Inspection on 14/10/05 for Forest Manor Nursing Home

This inspection was carried out on 14th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Forest Manor Nursing Home 11/05/09

Forest Manor Nursing Home 23/07/08

Forest Manor Nursing Home 20/06/07

Forest Manor Nursing Home 10/05/06

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 Unannounced Inspection 14th October 2005 08:30 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.V258573.R01.S.doc Version 5.0 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.V258573.R01.S.doc Version 5.0 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 Post Vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (5), Terminally ill (5) of places Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within Categories OP (40), TI (5) or PD (5) within a total registration of 40 beds Date of last inspection Brief Description of the Service: Forest manor is a 40-bedded home which 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. Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 3-hour period and involved one inspector. The main method of inspection was case note tracking, this is a method of selecting service users 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 service users 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, a staff member within the home was informally interviewed to further evidence the quality of care afforded to the service users. It was established that the acting manager is currently in the process of applying for registration with the Commission for Social Care Inspection and her application is progressing in a satisfactory manner. At the time of the inspection a total of 25 residents were accommodated at the home. It was evident that the acting manager and staff within the home are very committed to the provision of a high standard of care for the service users. The acting manager and staff within the unit were very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. What the service does well: Informal discussions with two residents and a service users daughter at Forest Manor established that the care provided within the home is of high-quality. Service users were particularly satisfied with the quality and choice of food provided and the homely environment within Forest Manor. Services users stated that care staff within the home are very sociable and respectful at all times. The inspector witnessed several interactions between Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 6 staff and service users and indeed it was evident that the staff observed at the time of the inspection respected service users wishes. What has improved since the last inspection? 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.V258573.R01.S.doc Version 5.0 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.V258573.R01.S.doc Version 5.0 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): 6 Forest Manor does not provide an intermediate care service EVIDENCE: Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 9 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): Older people 7. 10. Adults 9. 18. The care plans examined at the time of the inspection were not reviewed on a monthly basis to ensure the service users needs are monitored and met. Service users and service users relatives stated that they are treated with respect and dignity and that privacy is always maintained within Forest Manor. Service users receive personal support in a way they prefer and require. EVIDENCE: Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 10 Forest Manor utilises excellent evaluation and care planning documentation supplied by Hallmark Healthcare. At a previous inspection minor shortfalls were identified regarding the risk assessment, care planning and evaluation process. It was evident that some minor shortfalls in this process persist and the acting manager at Forest Manor is addressing the issues effectively. Both management and staff at Forest Manor demonstrated a thorough knowledge of the principles of maintaining privacy, dignity and respect. Service users spoken with were very complimentary about the way staff spoke to them. It was evident that staff always knocked on the resident’s bedroom door before entering. It is the intention of the acting manager to install doorknockers on all the resident’s bedrooms to further promote the principles of privacy and respect. Service user spoken with also stated that the staff respected their privacy and dignity when bathing or performing personal care. Service users spoken with stated that all staff within the home offers support in maintaining optimum independence and service users stated that they have control over all personal interventions performed by care staff in the home. In ensuring that service users needs and preferences are identified and met the acting manager has initiated regular staff meetings to discuss the needs and aspirations of the services users. Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 11 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): Older person 12. 13. 14. 15 Adults (18-65) 12. 13. 15. 17 Service users have the opportunity and choice to participate in varied and stimulating social activities. Service users are able to maintain contact with family, friends, and representatives from the local community as they wish. Service users can exercise choice and control over their lives. Service users are provided with a wholesome, appealing and balanced diet. Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 12 EVIDENCE: The acting manager at Forest Manor is in the process of appointing an activities coordinator who will be employed initially for sixteen hours per week, but her hours will increase as occupancy within the home increases. Currently the home provides activities such as bingo, cards, dominoes and quizzes. Service users also have the opportunity to shop at Sutton in Ashfield town centre with the support of cares or relatives thus promoting social interactions beyond the immediate home environment. It was evident that the acting manager of Forest Manor with the support of Hallmark Healthcare is keen to provide an alternative environment for younger adults within the home to frequent as they wish. It was established that a separate lounge/recreational area would be provided in the near future so that the younger adults within the home have the opportunity to socialise within this area. Forest Manor utilises hired transport and it was confirmed that the residents could access day trips to local parks, public houses and Skegness, which the service users particularly enjoy. Religious needs are addressed effectively within the home as a monthly visit from a retired vicar is encouraged, which the service users can attend if they wish. No restrictions are in place in relation to visiting times. At the time of the inspection several relatives were visiting service users. Relatives spoken with confirmed that the home operates an open policy in relation to visiting times. When quizzed about the quality of service afforded to service users at Forest Manor, relatives could only praise all the staff and the service they provide. Service users spoken with were very well presented, dressed in appropriate clothing for the season, and were wearing their own shoes or slippers. Service users spoken with stated that the laundry service is efficient, and it was evident that service users cloths are returned clean and well ironed. It was evident that the food provided at the home is wholesome, nutritionally appropriate and varied. It was evidenced that service users always have a choice of meals and that daily menus are displayed for service users perusal. It is the intention the acting manager with the support of Hallmark Healthcare to adopt a “restaurant” style approach to meals times. Menu cards, which will be displayed on all dining room tables, are currently being formulated. The overall appearance of the dining room is pleasing, all dining tables were clean and dressed appropriately. Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 13 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): These standards were not addressed in this inspection. EVIDENCE: Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 14 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): These standards were not addressed on this inspection. EVIDENCE: Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 15 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): These standards were not addressed on this inspection. EVIDENCE: Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 16 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): Older people 31. 32. 33. 35. Younger Adults 37. 39. 23 It was evident that the acting manager at Forest Manor is professional, fit to be in charge, of good character and is able to discharge her responsibilities fully. The home is run in the best interests of the service users. Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 17 Service users financial interests are safeguarded by Forest Manor’s policies. EVIDENCE: The acting manager of Forest Manor attained her Registered General Nursing qualification in 1989. Sine that time she has gained experience in both the primary and secondary care settings. Since the recent purchase of Forest Manor by Hallmark Healthcare the acting manager has been able to develop comprehension-training opportunities for all grades of staff within then home in an attempt to further enhance the care provision for the service users. The acting manager has initiated a service user forum within the home so that issues relating to the care provided to service users can be openly discussed thus identifying and addressing any concerns. Plans for future developments such as refurbishments can also be discussed with the service users at these times so that the service users have an active role in the development of Forest Manor. The acting manager ensures that staff members receive supervision from either herself or senior members of her care team thus identifying and promoting good care practice at the home. Service users and staff spoken with felt confident in the acting manager’s ability to manage the home in a clear supportive manner, and it was evident that the manager promotes a friendly relaxed environment for the enjoyment of the service users. All documentation is stored securely to protect service users confidentiality. At the time of the inspection it was evidenced that the service users monies are effectively managed and a clear record of all transactions was evidenced thus protecting the service users from financial abuse. Staff spoken with were able to demonstrate a clear understanding of the principles of service user confidentiality and it was witnessed at the time of the inspection that service users confidentialities are maintained by staff members. Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 18 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 x 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 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 x 17 x 18 x ENVIRONMENT Standard No Score 19 x 20 x 21 x 22 x 23 x 24 x 25 x 26 x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 x 35 3 36 x 37 x 38 x Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 19 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 7 Regulation 17 Requirement The registered person must ensure that all records are maintained up to date. Timescale for action 14/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Forest Manor Nursing Home DS0000063840.V258573.R01.S.doc Version 5.0 Page 20 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.V258573.R01.S.doc Version 5.0 Page 21 - 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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