• Care Home
  • Care home

Archived: Forest Drive Residential Home

Overall: Requires improvement read more about inspection ratings

2-4 Forest Drive East, Leytonstone, London, E11 1JY (020) 8925 4805

Provided and run by:
Nadeem Diwan

All Inspections

15 & 18 June 2015

During a routine inspection

We inspected Forest Drive Residential Home on 15 and 18 June 2015. This was an unannounced inspection. At the last inspection in April 2014 the service was found to be meeting the regulations we looked at.

Forest Drive Residential Home provides accommodation for up to 19 older people who have dementia care needs. There were 13 people living at the service when we visited.

There was a registered manager at the service at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The culture was not always open and transparent. There was a registered manager in post and a clear management structure. This included a deputy manager. Some staff we spoke with felt the registered manager was not always open and transparent with themselves or other staff. We made a recommendation about this.

We found the provider had not sent us any statutory notifications for people authorised for Deprivation of Liberty Safeguards (DoLS). During the course of this inspection we found that 12 people had been authorised for DoLS and CQC had not been sent notifications of this.

Risks were identified and plans in place to monitor and reduce risks. People had access to relevant health professionals when they needed them. Medicines were stored and administered safely. People’s personal care needs were well attended to, but there was less emphasis on meeting people’s social and emotional needs. This was particularly important for those living with dementia. We made a recommendation about this.

Staff undertook training and received one to one supervision to help support them to provide effective care. The registered manager and staff we spoke with had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). MCA and DoLS is law protecting people who are unable to make decisions for themselves or whom the state has decided their liberty needs to be deprived in their own best interests.

The experiences of people who lived at the home were positive. People told us they felt safe living at the home, staff were kind and compassionate and the care they received was good. We found staff had a good understanding of their responsibility with regard to safeguarding adults.

People told us they liked the food provided and we saw people were able to choose what they ate and drank. People had access to health care professionals as appropriate.

The service had various quality assurance and monitoring mechanisms in place. These included surveys, audits and staff and resident meetings.

We found one breach of the Care Quality Commission (Registration) Regulations 2009.You can see what action we told the provider to take at the back of the full version of this report.

25 April 2014

During a routine inspection

We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask;

' Is the service caring?

' Is the service responsive?

' Is the service safe?

' Is the service effective?

' Is the service well led?

This is a summary of what we found-

Is the service safe?

People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. People told us they did not feel at risk using the service. One person said "I feel safe living here." Staff had undertaken training in areas that promoted people's safety including training about safeguarding vulnerable adults and moving and handling people. Risk assessments had been carried out to help reduce the risks people faced.

Is the service effective?

People's health and care needs were assessed with them, and they were involved in writing their plans of care. Specialist dietary, mobility and equipment needs had been identified in care plans where required. People and their relatives told us that they had been involved in writing them and they reflected their current needs. One relative of a person told us, 'every year we review my mother's care plan and look at her needs. If anything needs changing they do it.'

Is the service caring?

People were supported by caring and attentive staff. We saw that care workers showed patience and gave encouragement when supporting people. One person told us, "the staff do care for me." One relative of a person said, "staff have been caring and attentive to my relative." Another relative told us, "I come here every day and see they look after people. They are caring."

We talked with staff, and we found they were aware of how to support each person in ways that were right for the individual. During the course of the visit we saw that staff helped people quickly, when they asked for support.

Is the service responsive?

The service carried out assessments of people's needs before they began to provide support. Assessments included information on people's likes and preferences. The service involved others such as dieticians and district nurses where there was a need.

Is the service well-led?

The service had a registered manager in place and a clear management structure. Staff we spoke with said they found management staff to be approachable. Clear records were maintained which were stored securely. Quality assurance and monitoring processes were in place. These included seeking the views of people who used the service.

26 September 2013

During a routine inspection

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. We observed staff explaining and offering choice to people before care was delivered.

One relative who visited the home several times a week told us 'staff are absolutely brilliant, very patient' and 'they treat people as individuals.' Care plans contained comprehensive information on people's care needs, life history and likes/dislikes.

The provider has taken steps to provide care in an environment that is suitably designed and adequately maintained. The home was effectively secured and regular fire alarm checks and drills were carried out.

Staff received appropriate professional development and training; they said they felt supported.

People had their comments and complaints listened to and acted on, without the fear that they would be discriminated against for making a complaint. There was a copy of the 'Concerns and complaints' policy in the office but this was not readily available for people or their relatives to see.

People's personal records including medical records were accurate and fit for purpose. Care plans had been audited within the last year and risk assessments were reviewed every month.

8 March 2013

During an inspection looking at part of the service

People we spoke with told us they "liked the home." Two relatives we spoke with told us the care provided by the home was good. One relative told us they had seen their relative's care plan and commented "I've been through it and they keep you up to date of any changes." We found documentary evidence people were given an initial assessment before they began using the service.

People's Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. We found risk assessments were undertaken and management plans were put in place to manage any potential risks and ensure people's safety.

People we spoke with said staff were fine. Two relatives told us staff appeared well trained. One relative told us "most times I come here they have some training going on."

We found documentary evidence staff had training and appropriate professional development related to their roles and responsibilities. Courses attended by staff included manual handling, first aid, dementia, fire safety, health and safety, infection control and drug administration.

8 October 2012

During a routine inspection

People that used the service told us that they were happy with the way they were looked after and felt their needs were met by the staff. People said 'I like it here, they are very good to us' and 'she's a lovely girl, she looks after me well'.

Staff were respectful when talking about and to people and were seen to support people at a pace appropriate to their needs.

We were told by the provider/manager that they had made most of the changes which had been required from the last inspection and were working towards others. We saw evidence that the provider/manager had employed the services of a consultant to help develop the service and undertake regular quality assurance assessments to support continued compliance with the Essential Standards.

We did not assess compliance with 'care and welfare' and 'supporting workers' at this inspection.

9 January 2012

During a routine inspection

Many of the people who used the service were happy to talk to us, one person told us, "I'm fortunate to live here and I enjoy the food". Another told us, "There are nice people here but we don't do much".

Some of the people using the service were unable to provide direct feedback due to their degree of communication difficulties. Therefore we made observations during our visit. We found that a number of the people who used the service were wearing clothes which appeared 'grubby' and some people had not had their hair brushed.

The relatives of people who use the service all made positive comments about how they had liked the appearance of the home and that the staff seemed friendly.

Staff told us this was a nice place to work although one member of staff commented that it can be hard looking after so many service users and felt there were not always enough staff on duty.

Two district nurses were on the premises during our visit and commented that in their opinion the staff were capable and good at contacting external health professionals for help as required.

However, in addition to what people told us, we found concerns through review of documentation. This review consisted of three separate visits, two during the day on 16th January and 24th February and one at night on 17th February.

We have also referred our concerns to other agencies as appropriate.