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CQC report explained · a residential care home

What the CQC found at Forest View Care Home

Goodpublished 9 February 2019, 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 infection prevention and control arrangements were in place. They found appropriate measures for visitors, PPE, testing, social distancing, admissions and managing 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 2021

Inspected but not rated; inspectors found strong COVID-19 infection control arrangements, with some further development signposted.

This was a targeted, announced inspection on 11 February 2021. It looked only at infection prevention and control during the coronavirus pandemic.

Inspectors found the premises clean and well maintained. Hand sanitiser and PPE were available. Visitors had a separate entrance, temperature checks and support to follow PPE and social distancing guidance.

The home had arrangements for COVID-19 testing, staff training and reducing cross-infection. People could keep in touch with family and friends through phone, video messaging and a visitor room with a glass window and speaker system.

The service was inspected but not rated. Inspectors were assured about infection prevention and control, but this inspection did not provide ratings for the other areas of care.

What inspectors praised
  • Clean premises and PPE

    The premises were clean and well maintained, with hand sanitiser and PPE readily available. Visitor arrangements included a separate entrance, temperature checks and support with safety guidance.

    “Hand sanitiser and personal protective equipment (PPE) were readily available throughout the premises.” from the report
  • Testing arrangements

    The provider had arrangements to test people and staff for COVID-19 in line with national guidance.

    “The provider had appropriate arrangements to test people and staff for COVID-19 and was following government guidance on testing.” from the report
  • Staff infection control training

    Staff had infection control and PPE training. Staff were assigned to one location to help reduce the risk of cross-infection, and support was provided if they became unwell.

    “All staff had received training on infection control and the use of PPE.” from the report
  • Keeping families connected

    People could stay in touch with family and friends by phone and video messaging. A visitor room allowed visits without physical contact.

    “Family members and friends could stay in touch with people with phone and video messaging.” from the report
What inspectors were concerned about
  • Further development suggested

    minor

    Inspectors signposted the provider to resources to develop its approach. The report does not say that this led to a breach or enforcement action.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01How have your infection prevention and control arrangements changed since the inspection?
  2. 02How are people and staff tested for infections now?
  3. 03How can families visit, and are phone and video calls still available?
  4. 04How do you reduce cross-infection when staff work across services or locations?
  5. 05What resources did the CQC signpost you to, and what changes did you make afterwards?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other areas of care. This explanation was written from the published report of 19 February 2021 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, February 2019

Rated Good; inspectors found safe, kind and responsive care, but some care records needed more detail.

This was an unannounced inspection on 23 January 2019. Inspectors spoke with people, relatives, staff and health professionals. They reviewed care records, staff files, training records and management records.

The home cared for 22 people with dementia needs, with space for up to 24. People said they felt safe and were treated kindly and respectfully. Inspectors found safe medicines systems, enough staff, good health care support, activities and a clean, well-maintained home.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection under the new provider, which took over in May 2018.

Inspectors recommended improving the detail in care plans, including people's preferences and end of life wishes. They also noted that induction records were not always complete.

What inspectors praised
  • People felt safe

    People and relatives said they felt safe. Inspectors found risk assessments, safeguarding procedures and emergency plans in place.

    “People and their relatives told us they felt the service was safe.” from the report
  • Kind and respectful staff

    Staff were seen treating people kindly and respectfully. People were offered choices and encouraged to maintain their independence.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Safe medicines

    Medicines were stored securely, records were complete and staff were trained and checked as competent.

    “The records were up to date and had no gaps showing, and all medicines had been signed for.” from the report
  • Good health support

    The home worked with GPs, nurses and other health professionals. Inspectors saw several professionals visiting during the inspection.

    “On the day of our inspection we saw a GP, district nurse, chiropodist, and speech and language therapist visit people at the service.” from the report
  • Activities and involvement

    People had access to activities and outings. People and relatives were involved in care reviews and discussions about improvements to the home.

    “People had access to planned activities and local community outings.” from the report
What inspectors were concerned about
  • Care plans lacked detail

    needs fixing

    Some care plans were task-focused and did not fully describe people's likes, dislikes and personal preferences. Inspectors recommended seeking advice to improve person-centred recording.

    “The care plans had information on people's personal, social and medical history however they did not always describe peoples likes and dislikes.” from the report
  • End of life wishes

    needs fixing

    End of life plans were sometimes general and did not always record the person's own wishes. The manager said improvements were planned.

    “In many cases the plans quoted from the service's end of life policy and was not specific to that person's wishes.” from the report
  • Induction records

    minor

    New staff received induction and shadowing, but the home did not always record what had been completed. The manager said this would be addressed.

    “The service did not always record when a staff member had completed induction and what topics had been covered.” from the report
Questions to ask them, based on this report
  1. 01How have you improved care plans so they record each person's likes, dislikes and preferences in detail?
  2. 02How do you record and review each person's end of life wishes?
  3. 03Who manages the home now, following the planned departure of the registered manager?
  4. 04How do you record induction completion and the subjects covered for new staff?
  5. 05What refurbishment work has been completed since this inspection, and what work remains?

This was an unannounced inspection of the overall service, including the premises and care provided, and it covered all five CQC questions. This explanation was written from the published report of 9 February 2019 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 View Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Forest View Care Home →

  2. February 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Forest View Care Home →

  3. May 2018

    Registered with the Care Quality Commission on 4 May 2018.

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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Care at home

At least 100 live-in carers within about an hour of Waltham Forest

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Most charge £980 to £1,200 a week. 77 can care for a couple. 11 years' experience on average.

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