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CQC report explained · a residential care home

What the CQC found at Forest Dene Residential Care Home

Goodpublished 1 December 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home used PPE safely, carried out testing, followed visiting guidance, and had arrangements to prevent and manage infection outbreaks.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found good infection control arrangements during a targeted COVID-19 review.

Inspectors visited the home on 27 January 2022. The visit was announced with 24 hours' notice.

This was a targeted inspection of infection prevention and control. Inspectors also asked about staffing pressures linked to COVID-19.

They found the premises clean and tidy. Staff had infection control and PPE training, PPE was available, testing was taking place, and the home followed government guidance. Inspectors were assured that the home had arrangements to prevent and manage infections.

The home was inspected but not rated. This means the visit did not produce a new overall quality rating.

What inspectors praised
  • Infection control systems

    The home had infection prevention and control systems, and inspectors found the premises clean and tidy.

    “There were infection prevention and control systems in place. The premises were clean and tidy.” from the report
  • PPE and staff training

    Staff had training in infection control and PPE use. The home had enough PPE and reported no difficulty obtaining it.

    “Staff had attended infection prevention and control training and how to use personal protective equipment [PPE].” from the report
  • Testing and outbreak planning

    Regular COVID-19 testing was carried out for people using the service and staff. The home had arrangements to prevent and manage outbreaks.

    “Regular COVID-19 tests were undertaken including when people came to the service.” from the report
  • Communication and audits

    The home worked with local healthcare professionals and carried out regular audits to identify gaps and reduce the risk of infection spreading.

    “Regular audits were undertaken to ensure any gaps were identified and actions taken to mitigate the risk of cross infections.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What is the home's current overall CQC rating, given that this inspection was not rated?
  2. 02How are COVID-19 and other infection risks managed now?
  3. 03How often are staff and new residents tested when needed?
  4. 04How does the home manage staffing pressures when staff are absent because of COVID-19?
  5. 05How can families visit if infection control restrictions are needed?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not assess the other key questions or produce a new overall rating. This explanation was written from the published report of 4 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, December 2018

Forest Dene Residential Care Home was rated Good; inspectors found kind, safe care, but breakfast support was affected while the passenger lift was out of order.

Inspectors visited without warning on 31 October 2018. They spoke with people living at the home, relatives, staff and a healthcare professional. They reviewed care records, medicine records, staff recruitment files, training, rotas, complaints and safety checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that staff were kind and respectful, medicines were managed safely, care plans were person-centred and people's health, food and social needs were supported.

There was one important shortfall. Some people waited too long for breakfast because the passenger lift was out of order and there were not enough staff to support people moving to the dining area. Inspectors recommended reviewing staffing during the building works. The home remained Good, the same rating as at the previous inspection in June 2016.

What inspectors praised
  • Kind and respectful staff

    People and relatives described staff as caring and helpful. Inspectors observed staff being gentle, patient and understanding when supporting people.

    “We saw there was a friendly caring atmosphere in the service with staff telling us that they enjoyed caring for people.” from the report
  • Safe medicines management

    Medicines were stored securely, staff were trained and records checked during the inspection were correct. Regular audits were used to identify and correct errors.

    “We checked ten people's medicines and medicine administration records (MAR) and found them to be correct.” from the report
  • Personalised care

    Each person had a care plan and risk assessment describing their needs and the support they required. People and relatives were involved in developing and reviewing care plans.

    “Care plans were person-centred. Each person had a care plan, which identified their needs and how they should be supported.” from the report
  • Good support for health and nutrition

    People had choices of food and received diets suited to their cultural, religious and medical needs. Staff worked with healthcare professionals to support people's health.

    “People's nutritional needs were well managed and people received diets appropriate to their needs.” from the report
What inspectors were concerned about
  • Breakfast delays and staffing

    needs fixing

    Some people waited a long time for breakfast, and inspectors found there were not enough staff to support people in the dining room or sitting areas. The manager was asked to review staffing while the lift was being replaced.

    “We noted enough staff were not available to support people with breakfast in the dining room or sitting areas.” from the report
Questions to ask them, based on this report
  1. 01Has the passenger lift been repaired or replaced, and how do people move between floors now?
  2. 02What staffing arrangements are in place at breakfast time when people need help getting to the dining area?
  3. 03How long do people usually wait for breakfast, and what is offered if the planned breakfast is delayed?
  4. 04How are each person's care plans and risk assessments kept up to date?
  5. 05What changes have been made since the inspection in response to the lift and breakfast concerns?

This was an unannounced inspection covering the overall service, including the premises and care, with ratings given for all five key questions. This explanation was written from the published report of 1 December 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Forest Dene Residential Care Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Forest Dene Residential Care Home →

  2. December 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Forest Dene Residential Care Home →

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2010

    Registered with the Care Quality Commission on 16 December 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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