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Inspection Summary


Overall summary & rating

Good

Updated 10 December 2019

About the service

Forge House provides accommodation and personal care for up to six people aged between 18 and 65 years, who have a learning disability and autism. Forge House Care Ltd is a care organisation based in Chatham. At the time of our inspection, six people were using the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the manager at Forge House and the behaviour support therapist at this inspection. The service had a registered manager who was also the registered provider and a manager for Forge House. The registered manager was not available for most part of this inspection. The thematic review considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

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

Effective governance systems to monitor performance had not been fully embedded into the service. Provider audit systems had not been effective in identifying the areas we found at this inspection and the manager at Forge House did not carry out any audits to check the quality and safety of the service. Records were not always up to date. We have made a recommendation about this.

The registered manager and staff had not spoken with people and their relatives about end of life plans. We found no end of life care plans in place. This is an area for improvement.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were safe at Forge House. Staff knew what their responsibilities were in relation to keeping people safe from the risk of abuse. The provider followed safe recruitment practices.

Medicines practice was safe. Medicines records were accurately signed with no gaps in recording. Staff had detailed knowledge of the system in place. The environment was well maintained, and infection control procedures were adhered to.

People were consulted on key issues that may affect them. People’s rights, their dignity and privacy were respected.

People received the support they needed to stay healthy and to access healthcare services. Each person had care plan, which set out how their care and support needs should be met by staff. These were reviewed regularly.

Staff su

Inspection areas

Safe

Good

Updated 10 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 10 December 2019

The service was not always Well Led.

Details are in our responsive findings below.