Inspection on 31/01/07 for Forest View Care Home

This inspection was carried out on 31st January 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 View Care Home 07/01/06

Forest View Care Home 06/07/05

Forest View Care Home 18/02/05

Forest View Care Home 14/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Forest View Care Home 45 Upper Walthamstow Road Walthamstow London E17 3QG Lead Inspector Harun Rashid Unannounced Inspection 31st January 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Forest View Care Home Address 45 Upper Walthamstow Road Walthamstow London E17 3QG 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) 020 8520 2361 020 8521 6663 Mr Alan Cork Mrs C N Heath Ms Janet Eaton Care Home 24 Category(ies) of Dementia (24), Old age, not falling within any registration, with number other category (24) of places Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include 1 named service user with a Learning Disability (LD). Date of last inspection 7th January 2006 Brief Description of the Service: Forest View is a privately run care home for older people, which can provide accommodation and personal care for to up to twenty-four people of either sex. The house is a converted family house, which provides individual care in one of two double rooms or single rooms. Both double rooms and six single rooms are en-suite. The home is on three floors and there is lift access to all floors. There is a large garden, which is well used, in fine weather. The home is situated in a residential area of Upper Walthamstow and is within walking distance of a main line station. There is also a local bus service which links to the nearest underground station. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was conducted on a weekend morning on 31/01/07. The inspector spoke to four members of staff including the registered manager. Two proprietors were present during the inspection process (one proprietor joined at the afternoon.) The inspector also spoke to seven service users. A tour of the premises also took place. What the service does well: What has improved since the last inspection? What they could do better: The registered manager is required to include the address of the local CSCI (Ilford) office in the service users guide. The registered manager must ensure that staff do not use tippex (correction fluid) on Medication Administration Record Sheets to avoid any mishandling. The registered manager is required to refit the carpets on the ground and first floor hallway without delay. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 6 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 View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although the management has developed the statement of purpose and service users guide further, however it is required to include the address of the CSCI local office. The registered manager ensures that service users assessments of needs are carried out. Service users are referred to specialist services. Service users were issued contracts. EVIDENCE: The management has developed the statement of purpose further in April 2006, which included all information, for example aims, objectives and philosophy of care. The service users guide was amended in April 2006. The service users guide included all information regarding the service delivery and also stated that the home has received variations for dementia care. However, the management is required to include the address of the local CSCI (Ilford) office in the service users guide. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 9 Service users were issued with written contract/statement of terms and conditions with the home. Service users contracts included all information, for example rooms to be occupied, fees payable by whom and terms and conditions of occupancies. Evidence suggests that the registered manager has carried out pre-admission assessment of the three newly appointed service users who were admitted in the home recently. The home also received the assessments of needs carried out by service users care managers or health professionals. The home has a stable staff team who were provided various training including dementia (training) in order to meet service users assessed needs. Staff refer service users to specialist services including physiotherapist and district nurse. The home seeks advice from the incontinent adviser in order to manage the incontinence problems of the service users. The home is currently accommodating two service users with African-Caribbean backgrounds. Although these two service users do not have any special dietary or cultural needs, staff have awareness of the cultural and religious needs of the service users. The home has employed a number of staff from these ethnic minority backgrounds. Standard six (intermediate care) is not applicable to this service, as the home does not provide the intermediate care. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff developed individual care plans for service users and these are reviewed on a monthly basis. Staff are able to met service users assessed needs. Staff administer service users medications and they were provided training. Staff ensure service users privacy and dignity at all times. EVIDENCE: Staff developed individual care plan for each service user. Care plans were developed from the assessment of needs carried out by service users care managers and home’s own assessments. Care plans stated how service users assessed needs would be met and by whom. Staff maintain daily records for each service user, which confirmed how assessed needs were met. There is a system in place to review care plans on a monthly basis. The health care needs are assessed during the pre-admission assessment of needs. Staff accompany service users to medical appointments, for example G.P and dentist. Health professionals also visit service users at home if they are not willing or able to visit them. Evidence suggests that staff keep records of all medical appointments. The registered manager informed that service Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 11 users G.P make specialist referrals as and when required. An incontinence advisor support staff in order to manage service users incontinence problems. A district nurse also visit a service user to administer insulin. The medication cupboard is examined. Service users medications are provided in blister packs by a local chemist. Staff keep records of all medications administered. Designated members of staff administer medications and they were provided training in this area. Medication Administration Record sheets were examined and found that staff used tippex (correction fluid) on two of the MAR sheets. This was immediately reported to the management. The responsible individual immediately spoke to staff on duty and removed tippex from the office. The registered manager must ensure that staff do not use tippex (correction fluid) on MAR sheets to avoid any mishandling. The home provides six single and two double bedrooms with en-suite facilities. The double bedrooms were provided with mobile screenings. Staff provide personal care in private and ensure bedroom doors are shut during the delivery of personal care. Service users are provided pay phones. The manager informed that they can also make telephone calls from the office. Service users informed that staff treat them with respect at all times. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home arranges social activities for service users. The home operates an open door policy for the visitors. Service users are encouraged to visits various places. Choices of menus are offered. EVIDENCE: The home arranges individual and group activities for service users. An activity co-ordinator visits the home who arranges music and gentle exercise sessions for service users. In addition to this staff encourage service users to attend various activities in the home, for example board games and bingo. Service users are encouraged to visit various places by arranging day trips for them. The home maintains an open door policy and welcome visitors at any reasonable time. Service users family and friends are welcomed at home. Service users can meet their visitors at their bedrooms in private. Priests from the local church also visits services users who arrange communion. Some service users enjoy visit to pub and shopping. The home does not mange service users finances. Their finances are managed by the Court of Protection or by the family members. The home pays for service users toiletries and Chiropodist’s fees and then invoice the expenditures to appropriate persons to payback. Service users family members Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 13 usually advocate for their relatives. The home provides information to service users and their family how to access independent advocates. The home develops four weekly menu plans in consultation with service users. The menu plans were examined which confirmed that the home provides choice of meals at all times. The home provides wholesome, varied and balanced diets. The manager informed that if any service user does not like a particular meal is provided can request for an alternative meal. The home provides vegetarian meals for one service user. The kitchen was inspected and found very clean and hygienic. The cook keeps temperature of the fridge and freezers. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaint policy and procedure is in place. Staff have attended adult protection training and have awareness of the issues. EVIDENCE: The home has a clear and accessible complaint policy and procedure in place. The complaint procedure was displayed on the wall. The home also maintains a complaint folder. One minor complaint received since the last inspection, which was investigated and resolved within timescale. The home has an adult policy and procedure is in place. Following the requirement of the previous inspection report, all staff attended adult protection training. Staff interviewed confirmed that they have attended the training and have awareness of the issues. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,23 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is suitable for its stated purpose. Service users are provided with sufficient furniture and bedrooms were personalised. The home is free from offensive odour and staff were provided infection control training. The carpets of the ground floor and first floor hallway are required to refit without delay. EVIDENCE: The location and lay out of the home is suitable for its stated purpose. The home is located in a residential area of Upper Walthamstow and close to local amenities. The heating, lighting, water supply and ventilation meet relevant environmental health and safety requirements and needs of current service users. The building is made accessible to people with physical disabilities by installing a ramp to the front entrance of the house. However, it was found that the carpets of the ground and first floor’s hallway were uneven. The registered manager is required to refit the carpets without Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 16 delay. The manager informed the inspector that this will be done as soon as possible. Adequate toilets, washing and bathing facilities are provided for service users accommodated in the home. Toilets and bathrooms are clearly marked. Service users have toilet facilities within close proximity. The home provides six single and two double bedrooms with en-suite facilities. Service users bedrooms were inspected. Bedrooms were personalised with family pictures and with various posters. Service users are provided with sufficient furniture. Some of the service users were able to bring some of their furniture and personal belongings. At the time of the inspection the home was found clean, hygienic and free from offensive odour. The home employs domestic assistant for cleaning tasks. Staff managing service users incontinence problems with input from incontinence advisor. Hand wash facilities are prominently sited in appropriate areas. The washing machines have specified programming ability to meet disinfection standards. Staff have attended infection control training in order to prevent the spread of infection. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. At the time of the inspection staffing level was satisfactory. The home provides staff training for its staff development. More than 50 of staff have completed NVQ level 2/3 training in care. Staff group are currently attending dementia level 2 training. EVIDENCE: The home employs 21 care staff and 3 ancillary staff, in addition to the registered manager. Staff rota was examined which confirmed that five staff were on duty in the morning shift at the time of the inspection. Three staff are on duty at the afternoon shift and two waking night staff at night. The both proprietors also visit the home on a daily basis and assist staff with various activities including house shopping. The management encourage its staff to achieve NVQ training in care. More than 50 of the staff have completed their NVQ level 2 /3 training in care. At present 19 care staff have completed NVQ level 2 training in care and other five have completed NVQ level 3 training in care. The home operates a thorough recruitment policy based on equal opportunity policy. Vacant positions are advertised in local newspaper and in the job centre. Evidence suggests that the management carry out all relevant checks on staff before the appointments. Staff files included all necessary documents including two reference letters and CRB checks. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 18 The home provides staff training for it staff development. In addition to the NVQ training staff attended medication administration, food hygiene, moving and handling, infection control and dementia awareness training. A staff training analysis was displayed on the notice board of the main office. Staff of the home are now attending dementia level 2 (ASSET) training. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is qualified and competent to meet the aims and objectives of the home. The home carries out service users satisfaction questionnaires and seek the views of the relatives. The family members or the Court of protection manage service users financial matters. Staff receive individual supervision from their line managers. The management ensure service users health and safety. EVIDENCE: The registered manager is qualified, competent and experienced to run the care home and meet its stated purpose. She is very much a ‘hands on’ manager and has been running the home since 1991. She has completed the Advanced Management in Care Award and also has RM1, RM2 and 03 (diversity and rights of service users) modules. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 20 The home obtains service users/relatives satisfaction survey questionnaires on a periodic basis. Evidence suggests that last questionnaires were carried out in August 2006. The home has received a good response from service users and their family members. The service users satisfaction questionnaires were published and made available for all relevant parties. The home does not mange service users finances. Their finances are managed by the Court of Protection or by the family members. The home pays for service users toiletries and Chiropodist’s fees. Then invoice the expenditures to appropriate persons to payback. Staff interviewed informed that they are receiving supervision at least six times a year. Supervision notes were available in staff files for inspection. Staff also receive annual appraisal against their job descriptions. The management of the home ensures staff and service users health, safety and welfare. Staff were provided training with, health and safety, manual handling, fire safety, first aid and food hygiene. Regular checks are carried out on gas and electric appliances. Staff carry out fire alarm tests on a weekly basis. A fire safety risk assessment of the premises is carried out. The home has a valid insurance cover against loss or damage to the assets of the property. Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 3 x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Forest View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5 Requirement Timescale for action 31/03/07 2. OP9 17 3. OP19 23 The registered manager is required to include the address of the local CSCI (Ilford) office in the service users guide. The registered manager must 31/01/07 ensure that staff do not use tippex (correction fluid) on MAR sheets to avoid any mishandling. The registered manager is 31/03/07 required to refit the carpets on the ground and first floor hallway without delay. 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 View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 View Care Home DS0000007221.V328713.R01.S.doc Version 5.2 Page 24 - 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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