Inspection on 06/07/05 for Forest View Care Home

This inspection was carried out on 6th July 2005.

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

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

Other inspections for this house

Forest View Care Home 31/01/07

Forest View Care Home 07/01/06

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 Name Forest View Care Home 45 Upper Walthamstow Road Walthamstow London E17 3QG Lead Inspector Harun Rashid Announced 6th July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Name Version 1.10 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 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 fviewcarehome@aol.com Mr Alan Cork / Mrs C N Heath Ms Janet Eaton Care Home 24 Category(ies) of Learning Disability (3), Old Age, not falling registration, with number within any other category (21) of places Name Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 18th February 2005 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. Three beds are also registered for people with a learning disability. Currently there is one service user who is in this category. 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. The house is a converted family house, which provides individual care in one of two double rooms or single rooms. Both double rooms and three 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. Name Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on a weekday morning of 6th of July 2005. The Inspector was able to speak to eight service users, three members of staff including the registered manager and two of the service users’ relatives. The Inspector received 51 feed back cards from service users, their family members, staff, medical professionals and care managers. They all expressed their satisfaction with the high standards of care provided in the home. The home is in the process of applying for a major variation for dementia category. At the time of the inspection 13 members of staff out of 24 (part time and full time) attended dementia awareness training. The management are making the building accessible to wheelchair users by installing a ramp to the front entrance of the home. At present the house is only accessible to disabled peoples through the driveway. What the service does well: 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. Name Version 1.10 Page 6 The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Name Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Name Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4,and 6 The service ensures that prospective service users’ needs are assessed prior to admission and staff are provided training to meet assessed needs of the service users. All service users are provided contracts which include terms and conditions. EVIDENCE: Following the recommendation of the previous inspection report, the management have updated the service users’ contracts. The contract now included a description of rooms to be occupied by the individual service users in the home. The management ensures that newly admitted service users are assessed before they are admitted to the home. The registered manager who is qualified and experienced or one of the proprietors, a qualified nurse and previously worked as a district nurse, carry out assessment of needs prior to admission. From the examination of care files, discussion with service users, staff and service users relatives it was evident that the home is able to meet current service users assessed needs. Staff were provided training for use of specialist equipment and the home seek advice from health professionals to meet service users complex needs. Name Version 1.10 Page 9 Currently the home is accommodating six service users with dementia and staff were provided dementia awareness training. The sixth standard is not applicable to this service, as they do not provide intermediate care. Name Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 The service demonstrates that service users health and personal care needs are adequately met. Staff respect service users privacy when delivering personal care. EVIDENCE: All care plans were generated from comprehensive assessments undertaken by care managers/health professionals. For service users who are self funded care plans were developed from comprehensive assessments carried out by the home. Daily records and staff interview confirmed that staff were able to implement care plans on a day-to-day basis. The registered manager promotes and maintains service users’ health and ensures their access to health care services to meet assessed needs of the service users. Service users’ nutritional screening is undertaken on admission. The manager advised that in July this year all service users had a health screening and some of them had blood tests. All medication cupboard it was evident that all medication is provided in blister packs from a local pharmacist. Staff follow medication procedures of the home. Records are kept of all medication received, administered and disposed of, to ensure that there is no mishandling. Name Version 1.10 Page 11 From the Inspector’s observation it was clear that bedroom doors, toilets and bathroom doors were closed during the delivery of personal care. Staff also respect service users privacy and dignity at all times. Name Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The service arranges social activities for service users. Staff encourage and welcomes relatives to visit them. Choices of menus are offered. Information regarding advocacy services is provided. EVIDENCE: The activities for service users were identified and were flexible and varied to suit the needs of the service users. The registered manager takes responsibility to organise individual and group activities for the service users. Service users were encouraged to join Dial-a-Ride and undertook shopping trips, theatre outings. Staff encourage service users relatives and friends to visit them. The Inspector spoke to service users’ relatives who informed that staff always welcome them to visit their relatives. None of the service users are able to deal with their finances. The management advised that service users money are either being dealt by the Court of Protection or by the family members. Information about an advocacy service was observed within the home. Service users are entitled to bring their personal possessions with them, the extent of which is agreed prior to the admission. From the examination of weekly menus it was clear that service users receive a varied, appealing, wholesome and nutritious diet, which is suited to individual, assessed and recorded requirements. The weekly menus offer choices of at least two main meals at each meal time. Name Version 1.10 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Although Adult Protection policy and procedures contain sufficient guidance for staff to enable them to protect service users from abuse, all staff must attend adult protection training. The home has a complaint policy and procedure which was made available to all relevant parties. EVIDENCE: A simple, clear and accessible complaint procedure was available for all relevant parties. A record of all complaints was kept by writing in a complaint book including details of investigation and any action taken. The home has an adult protection policy and procedure which contain sufficient guidance for staff to enable them to protect service users from abuse. However, the management must ensure that all members of staff attend Adult Protection training. The registered manager was aware of her responsibility to refer staff who harm service user in their care to the POVA list. Name Version 1.10 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,22 and 26 The home is suitable for its stated purpose, which is safe and well maintained for the service users accommodated in the home. EVIDENCE: The location and layout of Forest View care home is suitable for service users currently accommodated there. The heating, lighting, water supply and ventilation for service users meet relevant environmental health and safety requirements and needs of individual service users. Adequate toilets, washing and bathing facilities are provided. Toilets, bathrooms are clearly marked. The management advised the Inspector that they are making the building accessible to people with physical disabilities by installing a ramp to the front entrance of the house. At the time of the inspection the home was found to be clean, tidy, hygienic and free from offensive odour. Name Version 1.10 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28,29 and 30 The deployment and current number of staff was sufficient to meet service users current needs. The service provides training for staff development and more than 50 of care staff are pursuing NVQ level2/3 training in care. EVIDENCE: Currently there are 20 full and part-time care staff employed in the home, in addition to the registered manager. The service also employs 4 part- time ancillary staff. In the morning shift five to six and in the afternoon three to four members of staff are on duty. All staff have a clear job description, which clarify their roles and responsibilities. The Inspector was advised that 15 members of staff attended NVQ level 2 and 3 training in care. Therefore, the service currently has 61 of care staff with NVQ2/3 Qualifications. The service operates an equal opportunity policy for recruitment of staff. The jobs are advertised in local paper/job centre. The manager obtains two reference letters and carries out all relevant checks including CRB checks before employing any new member of staff. The service has a training and development programme for all staff. It was evident that all care staff and domestic staff attended various courses, for example, dementia awareness, food hygiene, first aid, medication administration and manual handling. A staff training analysis was displayed on the notice board of the main office. Copies of training certificates are kept in staff files. Name Version 1.10 Page 16 Name Version 1.10 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33, 34,35 and 38 There effective leadership, guidance and direction to staff to ensure service users assessed needs are met. The service ensures service users health, safety and welfare. EVIDENCE: The 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. The service obtains service users/relatives satisfaction survey questionnaires on a periodic basis. The service users satisfaction questionnaires were published and made available for all relevant parties. At the time of the inspection the financial accounts of the current year were not available. However, the proprietor advised that the business was financially Name Version 1.10 Page 18 viable. The registered provider to send a copy of the financial accounts to the CSCI. Service users’ financial interests were safeguarded and there were procedure in place. Service users family members look after their finances, as they themselves are not able to look after them . Two of the service users finances are managed by the Court of Protection. A fire safety risk assessment of the premises was carried out. Gas appliances were checked on 11.4.05. All portable appliances checked were carried out in October last year. Staff carry out a fire drill in every three months and fire alarms are tested every week. The service has a valid insurance cover against loss or damage to the property. Name Version 1.10 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 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 3 3 x 3 x 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 Standard No 16 17 18 Score 3 x 2 3 x 3 2 3 x x 3 Name Version 1.10 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP18 OP34 Regulation 18 25 Requirement The management to ensure that all members of staff attend Adult Protection training. The registered person to provide the CSCI a copy of financial account of the current year. Timescale for action 31/10/05 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Name Version 1.10 Page 21 Commission for Social Care Inspection Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Name Version 1.10 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. 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