Inspection on 15/12/05 for Forget-me-not Residential Home

This inspection was carried out on 15th December 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 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

Forget-me-not Residential Home 10/11/08

Forget-me-not Residential Home 08/11/06

Forget-me-not Residential Home 28/06/05

Forget-me-not Residential Home 11/01/05

Forget-me-not Residential Home 08/06/04

Forget-me-not Residential Home 18/03/04

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

CARE HOMES FOR OLDER PEOPLE Forget-me-not Residential Home 151 Burnham Lane Slough Berkshire SL1 6LA Lead Inspector Robert Dawes Unannounced Inspection 15th December 2005 11.25 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 Forget-me-not Residential Home DS0000011316.V266905.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. Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Forget-me-not Residential Home Address 151 Burnham Lane Slough Berkshire SL1 6LA 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) 01628 668902 01628 668902 Mr Roger William Pell Mrs Tania Pell Ms Shirley Elizabeth Fairley Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Forget-me-not Residential Home is a care home providing personal care and accommodation for 16 service users aged 65 years and over. Mr and Mrs R. W. Pell privately own the home, which was opened in 1995. The two storey home is situated in a quiet road just off a main thoroughfare on the outskirts of Slough All the homes bedrooms are single, and 7 have en-suite facilities. There is a passenger lift. The home has a large, easily accessible garden. Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the day on Thursday 15th December 2005. The Inspector looked at records and spoke with two service users, one member of staff, manager and proprietor of the home. Seven standards were assessed of which four were met, two almost met and one not met. Two requirements and one recommendation were made during this inspection. What the service does well: What has improved since the last inspection? What they could do better: Improve the recruitment procedures and ensure the medicines administration record is filled in correctly. Forget-me-not Residential Home DS0000011316.V266905.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. Forget-me-not Residential Home DS0000011316.V266905.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 Forget-me-not Residential Home DS0000011316.V266905.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): Number 3. New service users are admitted only on the basis of a full assessment. EVIDENCE: Full assessments are undertaken before service users are admitted to the home. Service users are invited to visit the home to assist the manager with the assessment. Forget-me-not Residential Home DS0000011316.V266905.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): Numbers 7 and 9. The service user’s health, personal and social care needs are set out in an individual pan of care. Service users, where appropriate, are responsible for their own medication. Staff follow the procedures and policies for dealing with medicines except when recording the administration. EVIDENCE: All service users have individual care plans. They are regularly reviewed. Two service users self medicate some of their medicines. Staff follow the procedures for dealing with medicines except when recording the administration of medication. Several gaps were found in the MAR sheets. The pharmacist last visited the home to look at the receipt, recording, storage, handling, administration and disposal of medicines in May 2005. It would be good practice if these visits took place more frequently as it provides protection to service users. Forget-me-not Residential Home DS0000011316.V266905.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): This section was assessed at the previous inspection. EVIDENCE: Forget-me-not Residential Home DS0000011316.V266905.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): Numbers 16 and 18. Service users are confident that their complaints will be listened to, taken seriously and acted upon. The registered person must operate a thorough recruitment procedure to ensure service users are protected from abuse. EVIDENCE: Service users are given a copy of the complaints procedures on admission to the home. Service users said staff are very approachable and they would talk to any member of staff if they had a problem. The manager said she encourages staff to talk to service users and address any issues. If they think a service user has a problem/concern they will speak to that person in private. Service users’ complaints are recorded. The majority of staff have undertaken appropriate ‘protection of vulnerable adult’ training. Staff would speak to the manager or proprietor if they consider a service user has been abused. A member of staff, who does not have direct contact with service users, has recently been employed without a CRB disclosure check. Even if the job description does not include direct personal contact this practice could place service users at risk. Forget-me-not Residential Home DS0000011316.V266905.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): This section was assessed at the previous inspection. EVIDENCE: Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 13 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): Number 29. The registered person is not operating acceptable recruitment procedures. EVIDENCE: Records showed; a) a member of staff has been employed without a CRB disclosure check being requested; and b) it has been agreed for a new care worker to start work before the CRB disclosure application has been returned or a POVA first check being requested. Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 14 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): Number 38. The health, safety and welfare of service users are promoted and protected. EVIDENCE: Records seen by the inspector showed that the manager ensures as far as reasonably practicable the health, safety and welfare of service users. Staff undertake regular fire awareness training. The manager and proprietor recently attended a fire safety course for managers. Service users’ risk assessments are regularly reviewed. The Environmental Health Officer visited the home to assess the standard of food hygiene and considered the home operates safe working practices. Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 15 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP9 OP29 Regulation 13 19 Requirement Staff must not leave any gaps in the MAR sheets. The registered person must not employ a person to work at the care home until all appropriate checks have been undertaken. Timescale for action 31/12/05 31/12/05 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 OP9 Good Practice Recommendations The manager should arrange for the pharmacist to visit the home at regular intervals to ensure staff adhere to the home’s policies and procedures for dealing with medicines. Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Forget-me-not Residential Home DS0000011316.V266905.R01.S.doc Version 5.0 Page 18 - 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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