The Forbury

Updated 12 November 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This was a focussed inspection to look at specific concerns we had about people’s safety and rights, staffing levels and staff knowledge and how the service was managed.

Inspection team

The site visit was conducted by an inspector and an assistant inspector. After the visit a second inspector contacted relatives and a third reviewed all the documentation gathered.

Service and service type

The Forbury is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 17/08/2020 and ended on 12/10/2020. We visited the office location on 01/10/2020.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke to five people who live at The Forbury about their experience of the care provided. We also spoke to nine members of staff including the registered manager, the nominated individual and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two relatives and social care professionals who regularly visit the service.

Updated 12 November 2020

About the service

The Forbury is a residential care home which provides accommodation and personal care for up to 40 older people. The service specialises in providing care for people with dementia. At the time of our inspection, 36 people were living at the home.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People and relatives fed back they were happy with the care provided. There were sufficient staff to meet people's care and support needs. Staff had been recruited safely. The management team had developed and implemented comprehensive audits to monitor the quality and safety of the service. Plans of care had been developed and reviewed with people and their relatives, and the staff team knew people they were supporting well.

Risks associated with people's care and support had been appropriately assessed and managed. People told us they felt safe living at the service and with the staff team who supported them. Staff recognised different types of abuse and how to report it. The registered manager understood their safeguarding responsibilities and how to protect people from abuse.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

At our inspection the service was rated Good in all areas and overall. The report was published on 04 November 2017.

Why we inspected

We received concerns in relation to people’s safety and staffing issues. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Forbury on our website at www.cqc.org.uk.

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.