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We are carrying out a review of quality at Forge House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 21 March 2017

We inspected the service on 7 February 2017. It was unannounced.

Forge House is a privately owned care home. The service provides personal care, accommodation and support for up to six adults. People had a variety of complex needs including mental and physical health needs and behaviours that may challenge. There were six people living at the service at the time of the inspection.

At the last Care Quality Commission (CQC) inspection on 17 February 2015, the service was rated Good in all domains and overall.

At this inspection we found the service remained Good.

Due to people’s varied needs, some of the people living in the service had a limited ability to verbally communicate with us or engage directly in the inspection process. People demonstrated that they were happy in their home by showing warmth to the deputy manager and staff who were supporting them. Staff were attentive and interacted with people that used the service in a warm and friendly manner. Staff were available throughout the day, and responded quickly to people’s requests for help.

The provider was also the registered manager of the service. 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 2008 and associated regulations about how the service is run.

People continued to be safe at Forge House. People were protected against the risk of abuse. We observed that people felt safe in the home. Staff recognised the signs of abuse or neglect and what to look out for. Staff knew how to protect people from the risk of abuse or harm. They followed appropriate guidance to minimise identified risks to people's health, safety and welfare. Medicines were managed safely and people received them as prescribed.

There were enough staff to keep people safe. The provider had appropriate arrangements in place to check the suitability and fitness of new staff. Staff were trained to meet people’s needs and were supported through regular supervision and an annual appraisal so they were supported to carry out their roles.

Each person had an up to date, personalised support plan, which set out how their care and support needs should be met by staff. These were reviewed regularly. Staff received regular support to help them to meet people's needs effectively.

People were supported to eat and drink enough to meet their needs. They also received the support they needed to stay healthy and to access healthcare services.

Staff encouraged people to actively participate in activities, pursue their interests and to maintain relationships with people that mattered to them.

The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards. The provider and staff understood their responsibilities under the Mental Capacity Act 2005.

Staff were caring and treated people with dignity and respect and ensured people's privacy was maintained, particularly when being supported with their personal care needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The deputy manager was in day to day control of the service. They ensured the complaints procedure was made available in an accessible format if people wished to make a complaint. Regular checks and reviews of the service continued to be made to ensure people experienced good quality safe care and support.

There were systems in place to review accidents and incidents and make any relevant improvements as a result.

The deputy manager provided good leadership. They checked staff were focussed on people experiencing good quality care and support. People and staff were encouraged to provide feedback about how the servic

Inspection areas

Safe

Good

Updated 21 March 2017

The service remains Good

Effective

Good

Updated 21 March 2017

The service remains Good

Caring

Good

Updated 21 March 2017

The service remains Good

Responsive

Good

Updated 21 March 2017

The service remains Good

Well-led

Good

Updated 21 March 2017

The service remains Good