Inspection on 07/01/06 for Forest View Care Home

This inspection was carried out on 7th January 2006.

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

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

Other inspections for this house

Forest View Care Home 31/01/07

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 7th January 2006 09:30 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.V275695.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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.V275695.R01.S.doc Version 5.1 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.V275695.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include 1 named service user with a Learning Disability (LD). Date of last inspection 6th July 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. 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. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a weekend morning of 7/1/2006. The Inspector was able to speak to ten service users, a service user’s relative and three members of staff. The senior carer and one of the proprietors joined the inspection process at the later part. They all expressed their satisfaction with the high standards of care provided in the home. The home was recently awarded a major variation for dementia care. The management has made the building accessible to wheelchair users by installing a ramp to the front entrance of the home. What the service does well: What has improved since the last inspection? What they could do better: Although most of the staff attended adult protection training, it is required that all staff attend adult protection training. This requirement was not met from the previous inspection. It is recommended that all staff should attend dementia level two training as the home is awarded variation for dementia care. All staff should also attend infection control training. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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.V275695.R01.S.doc Version 5.1 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 the following standard(s): 3,4,5 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. EVIDENCE: 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 who previously worked as a district nurse, carries out assessment of needs prior to admission. Two newly admitted service users pre-admission assessments were viewed , and were detailed with information. The needs assessments covered all areas of needs. From the examination of care files, discussion with service users and staff it was evident that the home is able to meet current service users assessed needs. A service user’s relative interviewed was satisfied with his mother’s care. Staff were provided training for use of specialist equipment and the home seek advice from health professionals to meet service users complex needs. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 9 Staff encourage a prospective service user and family members to visit the home before making a decision to move into the home. Service users have opportunities to meet staff and other service users at the home. The home also provides opportunity for a trial period before making an admission permanent. The home does not provide intermediate care; therefore, this standard is not applicable to this service. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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 the following 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. Service users had a health screening and some of them had blood tests. From the examination of medication cupboards 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. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14 and 15 The service arranges social activities for service users. Staff encourage and welcomes relatives and friends 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 and theatre outings. Staff encourage service users family members and friends to visit them at any time. At the time of the inspection the inspector interviewed a service user’s son who informed that staff always welcome him to visit his mother. The inspector also spoke to another service user’s visitor who was also complementary to staff team as he feels welcomed by members of staff. None of the service users are able to deal with their finances. The management advised that service users money are either being dealt with 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 Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 13 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 mealtime. At the time of the inspection the kitchen was found to be very cleaned and tidy. The cook kept records of fridge and freezer temperature. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 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. However, the home has not received any complaint since the last inspection. 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. This requirement is still outstanding since the last inspection. The registered manager was aware of her responsibility to refer staff who harm service user in their care to the POVA list. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21 and 30 The home is suitable for its stated purpose, which is safe, comfortable 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. The management has now made the building accessible to people with physical disabilities by installing a ramp to the front entrance of the house. Adequate toilets, washing and bathing facilities are provided. Toilets, bathrooms are clearly marked. Each service user has a toilet within close proximity of his/her private accommodation. At the time of the inspection the home was found to be clean, tidy, hygienic and free from offensive odour. Hand washing facilities are prominently sited in Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 16 the areas where infected materials are being handled. Washing machines have the specified programming ability to meet disinfection standards. The senior carer informed the inspector that five members of staff attended infection control training and other staff will attend the training at a later date. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following 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 level 2/3 training in care. EVIDENCE: Currently there are 24 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 over 50 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, manual handling and infection control. Five members of staff attended infection control training and five staff attended dementia level two Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 18 training. The management is working towards providing infection control and dementia level two training to all staff in the near future. A staff training analysis was displayed on the notice board of the main office. Copies of training certificates are kept in staff files. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 and 38 There is a system in place to monitor the quality of service provided in the home. The business is financially viable. The home ensures staff and service users health, safety and welfare. EVIDENCE: 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 last inspection the financial accounts of the year were not available. However, the proprietor advised that the business was financially viable. Following the recommendation of the previous inspection report the registered provider sent a copy of the financial accounts to the CSCI. Therefore, this standard is now fully met. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 20 Service users’ financial interests were safeguarded and there were procedures 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. The management ensures that so far as is reasonably practicable the health, safety and welfare of service users and staff. All staff received induction training, which covered all areas of health and safety topics. A fire safety risk assessment of the premises was carried out. Gas, electric and all portable appliance checks were carried out. 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. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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 x x 3 3 3 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 2 3 x 3 x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 3 Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP18 Regulation 18 Requirement The management to ensure that all members of staff attend Adult Protection training. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP30 Good Practice Recommendations It is recommended the management should provide infection control and dementia level two training to all members of staff. Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East London Area Office 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 Forest View Care Home DS0000007221.V275695.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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