Inspection on 24/08/05 for Forest Home

This inspection was carried out on 24th August 2005.

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

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

Other inspections for this house

Forest Home 06/06/07

Forest Home 13/10/06

Forest Home 27/01/06

Forest Home 09/02/05

Forest Home 15/09/04

Forest Home 22/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Forest Home 58 Swan Street Sible Hedingham Halstead Essex CO9 3HT Lead Inspector Brian Bailey Final Report Unannounced 24th August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Forest Home Address 58 Swan Street, Sible Hedingham, Halstead, Essex, C09 3HT 01787 463232 01787463232 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) St Giles Homes Limited, Bell House, Bell Street, Great Baddow, Chelmsford, Essex. Mrs Tanya Jelley Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 34 persons) Date of last inspection 9th February 2005 Brief Description of the Service: Forest Home is a privately owned home situated in the village of Sible Hedingham. It is registered under the Care Standards Act 2000 as a Care Home to accommodate 34 older people. The registered manager is Tanya Jelley. The building is a detached listed property, with a more recently built fourteenbed extension to the rear of the building. There is a driveway to the front of the property with car parking facilities and a large garden and patio area to the rear of the property. The local amenities include a post office, Church, newsagents and a supermarket. Residents accommodation consists of 20 single bedrooms and 7 shared rooms, which are located on the ground and first floor, which are accessible via a passenger lift. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 24th August 2005 at 9.45am. This was the first inspection of Forest Home in the inspection year 2005/6. The manager, Tanya Jelley, was on duty with a senior care, four care assistants, a cook, kitchen assistant and three cleaners. There were thirty-two residents in residence. The majority of residents were seen during the inspection and of these, eleven residents spoken with; all were happy to give their views about the home and the service provided. The inspection included a tour of the building and a check of staff and residents’ records, menus, health and safety matters, policies and procedures and the midday meal was observed. A total of twenty-one standards were assessed, nineteen were met and three partly met. What the service does well: What has improved since the last inspection? There had been no significant changes to the premises or procedures since the last inspection, however, the home continues to provide a satisfactory standard of care by a team of interested staff. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 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 Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 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 & 3. The admission process is managed well and clear information about the home is made available. EVIDENCE: A well-written, informative and up to date statement of purpose was available that meets the requirements of the National Minimum Standards and provides residents with a detailed guide to the home’s services and facilities. A brochure about the home was also available. Care records checked contained evidence that assessments are obtained for prospective residents. The manager also carries out assessments to help with determining whether the home can meet their individual needs. A detailed form is used for this purpose to gather information. The home is not registered to accommodate residents with any form of dementia. The manager is well aware of this and had recently found it necessary to refer a resident who has become increasingly confused for an assessment of need. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10. Residents are looked after well in respect of their personal and health care needs and their care needs are well documented. EVIDENCE: Care records were detailed and included all aspects of residents’ health, personal and social care needs. Records showed that reviews of plans were generally carried out on a monthly basis. Risk assessments were available that showed the home had identified those residents with mobility difficulties and at risk from falls. Records showed that residents’ health care needs were met. Arrangements were in place for residents to have any necessary health care equipment to relieve pressure, aid continence and ensure safe handling. Files showed that residents had access to opticians, chiropodists, doctors and nurses whenever their services were required. A visiting district nurse confirmed that the standard of care provided was good, that the home communicated well any concerns that they may have about a resident. Observation of staff showed that they were attentive towards residents, sensitive to their needs and assisted residents in a gentle and courteous manner. Staff were observed to be able to attend to residents’ personal care Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 10 needs and took every opportunity to spend time sitting and chatting with residents. The manager said that there were some concerns being expressed about residents intruding into other residents’ bedrooms. Several methods were being considered to ensure that residents’ rights to privacy are protected and that residents are not caused any distress by unwelcome intrusions into their bedrooms Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 15. Residents are able to maintain and develop contacts with friends and family in and outside the home and experience an open and welcoming home. Residents are able to act independently to the greatest possible extent and to move freely around the home within safe boundaries. Residents have a wellbalanced varied and enjoyable diet. EVIDENCE: Residents were observed to come and go as they pleased and could spend time in their private rooms if the wished. One resident spoke of being assisted by staff to get to the first floor landing and then being able to reach the bedroom independently. Residents were observed to be supportive of each other and to have established excellent relationships with staff. Two residents spoke of having no regrets about moving into the home and that they felt safe and relaxed. Visitors spoken with felt able to visit at anytime and that they were always made welcome. Residents said they enjoyed the quizzes and chatting with staff. One person said they liked the opportunity to go out each week to a social club for art and computer classes. Six residents described the meals provided as very good and confirmed that they always had a choice. They said that they considered the quality of the food provided was one of the main things that they liked about the home. The menu showed that a choice was offered and records detailed the selections made by residents at breakfast, dinner and tea. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 12 The midday meal observed was appetising in appearance and well presented. Cold drinks were provided on the dining tables, which were well laid out. Good food stocks were available. The kitchen was clean, well equipped and organised. The cook was aware of residents’ likes and dislikes and was provided with information about any special dietary requirements, i.e. diabetics and vegetarians. Fresh fruit and vegetables were available. Mealtimes were observed as relaxed and residents were able to take as long as they wanted over their meal. Staff were observed to assist those residents that required help with cutting up their food and to sit beside residents when helping them with feeding. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 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 standard(s) 16 & 17. Residents enjoy the benefits of a safe and secure setting and with the knowledge that their concerns would be acted upon. EVIDENCE: The home has a detailed complaints procedure that is included in the statement of purpose and is displayed in the entrance area. The home or the Commission had received no complaints since the last inspection. There was a comprehensive process for recording any complaints or compliments received. A protection of vulnerable adults policy and a whistle blowing policy document were available. Staff training on the protection of vulnerable adults continues to be provided. Residents spoken with said they would not hesitate to speak to the staff if they had a complaint. Six residents said that they felt safe and secure at the home. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 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 standard(s) 19, 20, 21, 23, 24 25 & 26. For the majority of residents, safe and comfortable accommodation is provided, however, improvements to a few windows in bedrooms in the older part of the building would ensure that all residents could live in comfortable surroundings. EVIDENCE: The home, which is ideally situated close to local amenities, has been adapted and extended to meet the needs of older people. A tour of the building included a check of the majority of bedrooms, bathroom, toilets, laundry, kitchen, dining room and lounges. All areas were clean and tidy. Many of the bedrooms had been personalised and all were reasonably homely in appearance. They were in general suitably furnished and decorated. Seventeen of the twenty single bedrooms had their own en suite toilet and wash hand basin. Shared rooms had privacy screens. There were no odour control problems. Grab rails were in evidence although the manager said that additional rails were to be fitted in the showers. The call bell system was Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 15 tested and found to be in working order and that staff responded to calls for assistance without delay. The original building which is homely in appearance, has less natural light than the newer extension and there are some uneven floors and steps. Some residents commented on how some bedroom windows were draughty and therefore those were uncomfortable to sit in. Signage to warn of steps was inadequate. The front of the house and the external wall of the laundry are in need of repair. A bedroom on the first floor of the old building has some wallpaper peeling off and requires redecorating. Radiators were suitably protected and hot water taps used by residents were controlled to prevent accidents. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 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 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. Residents benefit from being supported by an experienced staff team and from an effective staff recruitment procedure. EVIDENCE: Staffing numbers were sufficient on the day of inspection and the duty rosters showed the home has the appropriate numbers of staff on each shift. Five staff have a National Vocational Qualification 2, two staff are completing NVQ 3 and one staff member is working towards an NVQ 2. On this basis, the home will not achieve the target of 50 of care staff with an NVQ at level 2 by the end of 2005. It was evident from staff files checked that the manager was obtaining the necessary references, Criminal Records Bureau disclosures and identification for each of the staff employed. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 17 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) 37 & 38. Residents are supported by a well-managed staff team and enjoy the benefits of a safe and secure setting, although additional health and safety measures would help to minimise the risk of an accident. EVIDENCE: Administratively, the home had good records that were well maintained and information was easily retrieved. The home’s policies and procedures were available in the office and records showed that these are reviewed at regular intervals. Well-organised records were available to show that the home takes matters relating to health and safety seriously. All equipment and systems had been serviced at the appropriate intervals. The fire protection system and portable electrical appliances are due to be checked on 25/8/05. A fire drill was held on 16/8/05. COSHH data sheets were available. Staff are provided with basic training on moving and handling, food hygiene and first aid. Signage to warn of steps was inadequate Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 18 The home’s insurance liability policy expires on 3/9/05. Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 19 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 x 3 2 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x 3 2 Forest Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 19 Regulation 23 Requirement Maintenance work must be carried out to improve the walls at the front of the house and the laundry room. Additional signage must be provided to warn staff and residents of steps in the man house. Remedail work must be carried out to windows to prevent draughts. (Timescale 31/3/05 partly met) A plan must be submitted that shows the steps the home is taking to ensure that at least 50 of care staff obtain a NVQ 2. Timescale for action 01/012/05 2. 19 13 01/10/05 3. 24 13 01/11/05 4. 28 18 01/12/05 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 Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Home I56 I05 Forest Home S17820 V246131 UI 25.08.05 STAGE 4.doc Version 1.40 Page 22 - 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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