Inspection on 28/07/06 for Forest Drive Rest Home,

This inspection was carried out on 28th July 2006.

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.

Other inspections for this house

Forest Drive Rest Home, 04/12/07

Forest Drive Rest Home, 28/04/05

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 Sheelagh Doherty Key Unannounced Inspection 28th July 2006 09:15 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 Drive Rest Home, DS0000007239.V306011.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 Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 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 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) 020 8925 4805 020 8281 2343 Mr Nadeem Diwan Mr Nadeem Diwan Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (19) of places Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. These categories to be used flexibly between 19 beds. Date of last inspection 28th April 2005 Brief Description of the Service: Forest Drive care home is registered to provide personal care and accommodation for up to 19 people over the age of 65. The home is registered to provide care to both physically frail older people and those with dementia. The home is not registered for nursing care. 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 are involved in the running of the home and act as part time cooks. The property consists of two adjoining house which have been adapted for the purpose. The home is situated in a residential area close to Whipps Cross Hospital. Since the last inspection the development of the adjoining property and the refurbishment of the original property have been completed. There are now 19 single rooms of good size, with 17 rooms having en-suite facilities. There are several lounges and one dining room. There is an accessible garden. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on a weekday between the hours of 9am – 3pm. During the course of this visit the inspector had the opportunity to speak with seven residents, five members of staff and the registered manager. The focus of the inspection was to assess the implementation of the requirements made at the last inspection and to assess the service against key standards. The registered manager, who is also the proprietor, was present throughout the inspection and co-operated fully with the inspection process, as did the other staff and the residents. Thanks are extended to them for their assistance. What the service does well: What has improved since the last inspection? What they could do better: Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 6 A more robust system for managing residents’ finances is needed. This was discussed with the registered manager during the inspection. 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, DS0000007239.V306011.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 The quality outcome for this group is good. EVIDENCE: All prospective residents are assessed by the registered manager prior to admission to ensure that their needs can be met in the home. The registered manager also receives copies of the assessments carried out by other agencies. Evidence of both was seen on file. Prospective residents have the opportunity to visit the home prior to moving in and receive copies of the Statement of Purpose and Service User Guide. The home does not provide intermediate care. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, 10 The quality outcome for this group is adequate. EVIDENCE: All residents have individual care plans which give detailed information about their history, their current needs and how these are met. Residents are involved in developing their care plans where possible. Regular reviews are held to ensure that care plans remain relevant and address all the identified needs of the resident. The physical needs of residents are monitored and access to other health professionals, e.g. the GP and district nurse is facilitated. Residents are supported to attend appointments outside the home. Medication systems are in place for safe handling and storage and these were generally satisfactory. All staff responsible for administration of medication have received training and staff showed adequate knowledge of safe medication administration. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 10 Examination of medication administration records showed three boxes which had not been signed. The manager stated that these medications had been given but that staff had failed to sign the sheet appropriately. A requirement has been issued in relation to this. Staff were observed to treat residents with respect and to provide assistance in a sensitive manner which protected the privacy and dignity of the resident. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14, 15 The quality outcomes for this group are good. EVIDENCE: The home is registered to provide care to people who are physically frail and/or who have a diagnosis of dementia. During the planning and development of the extension much thought and attention have been given to the layout and design of the communal areas in order to enable those with dementia who are mobile to be able to walk round both the house and the grounds in safety. Residents are encouraged to make decisions regarding how and where they spend their day and are able to socialise with other residents and with staff. An activity programme is offered and residents enjoyed reminiscing about a number or things during the inspection. Life history books are developed with the resident and their family and it was evident that staff put a lot of effort into making these very personal to the resident. Those seen were of an excellent standard and the manager and staff are commended for this. Residents are encouraged to maintain contact with family and friends and it was evident from the numerous photos seen that many residents are able to do this. Some residents have regular visits to their family home. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 12 The home provides three meals a day and snacks and drinks are available at all times. A cook has recently been employed and the meals served during the inspection were of a good standard. There is a choice at meal times and residents commented that the food was good. Residents have input into the menus and those with communication difficulties can make use of photos of meals and drinks to indicate their choice. Personal preferences are known to staff and recorded in individual files. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 16, 18 The quality outcomes for this group are good. EVIDENCE: There is a complaint procedure and residents spoken to knew that they could voice concerns to the manager or to other staff and said that they felt these would be acted upon or, if not, that they would receive an explanation as to why. Staff were aware of issues relating to protection of vulnerable adults and were able to discuss what action they would take should they suspect or witness abuse. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 19, 20, 24, 26 The quality outcomes for this group were good. EVIDENCE: As previously stated in this report the home has recently been extended to accommodate up to 19 residents. The extension has been well planned and the home provides a pleasant and comfortable environment for residents to live in. The kitchen and dining room have been reconfigured to provide a more congenial space. Resident’s rooms showed evidence of personalisation and residents are able to bring small items of furniture and other personal items with them when they move into the home. The home was clean and tidy on the day of inspection and mainly odour free. However, there are two areas where odour is a slight problem and the manager discussed how they were trying to manage this effectively. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 15 The garden was in constant use during the inspection as residents moved between the lounges and the garden. Some residents took afternoon tea in the garden and there were a number of areas where residents could sit in the shade. There is also a small outdoor circular walk for residents and several people used this through the day. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality outcome for this group was adequate. EVIDENCE: There is a small stable staff group and staff spoken with said that they liked working at the home. The staffing level at the time of the inspection was two care staff, the registered manager, a cook, a cleaner and an administrator. Staff have experience of this client group and receive appropriate training to enable them to provide appropriate care. Staff did not appear to be under pressure and said that they thought the staffing level was sufficient. From observation the inspector felt that there were sufficient staff to meet the needs of this client group, as many of the residents are independent in maintaining personal hygiene and are mobile. If the care needs of residents increase to any degree an increase in staff numbers would be required. The manager stated that he keeps staffing levels under constant review and was clear about the circumstances in which he would increase the staffing level. He also stated that he assesses prospective residents very carefully to ensure that the home can meet their needs. From the evidence of activities and the work being done with reminiscence etc staff are able to meet all the current needs of the residents. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 17 Staff files were checked and there was evidence that all necessary checks are made and references obtained prior to new staff starting work. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, 38 The quality outcomes for this group were adequate. EVIDENCE: The registered manager has considerable experience in running the home and is very knowledgeable about the client group, including understanding and knowledge of dementia. The residents were obviously very comfortable with the manager and engaged him in conversation constantly. Staff spoken with said that they were supported by the manager and were able to raise issues of concern with him. Staff meetings take place regularly and supervision is provided. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 19 The manager uses the services of a consultant who visits the home on a regular basis and provides reports which detail his findings. The manager uses this information to assist him in ensuring that the home continues to operate in a satisfactory way. The home encourages relatives of residents to take responsibility for financial management if the resident is not able to manage their own affairs. However, in a number of cases the home manages residents’ finances. There is a system in place to account for all monies received or spent on behalf of residents and all the accounts were checked during the inspection. In one instance there was a discrepancy of £20.00 which the manager made up from petty cash whilst the inspector was present. All other accounts were correct. Receipts of expenditure were available for examination. The manager was advised to make the system for checking residents’ finances more robust by ensuring that two people sign for money taken out of a resident’s account whether that is given to the resident or spent on their behalf. No health and safety issues were identified during the inspection. Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Forest Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 21 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 OP9 Regulation 13 Requirement All medication must be signed for at the time of administration or a reason given as to why medication was not administered. Staffing levels must be kept under review and increased if there is an increase in the dependency level of the residents. Robust systems must be in place for management of residents’ finances, including all transactions being witnessed by two members of staff. Timescale for action 30/09/06 2. OP27 18 30/09/06 3. OP35 13 30/09/06 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 Drive Rest Home, DS0000007239.V306011.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection East London Area Office 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, DS0000007239.V306011.R01.S.doc Version 5.2 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. 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