Inspection on 17/04/07 for Forest Edge Rest Home

This inspection was carried out on 17th April 2007.

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 Edge Rest Home 11/01/10

Forest Edge Rest Home 16/12/09

Forest Edge Rest Home 09/10/09

Forest Edge Rest Home 01/09/09

Forest Edge Rest Home 17/04/09

Forest Edge Rest Home 16/02/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Forest Edge Rest Home Southampton Road Cadnam Hampshire SO40 2NF Lead Inspector Mrs Pat Trim Unannounced Inspection 17th April 2007 09:00 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 Edge Rest Home DS0000066132.V332482.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 Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Forest Edge Rest Home Address Southampton Road Cadnam Hampshire SO40 2NF 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) 02380 813334 02380 814 963 John Henry Hughes Mrs Linda Susan Hughes Mrs Linda Carol Parker Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22), Old age, not falling within any other category (22) Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: Forest Edge is a twenty-two bedded residential care home, opposite a garden centre, situated on the outskirts of the New Forest at Cadnam. The home is just less than four miles from the centre of Totton and close to the New Forest. The home is registered to accommodate twenty-two older people, including people with dementia or mental health problems, who are over 65 years. Forest Edge has twenty-two single bedrooms, all provided with an en suite toilet. The current scale of charges is £400.00 to £475.00 per week. Items not covered by the fees include hairdressing, chiropody, newspapers and luxury items. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection carried out by one inspector in 7 hours. The key standards were assessed by case tracking 3 residents and talking with 4 people currently living in the home. Time was also spent observing staff practice and having coffee with residents. There was an opportunity to talk with 3 care staff, the cook, the deputy and registered manager. Some time was spent viewing a selection of documents and a partial tour of the premises was carried out. Surveys had been sent to the home to give out to residents, relatives and health care professionals. 9 completed surveys were received from residents and 17 from relatives. Their responses have been included in this report. Prior to the visit, a review of the home’s recent history was undertaken, including the previous inspection reports. Information was also gathered from the pre inspection questionnaire, which was completed by the home. The people living in the home had previously expressed their wish to be called residents. This term is therefore used throughout this report. What the service does well: The home has a lively atmosphere, with good interaction between residents and staff. Residents said they felt well supported by staff and able to make choices about how they spent their time and received their care. Positive comments were made such as • • • ‘Staff are friendly, helpful and caring’. ‘I am very happy here’ ‘Residents are cared for 100 here’. There is a good system in place to monitor residents’ health care needs and to make sure they see health care professionals when they need to. Feedback from residents spoken with during the inspection and the 9 comment cards received indicated they all felt their health care needs were met all of the time. The management of the home provide an environment where staff are encouraged to develop their skills and knowledge. They receive an in depth induction before being assessed as competent to work unsupervised and receive regular supervision to identify training needs. What has improved since the last inspection? Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 6 Two recommendations were made following the last inspection report. One was that medication was signed for at the time it was given. Staff were observed doing this when giving out the lunchtime medication and confirmed this was normal practice. The home now keeps a daily record of fridge and freezer temperatures. 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. The summary of this inspection report can be made available in other formats on request. Forest Edge Rest Home DS0000066132.V332482.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 Edge Rest Home DS0000066132.V332482.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed pre admission assessments ensure residents may be confident they will only be offered a place if their needs can be met. EVIDENCE: Three residents were spoken with to discuss their experience of moving into the home. All had been given information about the service, prior to moving in. One remembered being visited by the registered manager, to talk about the sort of help they required. Another said her family had visited the home before she moved in to see what it was like. The registered manager said she encouraged prospective residents to visit the home, prior to moving in for a trial period, so she could carry out an Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 9 assessment with them. If they could not come, she visited them at their home, or in hospital and completed her assessment there. Pre admission assessments were seen on the files for the residents who were case tracked. These identified the abilities and needs of each individual. For example, noting where following a strict daily routine was particularly important to someone. The registered manager said information was also obtained from hospital wards and adult services. Copies of health and social care assessments were seen on file. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to receive personal care in the way they like it and can be confident their health care needs will be met. Robust systems, improved practice and staff training ensure medication is managed safely. EVIDENCE: There was a care plan for each person that identified their individual abilities and preferences, as well as their needs for each aspect of their personal care and daily living. For example, one plan, describing someone’s bathing routine identified they liked to have two towels and a mild soap. Another plan stated that someone did not like to have a bath, but preferred to have a strip wash. The person could manage this independently except for their feet. The care plan instructed staff to offer assistance with this part of their care. Care plans were reviewed on a monthly basis and there was evidence they were amended to reflect the changing needs of individuals. For example, one person required increased support with personal care following a fall. This was gradually reduced as their health improved. The registered manager said staff Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 11 were expected to report changing needs and records showed that individual care plans were discussed and reviewed as part of the staff meetings. A risk assessment tool was used to identify any areas of concern and the severity of the risk, but there were no action plans for staff to follow to minimise the likelihood of accidents. The registered manager said staff were aware of the action they needed to take. However, she agreed to review current practice to ensure care plans had sufficient information to enable staff to minimise areas of risk. Residents spoken with during the inspection were aware the home held information about them, but did not remember being involved in planning their care. Those spoken with and those who completed comment cards felt their care needs were well met and that staff always listened to what they said and acted upon it. Feedback from residents demonstrated health care needs are well met. Individual records were kept of all contact with health care professionals and these showed that residents had access to a wide range of health care support. Letters on individual files showed that families are consulted and involved in their relative’s health care needs. The registered manager said she liked to keep the minimum amount of medication possible in the home, so a local pharmacist supplies medication on a weekly basis. A record is kept of medication received into the home or returned to the pharmacist. Medication is stored appropriately in a locked cupboard. Staff were observed dispensing the lunch time medication. The care staff gave each person their medication with a drink and signed the record each time she gave someone their tablets in accordance with good practice guidance and a recommendation made following the last inspection. Records were checked for the three residents being case tracked. The records tallied with the amount of medication held. The registered manager said only staff who have received training are permitted to give out medication. Staff confirmed this and said they had training from the primary community trust. Some had also had training as part of their National Vocational Qualification (NVQ) 3. The home kept a record of what medication each resident took and the conditions it was prescribed for. There was also a record, signed by each person’s doctor, of what homely remedies each resident could take. Residents said they felt staff treated them with respect. Individual care plans recorded how each person liked to be addressed. Staff were observed quietly Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 12 providing support at the resident’s own pace. Staff knocked on bedroom doors and waited for permission to enter. Post was given unopened to residents. At present a list of what day each resident has a bath is pinned up in the kitchen. This was discussed with the registered manager, as it is confidential and personal information. The registered manager agreed to find an alternative method of recording this information that was confidential. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 13 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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about all aspects of their daily living. The activities they are offered provide mental stimulation doing things they enjoy. The food provided offers a balanced diet with choices that residents like. EVIDENCE: Residents commented that they felt able to make choices about how they spent their day. Care plans recorded individual daily routines, such as what time someone liked to get up and where they liked to have their meals. One resident said she had been concerned when the time her breakfast was brought to her changed without explanation. She raised this issue with the registered manager, who made sure the original arrangement was reinstated at once. Throughout the inspection residents were seen moving freely about the home and spending time in the communal areas and their rooms. The home provides a number of activities in house, such as an exercise class and visits from students from a local college. The mobile library visits regularly and several residents said how much they enjoyed reading. Large print books are provided. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 14 Care plans identify what activities residents like and how changing needs can be met. For example, one resident was no longer able to read the local newspaper so staff made sure a ‘talking’ copy was available. Another resident, who had sight problems, had been provided with a very bright reading lamp in her room to help her continue to read. Staff were expected to spend time talking with residents as part of their duties. They were observed sitting and chatting with individual residents throughout the day and involving them in activities such as washing up or helping in the office. Feedback from some residents indicated that they did not feel there was always enough to do. They said they would like more activities but did not ask for anything specific. Some residents spoken with said they preferred to pursue their own hobbies and did not particularly want organised activities. The home organises the occasional trip out, such as a visit to the pantomime and is having a garden party later in the year. Feedback from relatives in the comment cards evidenced the registered manager maintains good links with them. They all felt they were kept informed if their relative was unwell. They were invited to attend reviews, provided the resident wished them to be. All residents receive a copy of the statement of purpose and service user’s guide. This informs relatives they are welcome to visit at any time, but asks them to avoid mealtimes if possible. The registered manager said a number of residents managed their own finances. Others have a representative to manage them, but hold their own personal allowance and pay for services such as the hairdresser directly. Residents said they had been able to bring personal possessions with them when they moved into the home. A record of personal items is kept on file at the time of admission. The pre inspection questionnaire stated that a regular church service is held in the home. The registered manager said a minister also visited to chat to residents. One resident likes to attend the local Methodist church. The majority of residents were satisfied with the meals provided. Comments included ‘they are very good, there’s variety and choice’ and ‘there’s plenty to eat’. The home does not routinely offer a choice of main meal, but residents said they were always able to have something else if they did not want what was offered. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 15 The main meal on the day of the inspection was savoury mince, mashed potato and fresh broccoli, cauliflower and carrots, followed by rhubarb and pear crumble with ice cream. There was a vegetarian option for one resident. The cook said two residents, who did not like mince were having an alternative. One resident had asked for curry to be included in the menu plan. This was now cooked on a regular basis. The cook said the home catered for special diets such as those required by residents who had diet controlled diabetes. For example, they were offered sugar free alternatives to puddings. There was plenty of fresh fruit for residents to have when they wanted and they were offered hot and cold drinks throughout the day. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 16 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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the information they need to enable them to make complaints and to be confident they will be informed of the outcome of any investigation. A robust procedure and staff training ensure residents are protected against abuse. EVIDENCE: All residents spoken with and those who completed surveys said they had information about how to make complaints. They were confident the management of the home would listen to their concerns and investigate them thoroughly. None of them had felt it necessary to make a formal complaint. A copy of the complaints procedure was displayed in the home and it was referred to in the statement of purpose and service users’ guide. The registered manager said a copy was attached to every resident’s contract. The pre inspection questionnaire recorded no complaints made against the service since the last inspection, neither had any been received by the commission. The home had a log book to record any complaints and the action taken to address them. The home had a policy and procedure for the protection of vulnerable adults and a copy of Hampshire adult service’s procedure. Staff spoken with said they had attended training and some were attending a training course later in Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 17 the month. They were able to demonstrate their knowledge of the policy and procedure and knew what to do if they felt anyone was being abused. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to live in a comfortable, clean and safe environment that meets their needs and that they like. EVIDENCE: The home provides a warm, homely environment that residents said they liked very much. There is a large lounge/dining room and a conservatory. There is a large garden at the rear of the property, which residents said had chairs for them to use when the weather was warm. Several people said they liked to walk round the garden during the day. Residents said they felt the home was kept very clean. Staff are responsible for doing all the cleaning as part of their duties and said they have a routine. A cleaning schedule was available. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 19 The home has had a recent fire safety inspection. There were no requirements. The home had a policy and procedure for infection control. Staff received infection control training. Disposable gloves and aprons were available and staff were seen using them where required. The laundry was separate from any food preparation areas. There was a washing machine that had a programme for disinfecting soiled linen. The home had a contract for the disposal of clinical waste. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 20 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by well trained staff in sufficient numbers to meet their needs. The employment procedure is not sufficiently robust to protect residents. EVIDENCE: Feedback from residents was that there were usually sufficient staff on duty to meet their needs. The current residents do not have high support needs and the registered manager said staffing levels are kept under review to ensure they are sufficient. There are 3 staff on duty during the day and one waking, one sleeping staff at night. The registered manager and deputy manager hours are in addition to the care hours, but both occasionally provide care when required. The home employs a cook to provide the main meal of the day, but staff prepare breakfast and the evening meal as part of their duties. Staff felt they were sufficiently staffed to provide the care residents needed. Calls for help were answered quickly throughout the day of the inspection and residents confirmed they did not usually have to wait for assistance. The three staff on duty at the time of the inspection had a wide range of qualifications and experience. One had many years experience of working in care and felt she did not want to train for any formal qualifications. One had Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 21 completed a National Vocational Qualification (NVQ) 2 and one had NVQ3. Two were also completing an NVQ 2 in dementia care. NVQ certificates for 3 other staff were seen. The pre inspection questionnaire recorded that 50 of staff have achieved an NVQ and the registered manager said more staff would be applying. The home had a recruitment procedure and staff were required to complete an application form, provide references, attend an interview and complete criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks. A record of the interview is kept to support why the applicant was accepted or refused. Three staff files were viewed. Two of these had two references, but one had only one. The deputy manager said she had definitely had a second reference and as the other files were complete this statement was accepted. Newly appointed staff are expected to complete an induction period. During this time they come to the home to attend training and to shadow experienced staff. They are supernummary to staff on the rota. From the records it was clear that these staff were beginning their induction before their POVA first checks had been completed. The registered manager said she thought the guidance said it was all right for staff to begin their induction whilst waiting for the check to come back. As it was established the new staff would have contact with residents during this time, although supervised, the registered manager was advised to read the CRB guidance and to make sure the recruitment procedure complied with it. The registered manager agreed to do this and to review current practice. Staff complete a comprehensive induction programme. The deputy manager is still developing this and has information about the Skills for Care induction programme, which she is planning to introduce for new staff. Staff completing their induction programme are regularly supervised by the deputy manager and a record is kept of their progress. Staff felt they were well supported to attend training and training records showed a service that encourages staff to develop their skills and knowledge. The registered manager has a training matrix that enables her to monitor staff training needs and these are identified during regular supervision. In addition to mandatory training such as moving and handling and first aid, staff are encouraged to attend training that meets the needs of specific residents. 6 staff are currently completing an NVQ 2 in dementia care. Other recent training included incontinence, catheter and stoma care and the Mental Capacity Act. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 22 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): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and there are informal systems that enable residents to give some feedback about the service they receive. However, a formal system for residents would enable residents to give feedback and enable them to see how the information they give is acted upon. There are systems in place to make sure health and safety issues are addressed and residents are protected. EVIDENCE: The registered manager has managed the home for over 15 years and has the qualifications and skills required to manage the service. She continues to develop her practice by attending training opportunities, recently attending training sessions on first aid and the Mental Capacity Act. Residents and Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 23 relatives said she was approachable and comments included ‘I have every confidence in the manager’ and ‘It is an excellent home’. Staff felt well supported by the management of the home and said the manager gave them clear guidance about their role and the day to day running of the home. The registered manager said there were some quality assurance systems in place. The provider carried out an audit of the service each month under regulation 26 and copies of the report were available. A maintenance programme is used to ensure the home is kept in good repair and regularly redecorated. There is no system for residents to formally express their views about the service, although the registered manager said she did speak to everyone on an informal basis. There was evidence that residents’ views are taken into consideration as comments in previous sections of this report show. For example, including curry on the menu and changing the time someone had breakfast back to when she wanted it. The registered manager said questionnaires were sent annually to relatives, but these were not audited and no report was published of the outcomes. The need to provide a more formal method so that residents can see how the information they provide is acted on was discussed. The registered manager agreed to look into ways of introducing a formal system. The registered manager said some residents managed their own finances, whilst others had a representative to do this for them. The home held some residents’ personal allowance. Records were kept of all income and expenditure, together with receipts. Relatives were invited to check the balance at any time. The record for one resident was viewed and found to be in order. Records of recent staff training included first aid training, moving and handling, food hygiene and fire safety. A random selection of certificates was seen. Staff confirmed they had been able to attend and that they had regular refresher training. Hazardous chemicals were stored securely and staff knew where the guidance for using them was kept. Radiators were covered to protect residents against the risk of accidental burns and the registered manager said hot water outlets were fitted with thermostatic valves to prevent the risk of accidental scalding. There was a bathing procedure that required staff to check the temperature of the water. The pre inspection questionnaire recorded regular visits to service equipment in the home and a random selection of maintenance certificates were seen during the inspection. A risk assessment had been completed for the building. The registered manager ensured the health and safety of residents and staff was maintained. Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 24 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 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Extracts may not be used or reproduced without the express permission of CSCI Forest Edge Rest Home DS0000066132.V332482.R01.S.doc Version 5.2 Page 27 - 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. 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