Inspection on 15/02/06 for Foresters

This inspection was carried out on 15th February 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 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

Foresters 21/04/08

Foresters 06/09/06

Foresters 01/09/05

Foresters 10/03/05

Foresters 16/12/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Foresters 18-20 Alexandra Road Weymouth Dorset DT4 7QQ Lead Inspector Marion Hurley Unannounced Inspection 15th February 2006 10:00 Foresters DS0000020466.V279253.R01.S.doc Version 5.1 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 Foresters DS0000020466.V279253.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 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. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Foresters Address 18-20 Alexandra Road Weymouth Dorset DT4 7QQ 01305 777189 01202 777189 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) Dorset Residential Homes Ms Sara Ann Harpley Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user within the category LD(E) [Learning Disability - over 65] may be accommodated. 1st September 2005 Date of last inspection Brief Description of the Service: Foresters is a care home registered with the Commission for Social Care Inspection to provide personal care, nursing care and accommodation to 15 learning disabled adults who may also have emotional and behavioural needs. The home is operated by Dorset Residential Homes, a registered charitable trust that operates a number of care homes in Dorset. Foresters is located in a residential area of Weymouth within walking distance of the town centre. The property is made up of 2 large semi-detached Victorian houses that have been altered internally to form one house. The home provides 15 places for service users. The home is staffed by a team of registered learning disability nurses and care staff who provide 24-hour care and support. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Foresters was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of seven hours, three of which were spent at the home with the Deputy manager, staff and five residents. During the inspection, records related to the specific standards assessed were checked. The inspector was grateful for the time and support provided by both residents and all the members of staff on the day of this inspection visit. What the service does well: What has improved since the last inspection? New staff have successfully been recruited and settled well into the established and experienced team. The good practice recommendations for NMS 6 & 7 have been implemented. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): N/A NMS 2 standard is currently not applicable. This present group of residents have lived together for many years and there have been no admissions since 2004. There is no anticipated change to this existing group of residents. EVIDENCE: Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were assessed at the last inspection. EVIDENCE: Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15, 16, & 17. • Residents live ordinary lives in the community seeing family and friends as they wish. • Residents’ rights are respected and independence and choice promoted in the home. • Residents are encouraged to eat a healthy diet. EVIDENCE: During the course of this inspection visit staff were observed interacting with residents, explaining what they were doing and trying to encourage residents to join in as fully as possible. One resident explained that they had been out yesterday to the opticians and today they were having their hair done. Another resident indicated they had been out for the morning and staff explained this had been with the resident’s advocate. Staff described the regular contact residents have with their families and relatives. All contact is recorded in the resident’s daily notes and for some residents the need to maintain regular contact with their family has been identified in their Life Support Plan with a goal and action plan to ensure the contact and relationship is maintained. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 11 Contact with relatives ranges from phone calls, to receiving weekly postcards, to trips out. Despite some residents having difficulty speaking on the telephone staff said they clearly enjoy and benefit from listening to the voices of their relatives. One resident receives weekly postcards and staff with the resident has made a scrapbook of all the post cards. One resident with staff support has kept friends with a group of people from a Gateway Club where they use to live. Residents get invites to other DRH homes for special parties and social occasions and the residents always enjoy these gatherings. Residents meet with their peers regularly though their attendance at day services and social clubs in the Weymouth locality i.e. Gateway Club and Mind Alive. Residents living at Foresters are a very social group of people and have a party at any excuse often inviting relatives and friends to join them. The menu is planned six weeks in advance and is based on the resident’s likes and dislikes. Individual preferences /dislikes are recoded on the menu with suggestions for alternative meals. Special diets are catered for and presently there are some residents on low fat diets and others eating smaller portions. Staff are keen to encourage healthy living and the menu was balanced and showed plenty of variety. The store cupboards, fridge, freezers had a full range of foods and there was plenty of fresh fruit and fruit juices available. There are two menu books one for the main meal and one for the midday snacks. The temperatures of all the appliances and the cleaning schedule were being recorded and up to date. The kitchen and all store areas were clean and tidy. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 • The systems for ensuring the safe handling and administration of the residents’ medication are thorough. EVIDENCE: Medication administration sheets (MAR sheets) were examined. DRH has comprehensive policies and procedures for the management of residents’ medication and it was clear from checking the records and storage that the procedures were being carefully followed and implemented at the home. Each resident has a medication profile, which includes his or her photograph. All homely remedies have been verified by the residents’ GP and details are recorded on the back of their MAR sheets. Only qualified staff administer medication. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 • The home/DRH has procedures to deal with complaints or concerns. • Staff are aware of the action to take should a complaint or allegation of abuse be made. EVIDENCE: Dorset Residential Homes has comprehensive policies and procedures for dealing with complaints and any allegations of abuse. All staff must sign and demonstrate they have read these policies and procedures. No complaints have been received since the last inspection. Staff completing LDAF and or NVQ training undertake specific study units on the Protection of Vulnerable Adults. In addition all staff complete in house training in the Protection of Vulnerable Adults. The Deputy Manager and one member of staff discussed with the inspector the procedures and both demonstrated their knowledge and clear understanding of their responsibilities to protect residents and of the correct policies and procedures to follow in such an event. Many of the staff have worked with this group of residents for several years and are confident even if the resident could verbally express their concern that they (staff) are sensitive and have sufficient experience to understand the resident’s individual behaviour and gestures and thus alert them to any issues the residents might have. In addition residents have communication plans, which are an integral part of their Life Support Plans, and these indicate how the resident express their feelings and needs. Evidence for these standards was verified from discussions with staff and reading two Support plans . Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were assessed at the previous inspection. EVIDENCE: Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 • The employment procedures and the staff training programme are comprehensive covering all elements of the mandatory training which ensures residents are safely protected and supported by staff trained to undertake their duties and accept their responsibilities. EVIDENCE: Staffing numbers are maintained with the 24 hours divided into three shifts. The morning from 07:00 – 14:30 , the afternoon 14:00 - 21:30 and with night staff commencing work at 21:15. The staff rota illustrated that shift will have a minimum of one qualified member of staff and at least two support workers. Rotas are worked out monthly in advance. The home employs two full time cooks. One support work is employed to work specifically with one resident offering a range of community activities as an alternative service to centre based day services. The home have been successful in recruiting a number of leisure companions which offer valuable one to one time with residents as they pursue a range of different activities together. All staff receive induction training and then progress to LDAF and NVQ training courses. Mandatory training records were complete and included health & safety, food hygiene and fire safety. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 16 Specialist training linked to the needs of the residents is organised through DRH and nursing staff are encouraged to maintain their registration and participate in any professional skills training. Each member of staff has a Training Log, which clearly records training completed throughout the year. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39 • The home is well run for the benefit of residents by a competent and experienced staff team. • Residents or their representatives would feel confident their views were listened and reacted to. EVIDENCE: Quality assurance and monitoring systems are ongoing. Regular staff meetings and supervision help monitor the quality of care provided and ensure staff maintain their competencies. The “responsible individual”/ representative for Dorset Residential Homes completes the monthly monitoring visits. Regulation 26 reports are comprehensive and extremely useful and provide a good picture of life in the home. Each resident is linked with two key workers who monitor from the resident’s perspective how the services and care continues to reflect their specific needs. Any issues concerning the residents’ welfare are discussed at staff meetings or immediately if required and Life Support plans are adjusted to ensure the residents’ changing needs are met. Evidence of this was documented in both the residents’ daily notes and in the regular reviewing of their Plans. Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 N/A 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x 3 x 3 x x x x Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 19 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. Standard Regulation Requirement Timescale for action 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 Foresters DS0000020466.V279253.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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