Inspection on 01/12/05 for Forge House

This inspection was carried out on 1st December 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

Forge House 12/07/05

Forge House 06/01/05

Forge House 24/08/04

Forge House 16/03/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Forge House 2 Podkin Wood Chatham Kent ME5 9LY Lead Inspector Sue McGrath Unannounced Inspection 1st December 2005 02:00 Forge House DS0000023831.V270363.R01.S.doc Version 5.0 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 Forge House DS0000023831.V270363.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 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. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Forge House Address 2 Podkin Wood Chatham Kent ME5 9LY 01634-671404 01634 671989 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) Placesuper Limited trading as Forge House Ms Leonora Anne Lock Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Forge House is situated in a quiet cul-de-sac with easy access to local shops and amenities. The home also has easy access to the M2 and M20 motorways. The home is registered for five service users. It provides facilities for adults with learning disabilities that present some challenging behaviours. The home presents as homely, warm and comfortable and is decorated to a very high standard. There is a large open plan lounge and it is clear that much thought had been put into the fabric and furnishings to create an attractive comfortable home with many excellent facilities. There is some parking to the front of the property and the rear garden, which is currently being landscaped, provides a space for outside activities. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection under the terms of the Care Standards Act 2000 and was carried out by one inspector who was in the home from 14.00 to 16.30 on the 1st December 2005. During the inspection the Manager was in attendance. Documentation and records were read, including care plans. A tour of the premises was undertaken and a considerable amount of time was spent talking with residents and some staff. As this report was made following an unannounced visit and may not cover the standards in sufficient depth for the reader to make a judgment about the home, it is recommended that a copy of the last announced inspection report dated 12th July 2005 be also obtained. The atmosphere in the home was very homely and supportive and it was evident that all of the residents enjoy a high quality of life and enjoy living at Forge House. Good interaction was seen between staff and Residents. This is a very happy home. What the service does well: The home is decorated and maintained to an extremely high standard. The quality of the furnishings and fittings is also excellent. The bedrooms are spacious and well equipped, including a full range of electrical items such as televisions, stereos, DVD’s and music centres. The bathrooms are spacious and practical. Residents also benefit from having access to a computer with Internet access. The activities programme is varied and extensive and changed weekly according to the wishes of the residents. One resident is enabled to work at a local RSPCA centre, which is something he clearly enjoys. Staff were seen to have a good rapport with the residents and the atmosphere was very homely. It was evident that the residents were encouraged to be outgoing and to enjoy life. The manager and assistant manager had worked hard since the last inspection with regards to developing a selection and recruitment policy and on working with the key workers on personal goals for the residents. All staff clearly work well as a team. Residents have enjoyed two holidays this year. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 6 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 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 Forge House DS0000023831.V270363.R01.S.doc Version 5.0 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): 1-5 assessed at the last inspection Prospective residents are provided with the information they need to make an informed choice about moving into the home, which includes the home’s statement of purpose and conditions of residency. Residents’ benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: These standards were all met at the last inspection and as no changes had occurred the judgement remains the same. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 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): 6-10 Residents benefit from having care plans that reflect their current personal needs and these plans now address personal goals and achievements. Residents are very involved with all aspects of life in the home and are enabled to take reasonable risks within the homes risk assessment management strategies. Residents’ privacy is protected by a confidentiality policy with which staff are familiar. EVIDENCE: These standards were assessed at the last inspection, one was met and 4 were exceeded. As recommended in the last report personal goals and aspiration had now been drawn up and acted upon. The home is to be congratulated on the amount of time and effort put into developing this area of the care plans. Personal goals had been identified and progress towards meeting these goals recorded. Key workers had achieved some very positive outcomes by working with the residents to assist them to develop personal care goals. One resident could now tie shoelaces and was working towards understanding her personal monies better. One other resident had set himself the goal of being able to Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 10 work on his own, cleaning rabbit hutches at his work placement. He had also nearly achieved this goal. Both residents and staff felt they had benefited greatly from this close working and this had strengthened the relationship between the key worker and the resident. The key workers were completing monthly reports highlighting the achievements made and wall charts in the resident’s rooms highlighted their own personal progress. The residents were very proud of their achievements and progress and were very keen to show their charts in their rooms. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 11 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): 11-17 Resident’s benefit from having the opportunity for personal development with their daily living skills and have appropriate levels of leisure activities. Residents also benefit from being part of the local community. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The resident’s benefit from the appetising meals and balanced diet offered by the home. EVIDENCE: These standards were assessed at the last inspection and three were exceeded and four were met. As no changes had occurred the judgement remains the same. All of the residents had enjoyed two holidays this year, one in Majorca and one to Centreparks. These had been enjoyed by all. The home paid entirely for one holiday and the residents made a contribution to the second one. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 12 The residents will be taking their parents and staff out for a Christmas lunch as part of their development plans. Three of the residents were currently completing a five-week course in ‘Creative Interpretive Dance’ that was a pilot project funded through Medway Council. This had proved very popular with the residents and one resident demonstrated what he had learnt at the class. He clearly had enjoyed the sessions and it was hoped these would continue. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 13 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): 18-21 Residents benefit from receiving personal care in private and enjoy a very flexible lifestyle that reflects the many activities undertaken. Health needs are met and service users have full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. The home has handled the issue of illness and ageing sensitively. EVIDENCE: These standards were all met at the last inspection and as no changes in outcomes had occurred, the judgement remains the same. The home now uses a monitored dose system for the safe administration of medication. This has improved the administration and recording of medication. One member of staff had been given the lead role in the medication and completed regular audits of the drugs. Although staff had completed a one-day course in the administration it was advised that senior staff complete an accredited course in the administration of medication as recommended in the Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 14 last report. No errors were found in the recording of the administration of medication. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 15 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 and 23 The home has a clear complaints procedure and service user and relatives are aware of how to complain. Residents’ legal rights are protected; residents are also protected from abuse by the home’s Adult Protection Policy and procedures. EVIDENCE: These standards were all met at the last inspection and as no changes had occurred the judgement remains the same. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 16 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): 24-30 Residents benefit from living in a clean, safe, very well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. Residents benefit from occupying bedrooms that are clean and appropriate to their needs and from having access their own en-suite rooms with sufficient additional toilets and specialised bathrooms. The residents’ benefit from home’s laundry service, which is well-organised and designed to control the spread of infection. EVIDENCE: On the day of the inspection the home was undergoing it’s annually redecoration and work was being completed in some of the bedrooms. The level of internal decoration remains high and the rear garden was also being landscaped to provide safe and more appropriate level space for the residents to enjoy. One resident spoke excitedly about the prospect of having a shed where he would be able to enjoy his hobby of carpentry. A new sofa had been bought for downstairs and the use of the lounge areas had changed slightly. This had all been agreed with both the residents and their families. Some of the residents had been provided with new beds. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 17 An area in the garage had been utilised as an activities room and again the residents enjoyed the space to complete their craftwork. All of the bedrooms had personal locks, however residents chose not to use them. Residents also open all their own personal mail, sometimes with the assistance of their key worker. All of the residents were responsible for their own rooms and were encouraged to keep them clean and tidy. The home generally was very clean. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 18 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): 33, 34, 35 and 36 The resident’s benefit from staff who enjoy good morale and are competent to do their jobs. Residents also benefit from staff that are well supervised and supported. EVIDENCE: Staff rotas were displayed for the residents to see, with photographs of the relevant staff that will be on duty for the next 24 hours clearly displayed. This had helped one resident on particular to know who was coming on duty, as he no longer has to ask who was coming in. The Manager was currently working on a new recruitment and selection policy and procedure and the work completed so far was comprehensive. This work was expected to be completed by the end of March. Training records and the positive interaction seen on the day confirmed that staff were competent and caring and provided an effective staff team As required from the last inspection, all staff now receive supervision from a designated person who had received formal training in delivering supervision. This had proved a positive experience with several small issues being resolved at an early stage. It had been planned that all yearly appraisals were to be completed by the end of March 2005. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 19 The home now has a designated person in post to identify and plan for staff training. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 20 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): The residents’ benefit from having a manager who has a clear development plan and vision for the home, which she effectively communicates to the residents, staff and relatives. The residents also benefit from having a manager who is well supported by the senior staff in providing leadership throughout the home and from staff who demonstrate an awareness of their roles and responsibilities. EVIDENCE: Both the Registered Manager and Assistant Manager were very competent and professional in the way they managed the home and the staff group. They had worked very hard to achieve all the requirements and recommendations made at the last inspection and were clearly dedicated to the home and to improving their own levels of competencies. The Assistant Manager was in the process of completing her Registered Managers Award. They were both able to communicate a clear sense of leadership, which staff could understand. On the day of the inspection both were open and transparent and could demonstrate creative thinking skills and good development within the home. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 21 Staff spoken to confirmed they felt the manager was able to communicate a clear sense of direction and leadership and that they felt well supported. The staff turnover was very low. The homes quality assurance system was now mainly in place and questionnaires had been sent to families with a very positive outcome. It was again suggested that the system be expanded to include anyone who has contact with the home, including GPs Nurses and other professionals. This standard states that the Residents surveys are published and made available to Residents, their representatives and other interested parties including the CSCI. It is recognised that work has started and the manager is endeavouring to meet this standard. Records of maintenance and regular health and safety assessments indicated that the registered manager so far as is reasonably practicable ensures that the health, safety and welfare of residents and staff is protected. Records evidenced that the temperature of the hot water is regularly monitored as recommended in the last report. Records seen within the home were effective, well maintained and accurate. The homes accounts were regularly audited and the home worked closely with their accountants to ensure sound financial viability. The quarterly accounts were seen. Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 4 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 4 3 4 N/A 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Forge House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 4 4 2 2 3 3 3 DS0000023831.V270363.R01.S.doc Version 5.0 Page 23 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. 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. 1 Refer to Standard YA39 Good Practice Recommendations It is recommended that work continues on the effective quality assurance and quality monitoring systems, based on seeking the views of service users and other interested parties, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. It is recommended that designated staff complete an accredited course in the safe administration of medication. 2 YA20 Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Forge House DS0000023831.V270363.R01.S.doc Version 5.0 Page 25 - 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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