Inspection on 31/10/05 for Foresters Nursing Home

This inspection was carried out on 31st October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Foresters Nursing Home 20/02/07

Foresters Nursing Home 30/08/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Foresters Nursing Home Foresters Walton Pool Lane Clent Nr Stourbridge Worcestershire DY9 9RP Lead Inspector C Presley Unannounced Inspection 03.30p 31 October 2005 st 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 Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 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. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Foresters Nursing Home Address Foresters Walton Pool Lane Clent Nr Stourbridge Worcestershire DY9 9RP 01562 883068 01562 887474 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) Redwood Care Homes Limited Mrs Elizabeth Collins Care Home 30 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (3), Dementia - over 65 years of of places age (6), Old age, not falling within any other category (31), Physical disability over 65 years of age (31) Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 Brief Description of the Service: Forresters nursing home is registered for 31 residents requiring nursing care. The home is situated in Clent, and is surrounded by extensive and wellmaintained gardens, which overlook open countryside. Accommodation for residents is provided in 24 single bedrooms; all are en-suite with the exception of one bedroom. There are three double rooms within the home. Residents sharing a bedroom have made a positive choice to share. The registered manager referred to in this report is Mrs Elizabeth Collins and is a first level nurse. The responsible individual is Huw James of Redwood Care Homes Ltd. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the late afternoon and focused on standards not inspected at the last inspection and requirements from the last report. Time was spent with the registered manager and talking to staff. Residents were enjoying afternoon tea. What the service does well: What has improved since the last inspection? What they could do better: The home requires a named health and safety officer who is appropriately trained; this requirement remains outstanding from the last inspection. Mandatory training needs of staff remain a priority to ensure safety of residents and staff. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 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. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 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 Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 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): None of the standards in this section of the report were inspected for further information refer to previous report. EVIDENCE: Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 9 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): 9 Medication was kept safe and administered to residents in a safe manner, administration records of medication are poor. EVIDENCE: Medication was kept in a locked treatment room and recent changes in legislation regarding disposal of medication had been addressed in the policies and procedures file; staff were aware of their responsibilities. On checking medication charts it was noted that codes when medication was omitted were not correct and there were a number of signature gaps in the medication charts. A resident who had recently been prescribed anti-biotics appeared to have too many tablets left over when checked against the number of doses that should have been given. The registered manager agreed there was an anomaly and said she would investigate. Procedures for ordering and receipt of medication were excellent. There were no residents currently self-medicating; the home would support a resident to self medicate if it was felt appropriate. It was noted that wound care dressing did not cross-reference into the care plan. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 10 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): None of the standards in this section of the report were inspected for further information refer to previous report EVIDENCE: Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 11 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): None of the standards in this section of the report were inspected for further information refer to previous report EVIDENCE: There have been no complaints to the home of the Commission for Social Care Inspection since the last inspection visit. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 12 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 & 26 There were a number of environmental issues, which placed residents at unacceptable risk. EVIDENCE: The home was exceptionally clean and was odour free. Bedrooms were personalised and there were no bedrooms wedged open creating a fire hazard. The dining room is light and airy and looks over the garden and some bedrooms have direct access through patio doors to the garden. On touring the home a number of environmental issues were noted these included an unguarded hall radiator, which was hot to the touch. (An immediate notice was issued for the radiator to be guarded with 7 working days). Towels outside one bedroom were noted to be worn. A shower room in an unoccupied bedroom required refurbishment. The hall carpet presented a trip hazard and required either stretching or replacing. A bathroom hoist was not in working condition. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 13 Fire records could not be inspected; from the staff-training matrix seen there were shortfalls regarding staff not receiving fire training and drills on a regular basis. Staff spoken to confirmed this was the case. Staff were aware of their responsibilities regarding infection control. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 14 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): None of the standards in this section of the report were inspected for further information refer to previous report. EVIDENCE: Shortfalls in mandatory training for staff were noted when the training matrix was inspected and have become a requirement of this report. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 15 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): None of the standards in this section of the report were inspected for further information refer to previous report. EVIDENCE: The home does not have an health and safety officer and this remains a shortfall identified at the last inspection. Staff when questioned were not aware where the health and safety folders were kept in the home. The home has an environmental risk assessment in place and freestanding heaters had been risk assessed. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 16 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 17 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Wound dressing and pressure area dressing must be specific and give enough instructions for staff to carry out dressings. These must be cross-referenced in the care plan. Outstanding requirement from last inspection Fridge temperatures for medication must be taken daily Medication must be signed for on medication charts when given Audits must be carried out to ensure residents receiving antibiotics are receiving the correct doses. Medication codes must be used when medication is omitted Records must be kept secure and a key pad lock fitted to the office door on the ground floor. The unguarded radiator in the corridor must be covered to safeguard residents from a potential burn injury. Immediate Notice issued 31/10/05 Worn towels must be replaced The carpet in hallway must be DS0000064130.V257562.R01.S.doc Timescale for action 31/10/05 2 3 4 OP9 OP9 OP9 13 (2) 13 (2) 13 (2) 31/10/05 31/10/05 31/10/05 5 6 7 OP9 OP19 OP19 13 (2) 13 13 31/10/05 30/11/05 31/10/05 8 9 OP19 OP19 16 13 30/11/05 30/11/05 Page 18 Foresters Nursing Home Version 5.0 10 11 12 13 OP19 OP19 OP19 OP30 23 23 18 18 14 OP30 18 15 OP38 13 stretched or replaced to prevent a trip or fall The bathroom hoist must be in working order within 4 weeks of the inspection The shower room in the bedroom currently empty must be refurbished All new staff must receive fire training in their induction period. Staff must receive training in the protection of the vulnerable adult. Outstanding requirement from last report The registered manager must ensure all staff have up to date mandatory training particularly fire training and moving and handling Staff must be aware of where the health and safety policies are located 30/11/05 30/11/05 31/10/05 31/10/05 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 OP27 Good Practice Recommendations It is recommended staffing levels are monitored to ensure there are enough staff on duty at all times to meet the needs of residents. Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Foresters Nursing Home DS0000064130.V257562.R01.S.doc Version 5.0 Page 20 - 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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