Care Home: Forest View

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What the care home does well The home is well maintained, safe, clean and well furnished with homely furniture, fixtures and fittings. Residents are well cared for and their health needs are met. All residents and visitors spoken with praised the managers and the staff and were complimentary about the service they receive. They all said that they are made welcome. The needs of all prospective residents are assessed before they move into the home which means that the home does not admit any one whose needs they will not be able to meet. The home has a complaint process which people have the confidence to use and know that any dissatisfaction will be investigated. Staff at the home are well trained and competent to be able to look after the residents accommodated and said they enjoy working at the home. The record keeping in the home is maintained to a good standard.Some comments were:" The home could not be better, I would not think of having my relative anywhere else". "Staff are very caring and courteous". "The staff are good to me and I like living here". What has improved since the last inspection? The Statement of Purpose and Service User Guide has been updated. There is now a more accurate recording of accidents and incidents enabling a clearer audit trail. Staff recruitment has been improved thereby reducing the use of agency staff. Residents are more involved in their care planning and so have a say in how they want to be cared for. The activity co-ordinator`s hours have been increased improving the range and frequency of activities offered. Flooring has been changed in some rooms to reduce the risk of unpleasant odours. Staff training has improved and the training records are well kept. Meetings have been held with residents, relatives and staff to enable them to have a say in what happens in the home. What the care home could do better: Residents must have any treatment in privacy to ensure their privacy and dignity is respected at all times. Dining tables should be covered until the tables are re varnished/re polished so that residents do not have to use tables that are sticky. Records on fluid and food charts must be accurate and completed as and when food and fluids are taken to evidence residents are getting the drinks and nutrition they need throughout the day. We are told in the AQAA of the home`s plans for the next twelve months include: Ensuring all new staff undergo a full induction within the first four weeks of employment, and that staff have training in the Mental Capacity Act. Weekly interviews with staff to maintain a stable workforce. The introduction of an in-house brochure to include a newsletter to improve communication. To provide a weekly in-house shop for residents unable to go out to the shops. There are plans for the development of a sensory garden and other outside interests and they hope to have a greater emphasis on physical activity and exercise for residents. The home also wants to develop closer links with the local community to enhance resident`s lifestyle. CARE HOMES FOR OLDER PEOPLE Forest View Southway Burgess Hill West Sussex RH15 9SU Lead Inspector Ann Peace Unannounced Inspection 14th October 2008 09:00 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 Forest View DS0000068372.V373042.R01.S.doc Version 5.2 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. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Forest View Address Southway Burgess Hill West Sussex RH15 9SU 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) 01444 245749 01444 857984 forest.view@shaw.co.uk Shaw Healthcare Ltd Mrs Paula Patricia Devonport Care Home 60 Category(ies) of Dementia - over 65 years of age (60), Old age, registration, with number not falling within any other category (60) of places Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That from time to time the service may admit up to maximum 5 persons from the age of 60 years. 29th October 2007 Date of last inspection Brief Description of the Service: Forest View is a care home which is registered to accommodate up to sixty residents in the category (DE (E) people with dementia over the age of 65 years. Whilst residents are predominantly in this category, it can also accommodate residents in the category (OP) old age not falling within any other category. It provides personal care only. Forest View is a detached property that has been built specifically as a registered care home. The home is divided into six units each of which has its own open plan kitchen, dining room and lounge. Each unit can accommodate up to ten residents. All residents have their own room with en-suite facilities either on the ground or first floor. Both floors are serviced by two passenger lifts. In addition, there is a separate day care unit, which is used by some of the residents for activities. Grounds to the rear and side of the property, are secure so that residents can use the area safely. The property is located in a residential area of Burgess Hill, West Sussex. It is near to local shops and a short distance to the town centre. The fee levels range from £420 to £675 per week. Additional charges are made for hairdressing, toiletries, chiropody and newspapers. The registered provider is Shaw Healthcare Ltd, who has appointed Mr Peter Nixey to be the Responsible Individual and to supervise the overall management of the care home. Mrs Paula Devonport is the registered manager, who is responsible for the day to day running of the care home. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use the service experience GOOD quality outcomes. Prior to the visit the inspector reviewed the previous inspection report, information gathered about the home since it was last visited in October 2007 and satisfaction surveys returned to CSCI by residents living at the home, their relatives and staff working at the home. The Annual Quality Assurance Assessment (AQAA) was returned to the Commission for Social Care Inspection (CSCI) prior to the visit to the home and this was used to address areas of improvement with the Deputy manager. During the visit a tour of the home took place with all communal and most private areas visited. A case tracking exercise for a number of residents living at the home was undertaken to look at the assessed needs of this group of residents with diverse needs were being met. Residents, staff and people visiting the home were spoken with to gain their views of the service. Records kept at the home were sampled during the visit. What the service does well: The home is well maintained, safe, clean and well furnished with homely furniture, fixtures and fittings. Residents are well cared for and their health needs are met. All residents and visitors spoken with praised the managers and the staff and were complimentary about the service they receive. They all said that they are made welcome. The needs of all prospective residents are assessed before they move into the home which means that the home does not admit any one whose needs they will not be able to meet. The home has a complaint process which people have the confidence to use and know that any dissatisfaction will be investigated. Staff at the home are well trained and competent to be able to look after the residents accommodated and said they enjoy working at the home. The record keeping in the home is maintained to a good standard. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 6 Some comments were:” The home could not be better, I would not think of having my relative anywhere else. Staff are very caring and courteous. The staff are good to me and I like living here. What has improved since the last inspection? What they could do better: Residents must have any treatment in privacy to ensure their privacy and dignity is respected at all times. Dining tables should be covered until the tables are re varnished/re polished so that residents do not have to use tables that are sticky. Records on fluid and food charts must be accurate and completed as and when food and fluids are taken to evidence residents are getting the drinks and nutrition they need throughout the day. We are told in the AQAA of the homes plans for the next twelve months include: Ensuring all new staff undergo a full induction within the first four weeks of employment, and that staff have training in the Mental Capacity Act. Weekly interviews with staff to maintain a stable workforce. The introduction of an in-house brochure to include a newsletter to improve communication. To provide a weekly in-house shop for residents unable to go out to the shops. There are plans for the development of a sensory garden and other outside interests and they hope to have a greater emphasis on physical activity and exercise for residents. The home also wants to develop closer links with the local community to enhance resident’s lifestyle. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 8 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 Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the opportunity to make a fully informed choice about whether or not the home is suitable and able to meet the individual persons needs. All residents or their representatives have a contract/terms and conditions. Intermediate care is not provided at the home. EVIDENCE: Residents and their relatives confirmed in surveys that they had received enough information about the care home to make a decision and staff said in their surveys that they always are kept up to date about residents changing needs. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 10 There is an up to date Statement of Purpose and Service User Guide available in the home for interested parties along with other helpful literature and pamphlets. In the foyer of the home there is a notice board displaying various events, and items of interest. There are also photographs displayed of the senior team in the home, this could be improved by having photographs of the team leaders and care staff and other staff in the home. Records seen showed that resident’s needs were assessed before admission and included relevant risk assessments based on their individual needs. Information gathered from the assessments had been transferred into care plans which are updated on a regular basis. During the visit we noted that one resident was in need of a great deal of attention from staff due to their mental health needs deteriorating. We were told and could see from the records that the home was trying to arrange an alternative placement with a service which would be better placed to meet this residents needs. However we told the deputy manager that if the resident stayed in the home for any longer then the staffing levels aught to reflect this to ensure other residents were not put at a disadvantage. Soon after the visit we were told that the resident had moved. The home told us that all residents had an up to date contract/terms and conditions and the majority of surveys confirmed this. We were told and could confirm through speaking with residents that prospective residents are able to visit the home and spend some time there if they wish. Intermediate care is not offered at Forest View, but the home does take residents for respite care. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning systems are regularly updated and give clear information to assist with aspects of health, personal and social care needs so that the changing needs of residents living in the home can be monitored. Residents and their family would be treated with care, sensitivity and respect at the time of their death. EVIDENCE: All residents living in the home have a care plan which has been developed from an assessment of need. The care plans of four residents were examined during the visit and a case tracking activity undertaken to see if residents plans reflected what they expected and what service they received. The care plans were detailed and considered all aspects of health, personal and social care detailing the action needed to be taken by staff while supporting residents to retain individual levels of independence. Daily records are Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 12 maintained to monitor resident’s welfare and any changes are reported to team leaders and if necessary care plans are changed. Individual risk assessments are in place when a risk has been identified for example: pressure sores, nutritional risks and falls, these are updated regularly, there are documented visits from GPs and other health and social care professionals. In addition to care reviews carried out by Social Services the home holds their own individual reviews to which residents, relatives or advocates are invited. Residents told us that staff always treat them with respect and their right to privacy is upheld by providing personal care in residents own bedrooms and ensuring doors to bedrooms, bathrooms and toilets are closed before assisting residents. Newly appointed staff are provided with induction training. This covers the principles of good care practices including maintaining resident’s privacy and dignity. We could also confirm this from conversations during the visit and surveys but one incident where this was not happening was noted. During the visit we saw one resident having treatment from a chiropodist in one of the main lounges, the deputy manager was told that this was unacceptable and should not have happened. We were told that this was a one off occurrence and we do appreciate that sometimes residents suffering from dementia are reluctant to move to another area of the home to have treatment, but if this happens other arrangements should be made to ensure privacy and dignity are respected. Forest View has a medication policy and procedures which staff adhere to, part of a medication round was observed during the visit and we could see safe procedures are followed. Following requirements made at the last inspection the medication procedure has changed and audits are undertaken by managers. Also the storage of medicines has been improved to ensure medication is stored at the correct temperature. A random check was made of the medicines are were found to be in order. All staff who administer medication have up to date training on a regular basis. Through observation of the staff in their interactions with residents and by talking to residents and staff we concluded that if a resident was dying the staff would treat them and their family with care, sensitivity and respect. This subject is also part of the induction process. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 13 Residents told us during the visit that they are very well looked after by a caring team of staff. Surveys from residents returned to CSCI also indicated that a good standard of care is provided at the home. Surveys also said staff always listen to residents and act on what they say, residents receive the care and support they need and in the majority of cases staff are available when needed. Surveys completed by relatives said they feel the service meets the needs of residents, they are always kept up to date with important issues and that staff have the right skills and experience to look after the residents. Surveys completed by staff said they are given up to date information about the residents to be able to look after them. They are given training relevant to their role and to be able to look after the different needs of residents. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are offered and residents encouraged to maintain contact with their family and friends so that they can satisfy their social and emotional needs. Residents are offered well-balanced meals and alternatives to the main meal are available. EVIDENCE: Residents spoken with said the routines in the home are flexible, they could get up and go to bed when they wished and although mealtimes were set they could eat at other times if they wished. Surveys indicated that residents are encouraged to live the life they choose and if possible carry on with activities they liked before coming into the home. Surveys returned to CSCI said that the majority of residents thought there were enough activities arranged by the home they could take part in. Since the surveys have been completed the home has employed a further activity coordinator and thereby increased the activities on offer. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 15 We spoke to the activity co-ordinators who are very enthusiastic and shared their plans for the future which includes obtaining a complete picture of resident’s previous lifestyles and interests so that activities can be more person centred and tailored to individual needs especially improving life for those residents who do not or can not take part in group activities. The present programme displayed said that activities on offer included: Quiz, crafts, film/photo slide show, making cakes and decorating them, treasure trove/memories, exercise, games and painting. Outside entertainers also visit the home regularly. Other activities being arranged are Halloween and bonfire night festivities, a Christmas bazaar and a clothes sale. There were many photographs around the home of residents enjoying activities and outings. During the visit some staff were doing jigsaws, talking to residents and trying to stimulate them and residents were noted to be at ease with the staff. There have been outings to Shoreham Airport and fish and chip meal at Rottingdean; we are told further trips are planned. The majority of the residents do sit at the dining room tables for meals and we were there when lunch was being served. Because of the way the tables have been cleaned many of them are sticky as the surface has been rubbed off. In some units tablecloths were put on for lunch which did make it better for residents and we have since been told that all tables are now covered for all meals. The menu on display looked well balanced and nutritious, surveys said that 2 residents always liked the meals served at the home, 12 said they usually liked the meals and 9 said they sometimes liked the meals. During the visit the responses about the meals were also mixed. This was discussed during the visit with the deputy manager who told us that the home does not have a permanent chef at present so is using agency staff, however since the visit we have been told that a permanent chef has been employed. During the visit it was noted that one resident did not eat any lunch and staff took away a full plate without offering them an alternative, even though the care plan said this resident should be encouraged and monitored during mealtimes. When we questioned staff we were told that there was none of the alternative meal left so the resident could not have something different, this was disputed by the deputy manager who said there is always alternatives meals left over. We left this with the home to resolve. The risk assessment for this resident recorded that they were at risk of malnutrition although records did show that there had not been any recent Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 16 weight loss. Staff also told us that the resident had eaten a large late breakfast although there were no records to prove this, we were told that this was because records in this particular unit are completed at the end of the staffs shift, although we saw that on other units records are completed following each meal/event. The need for records to be up to date and completed following each meal or event on all units was discussed with the deputy manager especially if residents are on fluid or food charts. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure enables those people using the service to know that any complaints will be taken seriously and responded to. The home’s safeguarding adults procedure and staff training safeguard residents living at the home. EVIDENCE: The home has a complaint procedure and a copy is in each residents room as well as being on display on a notice board. Complaints are fully documented and dealt with in a timely fashion. All surveys returned to CSCI indicated that residents, their relatives and staff are aware of the procedure and would feel able to complain if necessary. Shaw Healthcare also monitors complaints. Two visitors spoken with on the day said they would not hesitate to complain if they felt the need and felt re assured that the home would deal with their complaint. One visitor did say that she had made a complaint about an unpleasant odour in a residents room and she was aware that the home were dealing with it. We were also told that many minor complaints are dealt with by the manager at the time to the residents/relatives satisfaction and so does not escalate into a formal complaint. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 18 Another visitor said the manager and deputy manager are open and honest and if ever there is a problem it is dealt with straight away. Training records showed that staff are trained in safeguarding procedures and when staff were asked what they would do if they witnessed abuse they all said they would take action to safeguard the resident and report it immediately. New staff have induction which includes safeguarding, they also then go onto do more in-depth training in safeguarding. Residents when spoken to say they did feel safe at the home and thought the staff looked after them well. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, well maintained and offers residents a comfortable, pleasant environment to live in. Specialist equipment is supplied and regularly serviced. EVIDENCE: Forest view is a purpose built home with car parking available in the grounds. The home provides residents with a physical environment that is appropriate to the specific needs of residents who live there. There is a homely atmosphere with good quality comfortable furniture and furnishings around the home. Pictures, decorative items and other ornaments have been placed all around to enhance the atmosphere. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 20 The home is divided into units where small groups of residents live together although they are free to wander into other units on the same floor if they wish. There is a key fob facility to ensure confused residents are safe and do not wander outside without care staff. All units have homely comfortable furniture for residents with televisions, radios and music centres on each unit. There are numerous small tables, pouffes and stools around that resident’s use as well as dining areas which seem popular with residents during the day. The home is clean and well maintained and although there was an odour in one residents room, we could see that this had been noted and arrangements were being made to put new flooring in. Handrails are fitted around the walls for residents to use and handling equipment including hoists are available. Outside areas are available with seating for those residents who wish to go outside. Some flowerbeds are raised to aid residents and we are told there are plans to raise others. All bedrooms are single and en suite and residents are encouraged to bring personal possessions into the home and bedrooms did reflect their personalities and their previous lifestyles. Many of the communal areas are decorated with memorabilia and old posters to help stimulate residents and we were told by the activity co-ordinators that they have further plans in this area. Each room door is partly personalised to help residents recognise their rooms and we discussed with the deputy manager if more could be done to help residents with dementia recognise their surroundings. All areas are clean and hygienic and apart from one room already mentioned there were no unpleasant odours, some of the waste bins in the units were missing lids which could have been an infection control risk but we have been told that these have all now been replaced. Surveys sent to CSCI said the home is always clean and hygienic. The Environmental Health Department has visited the home this year and the certificate was on display for all to see. Maintenance records are kept and record that staff are up to date with safety checks. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at Forest View are protected by the recruitment procedures in the home and staff receive appropriate training so that they can meet the needs of residents living at the home. EVIDENCE: A rota was available in the home and the staff on duty were observed to be well organised and able to respond to the needs of the residents living at the home. All of the staff surveys returned to CSCI said that they well supported by managers, have the right skills and experience, they do receive supervision and they are kept up to date with new ways of working. All residents and visitors spoke highly of the staff and their dedication. One person said, The home couldn’t be better the staff are very good and I would not have my relative anywhere else. In addition to the manager and deputy manager there are team leaders, care staff, cleaning staff, maintenance staff, kitchen staff and an administrator. Supervision, appraisal and training records are available in the home. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 22 Training is encouraged at the home and the comprehensive training matrix showed when staff are due to attend training. Staff told us that they are well trained and that all staff are attending a 3-day course in Dementia. National Vocational Training is in place with over 50 of staff trained to level 2 or above. All new staff have a basic induction and then have to attend a four-day fuller corporate induction course, staff told us they thought this was very useful. The staff records of 3 new staff were examined and showed that a safe recruitment process is in place at the home with agency staff also having to prove fitness and capability before they are employed at the home. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and are safeguarded by the home’s policies, procedures and systems. EVIDENCE: The Manager Mrs Devonport has achieved The Registered Managers Award and NVQ level 4. The Deputy manager has also achieved NVQ level 4. Residents living at the home and staff working at the home had positive things to say about the way the home is managed. All surveys returned to CSCI were also positive about the home and there were no concerns raised. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 24 The manager was not on duty on the day of the visit and the deputy manager assisted the inspection very competently. We could see that staff have clear understanding of the key principles and focus of the service and gave a good standard of care to residents. From this, and what we were told we concluded that the home is run in the best interests of the residents. Equality and diversity is recognised and from an incident that happened on the day of the visit we could see that the home does deal respectfully with issues that arise. There is a strong ethos of being open and transparent in all areas of the running of the home and visitors did confirm this in conversations. The AQAA contains clear, relevant information that is supported by evidence. The AQAA told us about changes they have made and where they still want to make improvements and how they are going to do this. The data section of the AQAA was accurately and fully completed. The service has sound policies and procedures which are regularly reviewed in line with current thinking and practice. The home has a clear health and safety policy and staff were noted to observe this. There is also evidence of regularly monitoring by corporate providers although not all of the monthly reports were available. Records are of a good standard and in the majority of cases routinely completed. Where appropriate risk assessments are in place and they are updated regularly. People are supported to manage their own money but the home does look after some money for residents in a local bank. We questioned how interest on the accounts is allocated as the home has a system of having one bank account for all residents where the money is pooled although there are clear account records maintained for each resident. However Shaw Healthcare tells us that there are safeguarding mechanisms in place to ensure no resident is put at a disadvantage. The home has access to professional business and financial advice and has all of the necessary insurance cover to enable it to fulfil any loss or legal liabilities. There is a quality assurance system in the home and regular audits are undertaken. Meetings are held with residents, relatives and staff and the minutes were available. These showed that all are involved in the running of the home and suggestions are taken forward. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 25 Safeguarding the health and safety of residents living at the home and staff working at the home is a high priority with systems and records being in place to show the constant monitoring of its own practice. Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 26 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection CSCI South East The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Forest View DS0000068372.V373042.R01.S.doc Version 5.2 Page 29 - 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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