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Forest Care Village Elstree and Borehamwood Good

Inspection Summary

Overall summary & rating


Updated 9 October 2019

About the service

Forest Care Village is a care home registered to provide personal and nursing care for up to 178 people aged 18 and over with a range of complex health and care needs. At the time of our inspection 129 people were using the service.

Forest Care Village spreads across three floors and accommodates people in separate units, each of which have separate adapted facilities. Three of the units specialise in providing care to people living with dementia whereas in the remaining four units people have nursing needs.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People felt safe in the home and staff knew how to identify and report any concerns to their managers or external safeguarding authorities. Risk assessments were developed to give staff guidance in how to mitigate risks and keep people safe from harm. The environment in some places needed deep cleaning and re-decoration to ensure it not presented an infection control risk. Not every staff member responded promptly to an unplanned fire alarm on the day of the inspection. Some people felt there were not enough staff at times to take them out, however they had not had to wait long for their needs to be met in the home.

People’s needs were assessed and care plans developed to give information for staff to meet those needs effectively. Staff received training and were supported through regular supervisions and meetings to understand their roles. People`s dietary needs were met and where they were identified at risk of malnutrition staff referred them for specialist support, like dietician or GP.

People told us staff were kind and caring and supported them in a respectful way. People were encouraged to participate in their care as much as possible and where they were not able, staff ensured that the care they received was in their best interest. Opportunities were created for people to participate in activities and social events organised by staff.

Governance systems in place promptly identified areas in need of improvement and these were actioned in a timely manner by the registered manager. Regular meetings were in place for staff and people to ensure they were contributing their views about the running of the home. Action plans were developed and checked for completion to ensure improvements were made where needed.

Rating at last inspection

The last rating for this service was requires improvement (published 8 September 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 9 October 2019

The service was not always safe.

Details are in our safe findings below.



Updated 9 October 2019

The service was effective.

Details are in our effective findings below.



Updated 9 October 2019

The service was caring.

Details are in our caring findings below.



Updated 9 October 2019

The service was responsive.

Details are in our responsive findings below.



Updated 9 October 2019

The service was well-led.

Details are in our well-Led findings below.