Inspection on 10/05/06 for Forest Manor Nursing Home

This inspection was carried out on 10th May 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 Manor Nursing Home 11/05/09

Forest Manor Nursing Home 23/07/08

Forest Manor Nursing Home 20/06/07

Forest Manor Nursing Home 14/10/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Forest Manor Nursing Home Mansfield Road Sutton In Ashfield Nottinghamshire NG17 4HG Lead Inspector Steve Keeling Key Unannounced Inspection 10th May 2006 09:30 X10029.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 Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 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 and Care Homes for Adults 18 – 65*. 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 Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Forest Manor Nursing Home Address Mansfield Road Sutton In Ashfield Nottinghamshire NG17 4HG 01623 442999 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) Hallmark Healthcare (Sutton in Ashfield) Ltd Christina Smith Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (10), Terminally ill (5) of places Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within Categories OP (40), TI (5) or PD (10) within a total registration of 40 beds Date of last inspection Brief Description of the Service: Forest manor is a 40-bedded home that provides nursing care to older people, physically disabled people over 50 and five beds for individuals with a terminal illness. The home is situated between the town centres of Mansfield and Sutton in Ashfield. Hallmark Healthcare owns Forest Manor. The home is situated in its own grounds with a well-maintained patio and garden area, benefits from a large lounge and music room together with a spacious dining room. The home has 36 single bedrooms, four bathrooms and one shower room, eleven toilets, some of which are situated strategically near the lounge and dining room. The facilities within Forest Manor are suitable to achieving optimum independence for the service users. Wheelchairs can access all areas within Forest Manor, mobility aids are available such as hoists, transfer belts and strategically placed hand rails. A wheelchair accessible shower and bath area is evident and if required adjustable beds are available following a needs assessment. A vertical lift is also accessible to allow easy access to the first floor of the home. Currently the fees charged at the home for social service funded residential care is £277 per week Privately funded residential care is currently £350 to £500 per week The fees for residents with physical disabilities are £399 plus the nursing band payment. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 5-hour period and involved one inspector. The main method of inspection was case note tracking, this is a method of selecting residents within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the service users to ascertain if the residents identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion two residents notes were case tracked. Also as part of the case tracking process two staff members within the home was informally interviewed to further evidence the quality of care afforded to the residents. It was evident that the care staff on duty at the time of the inspection are committed to providing a high standard of care for the residents. The staff members within the home were very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. What the service does well: What has improved since the last inspection? Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 6 The home is benefiting from a total refurbishment both internally and externally and the recently landscaped garden area to the rear of the property that has greatly improved the overall appearance of the home. 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 Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) 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.(Older people) 2 (Adults 18-65) Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Assessment documentation is completed effectively to ensure the home can meet the individual residents needs. The home does not provide intermediate care services. EVIDENCE: The pre-admittance assessments within the two case tracked notes were detailed in identifying the specific needs of the case tracked residents so as to maintain the residents optimum independence and health within the home. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 9 The documentation appertaining to the pre admittance assessment, provided by Hallmark Healthcare, is clear, concise and well presented. Both case tracked assessments were signed and dated by the assessor. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 (Older people) 6.9.16.20 (Adults 18-65) Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents “holistic” needs are addressed through an individual care planning process utilising documentation provided by Hallmark Healthcare. A minor shortfall was identified within the evaluation process that could compromise the care afforded to the resident at the home. Residents are protected by the homes policies and procedures in relation to dealing with medication Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 11 Residents at the home are treated with respect and dignity and their privacy is maintained. EVIDENCE: The case tracked care plans were well maintained and addressed the identified needs of the residents. Risk assessments are preformed appropriately to ensure that the changing needs of the residents are addressed and the resident’s safety is maintained within the home environment. Resident’s care planning documentation is securely stored to ensure the residents privacy and confidentiality is maintained effectively. It was evident that the care plans within one case tracked resident notes had not been re-evaluated between 15th December 20005 to 3rd March 2006 and the manager of the home confirmed that the evaluation process had been compromised in this instance. The registered person is required to demonstrate the actions to be taken to addresses the aforementioned shortfall within the homes evaluation process. Systems for ordering, receipt and disposal of medicines are well documented. At the time of the inspection no resident’s were responsible for the selfadministration of medicines. The manager at the home stated that should a resident wish to be independent in the administration of medicines the she would perform a risk assessment, if the service user was deemed as being safe, the resident would be supported to be independent in relation to selfadministration of medication if they choose to do so. It is good practice to monitor medication fridges on a daily basis to ensure that an optimum environment is maintained to prevent medication degradation. It was evident that the temperature within the medication fridge had been monitored effectively and that the temperature was within acceptable parameters. The manager and staff members were spoken with on the day of the inspection and it was established that they have a thorough knowledge of the principles of maintaining privacy, dignity and respect for the residents at the home. Doorknockers were evident on the resident’s bedroom doors to promote the principles of privacy and respect and residents stated that staff always knocked on the resident’s bedroom door before entering. Residents spoken with also stated that the staff respected their privacy and dignity when bathing or performing personal care. Residents spoken with Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 12 stated that staff within the home offers support in maintaining optimum independence and stated that they can exercise control and guidance when staff at the home are performing personal care interventions. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the 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 (Older people) 12.13.15.17 (Adults 18-65) Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents do not have the opportunity and choice to fully participate in varied and stimulating social activities due to the social activities coordinators post being vacant. Residents are encouraged to maintain appropriate personal, sexual and family relationships within the home and within the broader community. Service users are provided with a wholesome, appealing and balanced diet. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 14 EVIDENCE: The social activates coordinator post is currently vacant and the post is being re-advertised. A physically disabled resident stated that the social provision for the younger physically disabled and the older residents within the home are the same. It was evident that the manager with the support of Hallmark Healthcare has provided an alternative environment for younger adults within the home to frequent as they wish. The separate lounge/recreational area was being used for inappropriate storage of flammable materials which presented a risk to the residents at the home. The manager of the home agreed that this type of storage presented a potential fire risk, a skip was delivered within 45 minutes and the cardboard was removed whilst the inspection was in progress. Residents stated that they were, on the whole, satisfied with the social activities performed within the home and were particularly looking forward to a planned trip to the coast in June 2006. But residents believed that the employment of a social activities coordinator would enhance the social activities within the home. Residents would benefit from the opportunity to participate in a structured social activities programme in which residents preferred social activities are identified and participation is recorded within their personal documentation. The registered person is required to demonstrate the actions to be taken to addresses the aforementioned shortfalls in relation to the social activities provision at the home. At the time of the inspection no relatives were visiting the home. The manager and the case tracked residents confirmed that no restrictions are in place in relation to visitations. Residents stated that the staff are always friendly and courteous towards their family and friends and that visitors enjoyed coming to the home. Residents spoken with were very well presented, dressed in appropriate clothing for the season, and were wearing their own shoes or slippers. Residents spoken with stated that the laundry service is efficient. It was evident that the food provided at the home is wholesome, nutritionally appropriate and varied. It was evidenced that residents always have a choice of meals and that daily menus are displayed for resident’s perusal. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 15 The inspector witnessed a resident having a “full English” breakfast whilst in bed, it was established that the care staff would accommodate such requests if at all possible to further promote residents choice and control over their lives. The appearance of the dining room has been enhanced by a resent redecoration and the provision of the planned non-slip laminate flooring of the area will provide an aesthetically pleasing dining area for the residents. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 16 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 (Older people) 22.23 (Adults 18-65) Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are confident that their complaints are listened to, taken seriously and acted upon thus protecting the residents from abuse. EVIDENCE: It was established that the manager at the home is not investigating any complaints at the time of the inspection. There have been no allegations of abuse since the last inspection and the Commission for Social Care Inspection has not received any complaints relating to the service provision at the home Complaint information is displayed in the entrance of the home. Residents or their representatives are given the complaints procedure within the homes information pack and Statement of Purpose. A case tracked resident confirmed that she had made a complaint to the manager approximately five months ago. An examination of the complaints records evidenced that the complaint had been documented effectively together with an appropriate record of the resulting outcomes and actions. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 17 Both case tracked residents spoken with stated they felt safe within the home, and should they have any concerns they would feel confidant in discussing theirs concerns with any members of staff at the home. A staff member was spoken with at the time of the inspection and it was evident that she had and appropriate knowledge of the complaints procedure utilised at the home. The member of staff was also aware of the appropriate actions to be taken if she suspected abuse was happening at the home. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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. 26 (Older people) 24. 30 (Adults 18-65) Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service The planned refurbishment to the homes environment is progressing effectively although the redecoration process has resulted in some of the carpeted areas being paint stained. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 19 EVIDENCE: The home has an acceptable standard of cleanliness and all areas smelt fresh. It is planned that the paint stained carpeted areas in the corridors will be replaced as part of the total refurbishment. On the day of the inspection a carpeting firm was taking measurements throughout the building to progress the re-carpeting schedule. The dining room carpet, which is also stained, is to be replaced with a non-slip laminate flooring to aid the cleaning process and to achieve an aesthetically pleasing dining environment for residents at the home. An Environmental Health inspection performed on 29/09/05 highlighted the need to redecorate the kitchen and food preparation areas. Following a discussion with the manager at the home and a brief inspection of the kitchen area it was established that the Environmental Health recommendations have been adhered to and the aforementioned areas are now fit for purpose. The case tracked residents gave the inspector consent to examine their bedrooms. The bedrooms were found to be personalised, homely, safe and meet their individual needs and aspirations. The home benefits from a pleasant garden area, which is tidy, well maintained and easily accessible to residents via a patio door. A very pleasant patio area is available, which is equipped with tables and chairs thus providing a very agreeable area for the residents, relatives and friends to utilise on hot days. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the 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 (Older people) 32. 34. 35 (Adults 18-65) Quality in this outcome group is adequate. This judgement has been made from evidence gathered both during and before the visit to this service Qualified nurses are on duty over the 24-hour period but resident’s safety could be compromised with the current staffing allocation at the home. Resident’s support and protection is compromised, as the homes recruitment policy had not been followed fully. Resident’s safety is compromised as not all staff at the home has received appropriate mandatory training to do their jobs effectively. EVIDENCE: On the day of the inspection 17 residents were accommodated at the home. The staff rota evidenced that one qualified nurse was on duty supported by three carers from 0800hrs until 1200hrs. One qualified nurse and two carers Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 21 are on duty from 1200hrs until 1400hrs. One qualified nurse supported by two carers covers the afternoon period and one qualified nurse and one carer provides the night cover. Residents with physical disabilities require the deployment of two members of staff to mobilise safely, as identified in the residents moving and handling care plan. In such circumstances only one member of staff would be available for the remaining residents throughout the afternoon period and no staff would be available to monitor the remaining residents throughout the night period. Given the size and layout of the home and given that residents utilise the garden area in the summer months, the registered person is required to demonstrate the actions to be taken to ensure the needs of all the residents can be met by the current staff allocation levels and that appropriate levels of supervision is maintained at all times. The recruitment documentation was checked and found to be well organised and clear. Two members of staff did not have two satisfactory references although both members of staff had undergone appropriate police checks. It was established that the two members of staff had been in employment at the home for a substantial length of time but it was agreed that references would be sought to rectify this shortfall. The registered person is required to demonstrate the actions to be taken to ensure that all staff employed at the home are in possession of two references. All staff on commencement of employment, receive a newly formulated induction programme with includes basic introduction to core values within the home. The manager of the home provided a training matrix that evidenced that staff also benefit from mandatory, on going training. The training matrix evidenced that some staff members at the home had not attended all the training events; this lack of educational input could potentially place the residents at risk. The registered person is required to demonstrate the actions to be taken to ensure that all staff employed at the home have, or will receive appropriate mandatory training to include National Vocational Qualifications (NVQ). Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35.38 (Older people) 37.39.42 (Adults 18-65) Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service The manager of the home is suitably qualified to perform the managment role at the home. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 23 The home is run in the best interests of the service users and their health and welfare promoted and protected. Service users are protected from financial abuse and their financial interests are safeguarded Routine maintenance at the home is effective in maintaining the residents and staff health and safety. EVIDENCE: The manager of the home has recently attended an interview at the Commission for Social Care Inspection and was assessed be being suitably qualified to perform the managers role. The manager of the home has also recently completed a degree level Registered Managers Award and has additional qualifications in business management and business marketing. It is evident that the manager at the home is committed to the well being and safety of the residents at the home and ensures that staff members receive formal supervision to identify shortfalls in practise and allow staff the opportunity to speak about professional and other related issues with senior members of staff. An effective consultation processes is performed within the home. The manager together with Hallmark Healthcare ensures that residents or their representatives are provided with questionnaires so as to provide an opportunity to express concerns in relation to the service provision at the home. A representative from Hallmark Healthcare also performs monthly quality audit checks that are forwarded to the Commission for Social care Inspection. At the time of the inspection it was evidenced that the residents monies are effectively managed. The home maintains separate written records of all monetary transactions and the resident’s monies are not “pooled” thus protecting the service users from potential financial abuse. One case tracked resident was independent in relation to her finances and it was evident that secure facilities are available within the resident’s bedroom to promote financial security. Health and safety at the home is promoted, the manager could demonstrate that appropriate maintenance and testing has been carried out in the home in relation to Lift Servicing, gas Servicing, electrical systems tests, hoist and Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 24 Parker baths maintenance, hot water outlets monitoring, emergency lighting tests and Environmental Health visits. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 25 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 x 2 x 3 3 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 26 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 OP7 Regulation 15 (2) (c) Requirement The registered person shall ensure that the assessment of the service user’s needs is kept under review and revised at any time when it is necessary to do so having regard to any change of circumstances. The registered person shall ensure that the staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home, at all times. The registered provider shall ensure two written satisfactory references are obtained before appointing a member of staff and any gaps in employment records are explored. The registered provider shall ensure that all staff has received mandatory training appropriate to the work they are to perform. Timescale for action 30/06/06 2 OP27 18 30/06/06 3 OP29 19 30/06/06 4 OP30 18 30/06/06 Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 27 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 OP12 Good Practice Recommendations The registered provider should ensure that Social activities within the home are not compromised in the absence of the social activities coordinator. Forest Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Manor Nursing Home DS0000063840.V293712.R01.S.doc Version 5.1 Page 29 - 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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