Inspection on 20/06/07 for Forest Manor Nursing Home

This inspection was carried out on 20th June 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 Manor Nursing Home 11/05/09

Forest Manor Nursing Home 23/07/08

Forest Manor Nursing Home 10/05/06

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 Unannounced Inspection 20th June 2007 09:00 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.V339295.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 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.V339295.R01.S.doc Version 5.2 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 Sarah Caroline Goodeve Care Home 40 Category(ies) of Dementia (40), Old age, not falling within any registration, with number other category (40), Physical disability (40) of places Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Persons may provide the following categories of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission are within the following categories: Old Age, not falling within any other category - Code OP Dementia - Code DE Physical Disability - Code PD The maximum number of service users who can be accommodated is 40 2. Date of last inspection 10th May 2006 Brief Description of the Service: Forest Manor Nursing Home is a 40-bedded home that provides nursing or residential care to older people, people with a physical disability and people with dementia. 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 a music room together with a spacious dining room. The home has 36 single bedrooms, four bathrooms, one shower room and eleven toilets, some of which are near the lounge and dining room. Residents who require wheelchairs to mobilise can access all areas within Forest Manor. Mobility aids are available such as hoists, transfer belts and strategically placed handrails. A wheelchair accessible shower and bath area is available. A vertical lift is also available to allow easy access to the first floor of the home. The provider makes the Statement of Purpose and Service Users Guide available to all residents or their representatives. A copy of the last report from Commission of Social Care Inspection (CSCI) is also available in the foyer of Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 5 the home. The fees currently charged range from £290 to £612 per week. There is an extra charge for hairdressing and podiatry services. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’ which involved selecting two residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The manager, two members of staff and a relative were spoken with as part of this inspection. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken which included a sample of bedrooms to make sure that the environment is safe and homely. A review of all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. A range of additional information was used to determine the outcome of this inspection, which includes information received from residents in response to questionnaires, which were sent to the manager for distribution to residents and their relatives before this inspection, to give them the chance to air their views. The registered provider also gave additional information within a pre inspection questionnaire, which CSCI received on the 8th May 2007. As part of the inspection process the conditions of registration were reviewed with the manager, information on the registration certificate was correct. What the service does well: People are assessed before they are admitted to the home to make sure their needs can be met. Medication management is effective in promoting the residents safety. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 7 Residents are afforded appropriate levels of respect, privacy and dignity and have the opportunity and choice to participate in varied and stimulating social activities. Residents are provided with an appealing balanced diet and are able to have snacks and drinks as they wish. Complaints and concerns are effectively managed. Resident’s benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean. Resident’s needs are met by the number of staff employed at the home and staff have received the majority of training to meet the needs of the residents. Recruitment practices are effective in promoting the residents safety. Residents live in a home, which is run and managed by a person who is fit to be in charge and residents’ financial interests are safeguarded. What has improved since the last inspection? What they could do better: Information relating to the service provision at the home, contained within the service users guide should be updated, as it does not provide an accurate reflections of services and facilities. Care planning documentation should be further developed to provide sufficient details to inform staff of the care management of residents. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 8 The resident’s consultation process could be improved to ensure the needs, wishes and opinions of those living there are considered within the running of the home. 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 Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 9 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.V339295.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1-3-6 (older people) 1-2 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Some information relating to the service provision at Forest Manor Nursing Home, contained within the service users guide is out of date. People are assessed before they are admitted to the home to make sure their identified needs can be met. Residents can visit the home prior to gaining residency. EVIDENCE: Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 11 The pre inspection survey asked residents “did you receive enough information about this home before you moved in, so you could deicide if it was the right place for you?” 88 of the responses received by the CSCI stated, “yes”, with 12 stating “ no”. A resident spoken with said that he was provided with a Statement of Purpose (SOP) and Service User Guide (SUG) when he was admitted to the home, and a copy is available in his room. The resident also said that he visited the home on one occasion prior to gaining residency and he was satisfied that the home would meet his needs. A visitor to the home also confirmed that she received a SUG when her husband was admitted to the home and said, “Yes I had all the information I needed”. The SUG and SOP had not been updated since November 2003 and did not state that residents with dementia are now accommodated. Details within the SOP relating to the registered manager and her qualifications are not correct. Records showed that need assessments are performed prior to people move in, which identifies physical, psychological, social and cultural needs and preferences of the residents. Intermediate care services are not provides at Forest Manor Nursing Home Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7-8-9-10 (Older people) 6-9-16-18-19-20 (Adults 18-65) Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The care planning process addresses the identified needs of the residents. Medication management is effective in promoting the residents safety and residents are afforded appropriate levels of respect, privacy and dignity. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 13 EVIDENCE: The pre inspection survey asked residents “do you receive the care and support you need?” 59 of the responses received by the CSCI stated, “yes”, with 35 stating “usually” and 6 stating “sometimes”. Records showed that care plans are developed to address the needs of the residents and are re-evaluated on a monthly basis. A carer confirmed that the care plans are accessible to all care staff at the home. The member of staff also stated that care staff are encouraged to report any concerns to the nursing staff to ensure care plans are up to date. A resident confirmed that he has seen his care plans and that his care is reviewed on a regular basis, in his presence. The resident also confirmed that he had given, and signed consent to the content of his care plans. Both case tracked residents were identified as “at risk” of pressure sore formation. The risk not been addressed by a specific care plan although elements relating to the promotion of the residents skin integrity had been addressed in alternative care plans. Records showed that residents have access to additional health promoting professionals such as District Nurses, General Practitioners (GP), Chiropodists and Speech Therapists. A resident spoken with confirmed that that staff at the home always responded appropriately to his request to see his GP whenever he asked. A nurse administered medication in a safe, professional and relaxed manner. The nurse ensured that the medication trolley was locked whilst she was administering medicines and residents were provided with water or orange cordial when taking tablets. The Medication Administration Records (MAR) had been filled in correctly. Medication, which required refrigeration, was stored within a secure fridge in the medication room. The temperature within the medication room and medication fridge had been recorded on a daily basis and was within acceptable parameters. The pre inspection survey asked residents “do staff listen and act on what you say?” 95 of the responses received by the CSCI stated, “yes”. A resident spoken with said, “the staff are wonderful and always respect my dignity and privacy”, and “the staff treat me very well indeed, they are friendly and efficient”. The resident also said that staff always close bathroom and Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 14 bedroom doors when performing personal care, always knock on doors before entering and always respect his wishes. A relative visiting the home said, “my husband is always clean and tidy and staff are always respectful to the residents”. The visitor also said that she had never witnessed any issues that would give her cause for concern. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 15 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. 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 area is good. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity and choice to participate in varied and stimulating social activities and are encouraged to maintain appropriate relationships within the home and within the broader community. Residents benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. EVIDENCE: Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 16 The pre inspection survey asked residents “are their activities arranged at the home which you can take part in?” 24 of the responses received by the CSCI stated, “yes”, with 59 stating “usually” and 17 stating “sometimes”. The survey for relatives, carers and advocates asked, “Does the care service meet the differing needs of people (you may want to consider race and ethnicity, age, disability, gender, faith and sexual orientation)” 67 of the responses received by the CSCI stated, “yes”, with 33 stating “usually”. A social activities coordinator (SAC) is employed at the home, four afternoons per week, Monday to Thursday. Social activities such as religious services, baking, story telling, quizzes, crafts, reminiscence therapy, gardening, and bingo are performed. Planned social activities are advertised on a notice board next to the dining room. On the day of the inspection the SAC was providing arts and crafts with some residents. In addition we observed residents enjoying reminiscence therapy within the main lounge area in the afternoon. A case tracked resident confirmed that activities are performed on a regular basis, which includes guest entertainers, which he enjoys. The resident also confirmed that residents are encouraged to do some gardening if they choose, and pointed out a area within the garden which had been “planted out” by the resident’s at the home. The resident said that he sometime goes out to the local shops but also confirmed that organised trips have not been provided for a long time. An alternative lounge area has been made available for the younger residents to use if they choose. The lounge area has been equipped with a television and stereo system together with reading material. A resident spoken with said that he was aware of the alternative lounge but he preferred to be in the main lounge with the other residents and the staff respect his choice in relation to how he spends his days. An open door policy is promoted at the home and friends and relatives of the residents can visit whenever they wish. A visitor confirmed, stating, “ I am always offered a cup of tea, staff are always friendly and I can have a laugh with them”. The pre inspection survey asked residents “do you like the meals at the home?” 47 of the responses received by the CSCI stated, “always”, with 47 stating “usually” and 6 stating “sometimes”. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 17 A resident said “the food is very good, always enough to satisfy me, well presented and hot”. The resident also said that if he did not want the meal options advertised on the menu board he is provided with an alternative. He said “I only have to ask the cook, I particularly like the salads at the home especially in the summer months”. A visitor to the home also said “the food is good, I’ve had a few dinners at the home whilst visiting my husband, it’s very nice”. Residents who require assistance to eat were assisted in a caring, unrushed, respectful manner, residents are provided with adapted cutlery if required. The dining area was clean and smelt fresh and a menu is displayed in the dining room to aid the resident’s choice. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16-18 (older people) 22-23 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are effectively managed and staff have received training in Safeguarding Adults EVIDENCE: The survey for relatives, carers and advocates asked, “has the care service responded appropriately if you or the person using the service has raised concerns about care?” 67 of the responses received by the CSCI stated, “always”, with 33 stating “usually”. The pre inspection survey asked residents “ do you know how to make a complaint?” 83 of the responses received by the CSCI stated, “yes”, with 17 stating “no”. A complaints procedure is on display in the foyer of the home and residents or their representatives are given the complaints procedure within the Service Users Guide. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 19 A resident and a visitor to the home confirmed that they were aware of the complaints procedure and that the procedure had been made available to them within the Service Users Guide. A case tracked resident stated they he very felt safe within the home, and should he have any concerns or complaints he would feel confidant in discussing them with any members of staff. A visitor to the home also said that she felt confident that should she have a complaint or concern it would be addressed effectively as the manager is very good. The manager was not investigating any complaints. CSCI has received information about one complaint, which had been passed to the registered provider to investigate. Records showed that the complaint had resolved with actions and outcomes recorded. Training records showed that staff have received training in relation to the Safeguarding Adults and staff spoken with were able to confirm this. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 (older people) 24-26 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a safe, well-maintained environment which is pleasant, comfortable and clean throughout. EVIDENCE: Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 21 The pre inspection survey asked residents “ is the home clean and fresh?” 76 of the responses received by the CSCI stated, “yes”, with 24 stating “usually”. A resident said the home is “always well maintained, clean and fresh” and a visitor said that she has happy with the standards of cleanliness at the home, and had no concerns whatsoever. The homes internal environment, which included the dining room and the lounge area, are clean and fresh throughout. The case tracked resident’s bedrooms are safe and residents are encouraged to have personal possessions in their bedrooms to promote a homely environment. To promote safety of residents, window restrictors and radiator guards are evident, together with appropriately placed nurse call buttons to ensure staff can attend to the residents needs over the 24-hour period. Lift access is available to all floors and a range of mobility aids are available such as handrails, walking frames. Staff were observed to be wearing gloves and aprons when providing personal care for the residents. We observed supplies of aprons and gloves throughout the home and staff confirmed that gloves and aprons are available at all times. A well-maintained garden area is available for residents use. The garden is accessible to residents with physical disabilities. A resident said that he particularly enjoys being in the garden area and confirmed that residents have the choice to utilise the garden area whenever possible. The garden area is secure to promote the resident’s safety. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 22 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. 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 area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the number of staff employed at the home and staff have received appropriate training. Recruitment practices are effective in ensuring the safety of residents. EVIDENCE: The pre inspection survey asked residents, “ are staff available when you need them?” 41 of the responses received by the CSCI stated, “yes”, with 53 stating “usually” and 6 stating sometimes. A resident said that he believes that there is enough staff on duty to meet the needs of the residents, that staff respond to his needs quickly when he uses Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 23 the call button, and stated that “I have never has to wait for significant lengths of time for the nurses”. The resident said that the staff are always very busy and believed that that an additional member of staff would be beneficial, especially as it would give the residents the opportunity to be escorted into the local community on a more frequent basis. The staff rota showed that three care staff and one nurse is duty throughout the day and two care staff and one nurse is on duty throughout the night period. The manager, administration officer, activities coordinator, kitchen staff and domestic staff are not required to provide care interventions for the residents. Records showed that resident’s safety and wellbeing is promoted through effective recruitments practices. Members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained, together with two satisfactory references. 58 of care staff have gained or working towards a National Vocational Qualification (NVQ) in care, level 2 or above, to ensure a suitably qualified workforce is employed at the home. Records showed that an effective staff training programme is provided in relation to the Safeguarding Adults, Moving and Handling, Health and Safety, Basic Food Hygiene, First Aid, the Control of Substances Hazardous to Health (COSHH) and Dementia Awareness. Records showed that training in relation to Infection Control had only been provided for two members of the care staff, however, it is clear from this inspection (OP26) that staff were utilising effective infection control measures. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31-33-35-38 (Older People) 37-39-42 (Adults 18-56) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 25 The home is well run and managed by a person who is fit to be in charge. Residents’ financial interests are safeguarded and the health, safety and welfare of residents is promoted and protected. Further development is required to ensure that residents can contribute to any developments within the home. EVIDENCE: The pre inspection survey asked residents, “ Is there anything else you would like to tell us?” Comments included “the home is very good”, “It is a good place to be and I wouldn’t change it”, and “It is a very good home, the girls are lovely”. A visitor stated, “I have no concerns, the manager is very good and I feel confident that she is doing a good job”. A resident said, “the manager is very good and I am confident in her abilities to run the home well”. The manager can discharge her responsibilities effectively as a nurse has been recently employed on a full time basis, as the deputy manager, and has been given clear roles and responsibilities. Policies and procedures are readily accessible to staff and information within the policies and procedures is updated appropriately. The manager does not act as the financial agent for any residents at the home. Resident’s money is individually stored within a secure area. All transactions are recorded and receipts are obtained to ensure that residents are protected from financial abuse. Quality assurance auditing procedures are performed to identify and address any areas of concern, which could affect the health, and wellbeing of the residents. Records showed and staff confirmed that staff meetings are performed on a monthly basis to aid the communication process at the home. The ability of residents to contribute to developments within the home is not fully prompted. A residents and relatives meeting was last performed in November 2006 but the manager said that only two service users attended the meeting. A visitor to the home confirmed that she was aware of the meeting but had not attended, as she had no issues of concern. Resident’s health safety and wellbeing is promoted by the provision of effective routine maintenance programme. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 26 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 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 3 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 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 2 34 x 35 3 36 x 37 x 38 3 Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 27 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 OP1 YA1 Regulation 5 Requirement To ensure that residents can assess the suitability of the service in meeting their needs, the Service User Guide must be updated to reflect all the categories of residents accommodated at the home together with the correct qualifications and experience of the registered manager. To promote the safety of residents care plans must be developed to provide sufficient information for staff on how to effectively support residents with their identified needs in relation to prevention of pressure sores. Timescale for action 31/07/07 2. OP7 YA6 15 31/07/07 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 OP30 Good Practice Recommendations To promote the health and wellbeing of residents staff should receive training in infection control. DS0000063840.V339295.R01.S.doc Version 5.2 Page 28 Forest Manor Nursing Home 1 YA35 OP33 YA39 The resident’s consultation process should be further developed to demonstrate that the resident’s views and opinions are taken into consideration in relation to developments within the home. Forest Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Manor Nursing Home DS0000063840.V339295.R01.S.doc Version 5.2 Page 30 - 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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