were checked at the home and found to be satisfactory. Rooms throughout the home are appropriately ventilated. All rooms have central heating. Radiators are fitted with radiator covers. New water tanks are being fitted as part of the refurbishment programme. Laundry facilities were inspected and were satisfactory. Laundry facilities will be upgraded as part of the refurbishment programme. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 17 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, 28, 29, 30. The home was appropriately staffed. The home exceeds the requirement for staff to be trained to NVQ level 2 or above. Appropriate employment checks had been made for all staff. Staff receive appropriate training. EVIDENCE: On the day of the inspection the home was appropriately staffed and reflected the Rota for that day. Staffing levels will be reassessed as part of the registration process for the upgrading of the home. In addition to care staff the manager, deputy manager and cook were on duty. The home has already achieved the requirement, in the national minimum standards, that at least 50 of the staff team of trained to NVQ level 2 or above. In addition staff receive in-house training. This is a family run business and relevant personal records reflect this. Staff files of non family members showed that appropriate checks to be made. Criminal Records Bureau disclosures have been made in respect of all members of staff. Staff are employed in accordance with the code of conduct and practice of the General Social Care Council. All staff receive statements of terms and conditions. Volunteers are not used in the home. The proprietor has employed the services of a training consultant to ensure that staff receive training appropriate to the work. Each member of staff has an individual training profile. The systems for induction and foundation training have been put in place. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 18 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, 32, 33, 34, 35, 36, 37, 38. The registered manager, who is also the proprietor, is qualified and has considerable experience of managing a residential home. The home has a relaxed feel and staff feel supported by the management team. EVIDENCE: The proprietor, who is also the manager has completed the registered managers award and is now undertaking NVQ level 5 training. The manager has undertaken dementia training. Staff interviewed on the day of inspection said that they were happy and were supported by the management team. Staff meetings occur on a regular basis and include discussions of residents care plans and care needs. All staff were regularly supervised, formally and on an ad hoc basis. A record of the dates of supervision was inspected and was found to be satisfactory. The proprietor of the home is also the manager and therefore reports under regulation 26 are not necessary. The proprietor has employed the services of a consultant who Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 19 undertakes regular visits to the home to assess the quality of services provided. Written reports of those visits were available for inspection and were satisfactory. The manager undertakes annual residents’ and relatives’ surveys that are available for inspection. These reflected a positive impression of the home. The home has an annual development plan which was inspected and was satisfactory. A financial and business plan was inspected and was found to be satisfactory. Records of residents personal expenditure were inspected and found be satisfactory. Staff confirmed that they receive regular supervision. Supervision records are kept with staff personal records. Staff are supervised but on an individual and group basis (as part of staff meetings). Residents have access to records and information that is held by the home about them. Records were kept securely within the home. Records inspected were up-to-date and were appropriately maintained. The home has a health and safety policy. Staff have received appropriate manual handling training. The manager and deputy manager have undertaken first aid training. All staff have undertaken food hygiene training. The home has an infection control policy. The home has a current landlords gas safety certificate. The home has a current electrical installations certificate. The home has an appropriate fire detection system that is regularly maintained and checked. The home has appropriate fire fighting equipment as recommended by the fire officer. Regular fire drills and undertaken. Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 20 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 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 1 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 21 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. 2. 3. Standard 1 12 22 Regulation 5 13 12 Requirement The Service User Guide requires updating. The proprietor must ensure that sufficient and appropriate leisure and social activities are provided The proprietor must ensure that an assessment of the premises and facilities has been made by suitably qualified persons including an occupational therapist Timescale for action 31/12/05 31/12/05 31/12/05 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 Good Practice Recommendations Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 4th Floor, Gredley House 1-11 Broadway, Stratford London E15 4BQ 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 Forest Drive Rest Home G56 G06 S7239 Forest Drive V238343 280405 Stage 4.doc Version 1.40 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!