Inspection on 28/06/05 for Forget-me-not Residential Home

This inspection was carried out on 28th June 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

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

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

Forget-me-not Residential Home 15/12/05

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 151 Burnham Lane Slough Berks SL1 6LA Lead Inspector Robert Dawes Unannounced 28 June 2005, 11:20 am th 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 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 H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Forget-me-Not Address 151 Burnham Lane, Slough, Berks, SL1 6LA Telephone number Fax number Email 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 Mr R W Pell and Mrs T C E Pell Ms Shirley E Fairley Care Home only (PC) 16 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11 January 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 home’s 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 H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the day on Tuesday 28th June 2005. The Inspector toured the premises and spoke with five service users, three relatives and the proprietor of the home. All thirteen standards assessed were met with two exceed. No requirements were made during this inspection. What the service does well: What has improved since the last inspection? What they could do better: The proprietor wants to improve the activities available to service users with sight and hearing problems; encourage service users to be more involved in FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 6 the daily routine of the home i.e. laying the tables; build a conservatory; and install security lights on the outside of the home. 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 H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 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 standard(s) This section was not assessed. EVIDENCE: FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 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 standard(s) 8 and 10. EVIDENCE: The registered person enables service users to have access to specialist medical, nursing, dental, chiropody and therapeutic services and care from hospitals and community health services according to need. Opportunities are given for appropriate exercise and physical activity. Those service users who are at risk of developing pressure sores are identified and appropriate intervention is recorded in the care plan. Service users looked clean and presentable. They said they were pleased with the care they received and their personal and health care needs were well met. Relatives endorsed the views of the service users. Service users informed the inspector that they are treated with respect and consideration. Most service users have their own telephone but if not they have easy access to one. FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15. EVIDENCE: A wide range of activities are available to service users, such as bingo, art and craft, games and singing. Birthdays and special events are celebrated. Staff engage with service users in individual activities i.e. reading newspapers, nail care and hand massages. There is a monthly religious service in the home and school groups visit to entertain the service users. The home produces regular newsletters, in normal and big print, for both the service users and relatives to inform them of events and activities within the home. Prominently positioned notice boards show daily activities and general information. An activities coordinator is employed three days a week Relatives and friends can visit at any reasonable time and invited to attend birthdays and other celebrations. Service users are enabled to go out to community facilities and activities. Members of a local organisation visit the home once a week to talk with the service users. Service users said they are offered as much choice as possible in how they conduct their daily lives and personal affairs. FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 11 Mealtimes are sociable occasions with both staff and service users sitting together. Staff were observed to offer appropriate and sensitive assistance to those with physical/ sensory needs. The main menu is on notice boards and information for the evening meal displayed on the meal table. Alternatives are available both in advance and at meal times. Menus seen by the inspector showed variety and a wholesome and nutritious diet. Service users said they were very appreciative of the choice and quality of the meals provided. Service users are involved in producing the menus. They can have their meals in their rooms or in the dining room. The inspector observed a service user ask for her food to be soft and receive a positive response. FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 12 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 standard(s) This section was not assessed. EVIDENCE: FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 13 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 standard(s) 19 and 26. EVIDENCE: The home has a homely atmosphere and is well maintained. It is suitable for the collective needs of the present group of service users. The home was clean and free of offensive odours. FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30. EVIDENCE: There are two care staff plus the manager on duty during the week and a waking member of staff on duty at night. At weekends two-three care staff are on duty in the mornings and two in the afternoons. There is currently a vacancy for a care worker. Staff undertake overtime to cover vacant care hours, sickness and holidays. No agency staff are employed. Service users described the staff as being respectful, helpful, kind, and nothing is too much trouble for them. The home benefits from an experienced and stable staff team Seven care staff now have a NVQ 2 in care, two staff are currently studying for NVQs and two staff will start studying in September. All new staff undertake basic training courses and receive induction and foundation training which meets the NTO workforce training targets. Staff are enrolled on NVQ courses as soon as possible. Additional training opportunities are provided for staff i.e. understanding dementia, disability awareness and supervision training. Refresher training takes place for key areas of work. All staff have training profiles. FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35. EVIDENCE: The registered person measures success in achieving the aims and objectives of the home through service users meetings, staff meetings, Regulation 26 visits, service users’ questionnaires and contact with friends and relatives of the service users. Satisfaction questionnaires were recently distributed to service users and the feedback was generally very positive. The conclusions of the satisfaction questionnaires are displayed on the main notice board. The proprietor and manager have produced an action plan in response to the survey to improve the services offered to the service users. Inspection reports are also made available to service users. FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 16 The service user’s finances are managed by the service users, relatives or a solicitor. The manager looks after small amounts of personal money for several of the service users. This money is kept in a locked cabinet and all transactions are recorded. These records are regularly audited. Service users have been offered lockable facilities in their rooms for valuables. FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x x FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 18 None 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 Regulation None 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 None Good Practice Recommendations FORGET-ME-NOT H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 H51-H01-S11316-Forget me Not-V235265060705-Stage 4.doc Version 1.40 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!