Inspection on 25/01/06 for Forresters Respite Holiday Centre

This inspection was carried out on 25th January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Forresters Respite Holiday Centre 28/09/06

Forresters Respite Holiday Centre 02/08/05

Forresters Respite Holiday Centre 01/12/04

Forresters Respite Holiday Centre 10/05/04

Forresters Respite Holiday Centre 13/10/03

Similar services:

Flint House

The Cotswold Home

Fairways

Treloar College

Rush Court

The Maypole Nursing Centre

Fir Tree Lodge

Chilmington House

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

CARE HOME ADULTS 18-65 Forresters Respite Holiday Centre 2 Southampton Road Hythe Southampton Hampshire SO45 5GQ Lead Inspector Mr Rodney Martin Unannounced Inspection 25th January 2006 10:00 Forresters Respite Holiday Centre DS0000012154.V280043.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 Forresters Respite Holiday Centre DS0000012154.V280043.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. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Forresters Respite Holiday Centre Address 2 Southampton Road Hythe Southampton Hampshire SO45 5GQ 023 8084 3042 023 8084 1250 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) RETHINK Care Home 27 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (27), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3), Physical disability (2), Physical disability over 65 years of age (1) Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2 August 2005 Brief Description of the Service: Forresters Respite Holiday Centre is managed by RETHINK and provides a respite holiday service to people with mental health distress or to their carers. The home also offers a step down service to people who are in hospital waiting discharge following treatment. Respite holiday visits are for one or two weeks duration, whilst people on the step down programme can stay at the home for a maximum of six weeks. The home provides a hotel type of service with care and support. Forresters is a large detached property set in its own grounds and is within a short distance from the centre of Hythe. The mission statement of Forresters is “to provide high quality, value for money, individualised respite care to people experiencing or recovering from mental distress and to enable carers to take a break from caring”. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were three action points in the previous inspection report, dated 2 August 2005. Forresters has not had a registered manager since the end of October 2004. A new manager was recruited in January 2005 but they went on long-term sick leave on 25 March 2005 and the home was without a manager in post. There was a need for Rethink to submit an application form for manager by 1 November 2005. The Commission has not received an application. A locum manager has been in post since 7 November 2005. This is discussed in the section on the conduct and management of the home, in this report. The organisation needed to ensure that there were regular unannounced monthly visits to Forresters, with a report made and a copy sent to the Commission. Although visits had taken place, it was noted that a copy of the report was not sent to the home or a copy sent to the Commission. The inspector spoke to the responsible individual, by telephone, on the day of the inspection and it was agreed that copies of previous reports would be sent and that there would be future compliance with this requirement. The third action point was that staff update their training needs and this has been met. The unannounced inspection took place between 9.50am and 2pm. Both care team leaders were on duty as well as a locum manager. On the day of the visit the home was accommodating eight clients, which included three in the “step down” programme from the Department of Psychiatry. Although Forresters is registered for twenty-seven residents, the home has fifteen single bedrooms and six double bedrooms, making a total of twenty-one bedrooms. Unless a client is coming with a caring partner, the double bedrooms are used for single occupancy. It was reported that during the summer the home tends to be full but numbers are traditionally down after Christmas. Following the appointment of a locum manager plans are in hand to further market the resource, with a view to increasing the uptake. The inspector was able to tour the building as well as speak to the staff members on duty and a number of service users. They confirmed that they had no complaints about the home and were more than satisfied with the care given in Forresters. The majority of residents were out on a trip to Romsey, during the inspection visit. Six comment cards were received, prior to the inspection, five from relatives and one from a service user. They were all positive. All the key standards have been inspected during this inspection year. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the home has set in place a training programme for staff and introduced a formal system of supervision. The home has improved the initial assessment process by producing a feedback form for the hospital wards to complete for them to indicate their aims and expectations for the patient going to Forresters. The respite stay in Forresters is now part of the treatment plan for those coming on the stepdown programme, where patients from the Department of Psychiatry, come for up to six weeks. The team leaders have been given a laptop computer to aid in their work and the home has set up an internet café to enable residents to keep in touch with folks at home. The home uses a feedback form for clients to complete, following their stay, as part of their quality assurance system. Forresters is replacing the transport, with a new mini-bus and staff car. The locum manager has completed an inventory of the building for maintenance and refurbishment. Estimates have been approved for new furniture and carpet in the non-smoking lounge. It was reported that the manager is looking at imaginative ways of making use of the garden area, for residents to enjoy, especially in the summer months. Approval has been given for a false wall to be erected in the games room, in an attempt to cut down the amount of potential noise going into the adjacent bedroom. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 7 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. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 8 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 Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 9 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, 2, 3 and 4 The admissions procedure ensures that prospective service users are provided with adequate information and are fully assessed to ensure that Forresters can meet their needs and aspirations. EVIDENCE: The mission statement of Forresters is “to provide high quality, value for money, individualised respite care to people experiencing or recovering from mental distress and to enable carers to take a break from caring”. A statement in the office read, “we believe that recovery from mental illness is possible. This service will enable the people who use it to live a satisfying, hopeful and contributing life, as they grow beyond the effects of mental illness”. The home aims to provide a hotel type service providing a holiday or break for those admitted, with service users coming for a week or two-week respite holiday break. Forresters has several ‘contracted beds’, for in-patients to have up to six weeks as a “step down” service prior to discharge, as a means of helping them to rehabilitate back into the community. On the day of the visit Forresters was accommodating eight clients, which included three clients from the Department of Psychiatry in Southampton [DOP]. The home has a statement of purpose and service users guide. Copies of these documents are available in a file in each service user’s room, including terms and conditions of residency, general information, details of outings, complaints procedure, a “no alcohol” policy and a rebooking application form. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 10 The home is looking to becoming a non-smoking home but in the interim request that residents do not smoke in their bedroom. The home is a national resource and so service users may be admitted from all over the country each week. The home caters for over a thousand admissions over the year. Prospective service users are welcome to visit the home prior to admission but due to distance that many people have to travel, this is not possible in many cases. The home therefore sends out much detailed information about the home so that people are aware of what service is offered at the home. The home is not able to offer a trial period as the majority of the service users are admitted for a week’s stay. The inspector was able to view a DVD made by a resident, who came, from Birmingham, for a break in December. They had made a ten-minute documentary about the home and views around Hythe, for their GP to understand the valuable resource of Forresters. The finance team leader reported that this had prompted them to think about doing their own promotional DVD. The home has a comprehensive assessment system that is part completed by the prospective resident, their carer, if applicable and the placing authority. The assessment includes a risk assessment. The majority of service users have been before to Forresters, as generally new clients tend to come from hospital. Since the last inspection the home has developed a feedback form that the ward completes, indicating their aims and expectations for the patient coming to Forresters. The team leader reported that this has proved very useful. If an assessment is completed six weeks, prior to admission, a request is sent out, two weeks prior to admission, for an update, including medication changes or a deterioration in the client’s mental health. The assessment is then used to develop a care plan for the service users. Although new admissions tend to come on Monday, along with the outgoing clients, on the day of the inspection, a new client was admitted from the DOP. Their initial impressions were one of peacefulness and the friendliness of the two team leaders, on duty. Another service user said that Forresters was a great place to be in and were enjoying their stay. A comment card received from a resident, stated, “having this break with Forresters has turned my life around. I felt in need of a much-needed rest and still do. The staff are most caring and helpful. In my opinion, it’s magic to be at Forresters”. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 11 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, 7, 8 and 9 There is a clear care planning system in place, with evidence of consultation with service users about decision making, which ensures that their needs are met during their short stay in the home. EVIDENCE: Mondays are changeover day in Forresters. In the morning those having completed their break leave and in the afternoon the new arrivals are admitted. They can be met at the station by staff. The new arrivals attend a welcome meeting in the afternoon and are shown around the home. They decide what activities they would like to do during the week. A copy of the activities for 23 to 29 January was seen, which indicated a variety of trips out to places of interest, including Hythe market, various New Forest towns, owl and otter sanctuary, ten pin bowling, a car boot sale and Cadnam nursery. Service users were very appreciative of these activities but could also stay behind if they wished. A care plan is developed for each resident from the assessment information and each Monday a staff meeting is held with a standing agenda item to familiarize the staff on the assessment and care plans for the new intake of Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 12 residents and to review the previous week. It was reported that no restrictions are placed on any service users. The assessment form contains a risk assessment analysis. During a person’s stay at the home the risk assessment is updated should there be a need and written into the care plan. The risk assessment process ensures that the home can meet the needs of the people staying in Forresters. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 13 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, 12, 13, 14, 15, 16 and 17 Staff have a good understanding of the service users’ support needs enabling them to benefit from appropriate relationships within the home. Service users are able to engage in a variety of activities in the home, as well as in the community, enabling independence, development and choice. The nutritional needs of residents are well managed, with the home offering variety and choice. EVIDENCE: As noted in the description of services, the aims and objectives of the home are to provide respite/holiday stays for a short duration and therefore the home cannot undertake long-term goals with service users. However, service users are given the opportunity to build confidence through meeting new people and undertaking new activities. As well as offering trips away from the home each day the home provides activities within the home. There is a games room with snooker table, music centre and other games. Art and craft materials are available together with a large range of books and videos. Since the last inspection the home has set up an internet café, which is greatly appreciated by service users. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 14 Forresters has a minibus and so residents have access to the local community and beyond. Two staff have received specialist mini-bus training through a nationally recognised training programme [MIDAS]. The remaining drivers are in the process of receiving this training. On the day of the inspection a representative from a car firm had brought a fifteen-seater minibus for staff to look at, as the lease on the current minibus is finishing and Forresters want a new one. The home is also changing the staff car to a more modern one. Service users are encouraged to use the services and facilities within the local community. Service users are admitted from all over the country and admitted for only a short stay, therefore visits from family and friends are unusual, however visitors are welcome and there is a notice informing service users of visiting arrangements. This is also included in the service users guide. Service users are able to form relationships and it was reported that many people make friends during their stay and keep in contact when they leave the home. Staff respect how a service user prefers to be called. Bedroom doors have locks and service users hold a key to their room. “Do not disturb” notices can be put on doors if service users choose. Staff only enter bedrooms when invited or in the event of an emergency. As previously noted the home seeks to provide a ‘hotel’ style of service. Service users have a choice at each meal, including a cooked breakfast. Residents able to help themselves from the food laid out on the serving table and are able to go up for second helpings. A packed lunch is provided, except on Tuesday [as it is market day in Hythe] and Sunday [when they have a roast dinner] as a cooked meal is provided in the evening. Service users can make a hot beverage anytime day or night, in an area between the dining room and kitchen. One resident had written on the comment card, “Food – nothing too much trouble for any one of the staff. Truly a family affair”. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: These standards were not inspected on this occasion, although they were previously met. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 16 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 satisfactory complaints procedure and an adult protection procedure, to safeguard residents from abuse. EVIDENCE: The complaints procedure is included in the information pack, which is available in each service users’ bedroom. The home maintains a complaints log. There have been no complaints brought to the attention of the Commission. The comments cards from relatives indicated that they had not made a complaint and service users, spoken to, were aware of the complaints procedure but did not have any concerns. In fact they were full of praise for the way the service is run and for the dedication of the staff. Staff have received training in the protection of vulnerable adults. The home has the relevant policies and procedures, including a whistle blowing policy. There have been no incidents of abuse reported to the Commission. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 17 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, 28 and 30 A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment. EVIDENCE: Forresters is a large detached property set in its own grounds and is well suited in terms of location for its stated aims and objectives. The home provides a smoking and non-smoking lounge, games room, dining room, summerhouse and large reception area for the service users in addition to the bedrooms. Since the last inspection the home has set up an internet café, to enable residents to maintain contact, by email, with folk at home. The locum manager reported that estimates were in for new suites in the nonsmoking lounge, to be replaced with good quality leather suites. Approval has been given for a false wall to be erected in the games room, in an attempt to cut down the amount of potential noise going into the adjacent bedroom. Forresters has fifteen single bedrooms, nine of which are provided with en suite facilities and six double bedrooms. The double bedrooms are all provided with en suite facilities. Although Forresters is registered for twenty-seven service users, double bedrooms are only used as single bedroom Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 18 accommodation, unless there is caring partner also on the short stay. The home has sufficient toilet and bathroom facilities to meet the needs of the service users. Forresters has one bedroom on the ground floor that can accommodate a wheelchair user. The locum manager has completed an inventory of the building for maintenance and refurbishment. It was reported that the manager is looking at imaginative ways of making use of the garden area, for residents to enjoy, especially in the summer months. A new computer has been ordered for the administration office and the current one will be given to the manager. A laptop computer has been provided for the team leaders, which has proved to be very useful, especially for updating assessments. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 19 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): 31, 32, 33, 34, 35 and 36 Service users are well supported by an effective, supervised and integrated staff team ensuring that their needs are met. The home’s recruitment procedure ensures residents are protected. EVIDENCE: Since the last inspection, Rethink recruited a locum manager, who has been in post since the 7 November 2005 and one of the social care team leaders has increased their days, from three to four. This has allowed staff to have training. Also the locum manager has now taken back some of the management functions previously covered by the team leaders, in the absence of a manager. There have been two team leader meetings; the last one was on 13 December 2005. The minutes were available, on the day of the inspection. A whole staff team meeting is to be arranged. The manager generally attends the staff handover meeting on a Monday, when the social care team discuss the new intake of residents coming for their short stay. The locum manager also meets with the chef, who is also the health and safety representative for Forresters. Forresters employs two social care team leaders, [who have both worked in Forresters for twelve years] seven community mental health workers, one assistant community mental health worker, three housekeepers, an senior administrator and two admin: assistants, a hotel catering services manager and a part-time assistant catering manager. The home also has five bank staff Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 20 [who generally work at the weekend], two volunteers [one working in the kitchen and the other as care staff] and a general handyman. Since the last inspection, two housekeepers retired and the home has taken on three new housekeepers. The home has taken the necessary recruitment checks for new staff. The locum manager reported that a report has gone to Rethink’s personnel department, for them to review the post of senior administrator/finance officer, to see if the post should be re-graded to that of an operational team leader. It was reported that there will be an in-house advert for the team leader post, covered currently by a community mental health worker, “acting up”. There has been an improvement in the training programme, since the last inspection. One team leader has attended the four-day first aid at work course. Community mental health workers have had fire training and basic first aid. Ten staff are to attend a race equality workshop on 9 March 2006. The two social care team leaders are due to go on a three-day team building and leadership course, run by Rethink. A system of supervision is in place, with the manager supervising the team leaders, who in turn supervises their staff. The comment cards returned, prior to the inspection, were all positive. One said, “The staff are most caring and helpful”. A relative said, “The staff are very caring and welcoming”. Another stated, “My daughter has attended Forresters many times and I was always impressed with the courtesy and friendliness of the staff. The general impression was that they truly cared for their guests”. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 21 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, 38, 39, 40, 41, 42 and 43 Although Forresters has benefited from having a locum manager since 7 November 2005, the staff would benefit from knowing that a permanent manager is in place. Service users rights and interests are safeguarded and protected by the home’s policies and procedures and health and safety measures. EVIDENCE: Since the last inspection, Rethink appointed a locum manager, on 7 November 2005, as the home had been without a manager since 27 March 2005. The locum manager is a qualified social worker and was previously a registered manager in London, prior to the Care Standards Act 2000 setting up the National care standards Commission in 2002. The locum manager is employed through an agency. However, he gave an undertaking to remain in post until Rethink appoints a permanent manager. During the inspection, the inspector was able to speak, by telephone, with the responsible individual. It was confirmed that an advert is due out for the vacant manager post. However, the Commission made a requirement in the previous inspection report, dated 9 August 2005, to receive a completed manager application by 1 November Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 22 2005. To date one has not been received and there is still an expectation that one needs to be completed. The locum manager has completed an inventory of the building for maintenance and refurbishment. The home uses a feedback form for clients to complete, following their stay, as part of their quality assurance system. There are regular staff meetings. There was a requirement, in the previous inspection report, for the organisation to ensure that there were regular unannounced monthly visits to Forresters, with a report made and a copy sent to the Commission [Regulation 26 reports]. Although visits had taken place, it was noted that a copy of the report was not sent to the home or a copy sent to the Commission. The inspector spoke to the responsible individual, by telephone, on the day of the inspection and it was agreed that copies of previous reports would be sent and that there would be future compliance with this requirement. The home has copies of the policies and procedures and/or codes of practice, which are required to be kept, in paper form. The policies and procedures are also updated by Rethink and are available on the home’s computer, for staff to view. A copy of the last inspection report was on display, for staff and residents to read. Relevant records were satisfactorily maintained. As noted above, it was agreed that a copy of the Regulation 26 visit would be sent to the home. The fire logbook was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. All staff have received fire warden training in November 2005, in preparation for the new fire regulations that come into force from April 2006, by watching a video and completing a fire questionnaire. A fire officer from Hampshire Fire & Rescue Service visited the premises on 12 January 2005 and it was confirmed that the requirements made, following his visit had been implemented. A fire risk assessment was completed on 8 August 2005. The fire brigade were called out to the home on 9 November 2005, when the fire alarm went off, resulting from someone smoking in their room. The home has endeavoured to dissuade residents from smoking in their rooms. Forresters has a health and safety representative, who meets regularly with the locum manager to discuss any issues in the home, that requires attention. The home has a current certificate of employers liability insurance, which is due for renewal on 31 March 2006. The home has appropriate mini-bus insurance. Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 23 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 3 2 3 3 3 4 3 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 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 3 3 3 3 3 3 Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 24 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 YA31 Regulation 8(1)(a)(b) Requirement The organisation must recruit a manager and submit an application to the Commission for registration. This was not met by 1.11.05 Timescale for action 01/03/06 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 Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Forresters Respite Holiday Centre DS0000012154.V280043.R01.S.doc Version 5.1 Page 26 - 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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