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Inspection Summary


Overall summary & rating

Good

Updated 1 November 2017

This inspection took place on 22 August and 01 September 2017 and was announced.

Forge House Care provides care services to adults with mild, moderate or complex learning disabilities, some of whom had additional behaviours that challenged services. The care provided is known as supported living and is delivered to people in their own homes mainly in Medway and Kent and is managed from an office in Chatham. Some people needed intensive 24-hour support packages and others were more independent and needed less staff support. People needed help with day-to-day tasks like cooking, shopping, washing and dressing and help to maintain their health and wellbeing. There were 20 people using the service at the time of our inspection.

This service was rated as Good in all of the domains and had an overall Good rating when we last inspected on 17 September 2015.

There continued to be a registered manager employed at 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. The registered manager was also the provider.

People continued to experience care that was caring and compassionate. People spoke about the staff in a positive light regarding their feelings of being safe and well cared for.

Staff were trusted and well thought of by the people using the service.

People continued to have their needs assessed and their care was planned to maintain their safety, health and wellbeing.

Risks were assessed and recorded by staff to protect people. There were systems in place to monitor incidents and accidents.

Staff had received training about protecting people from abuse and showed a good understanding of what their responsibilities were in preventing abuse.

The provider had updated their policies since we last inspected in line with published guidance and practice in social care.

Procedures for reporting safeguarding concerns were in place. The registered manager knew how and when they should escalate concerns following the local authorities safeguarding protocols.

The provider had processes in place to monitor the delivery of the service. People’s views were obtained through one-to-one meetings, meetings with people’s families and meetings with social workers. The provider also carried out an annual staff survey. However, the provider had not collated all of the data to analyse their performance and quality. We have made a recommendation about this.

Staff training covered both core training like first aid and more specialised training. They also understood the Mental Capacity Act 2005 and how to support people’s best interest if they lacked capacity.

Staff continued to have good levels of support and supervision to enable them to carry out their roles.

Staff continued to be recruited safely and had been through a selection process so that they were fit to work with people who needed safeguarding.

Staff had been trained to administer medicines safely and staff spoke confidently about their skills and abilities to do this well.

People were pleased that staff encouraged them to keep healthy through eating a balanced diet and drinking enough fluids. Care plans were kept reviewed and updated.

There were policies in place so that people would be listened to and treated fairly if they complained.

The management team and staff were committed to the values of the organisation and they took these into account when delivering care and support.

People were happy with the leadership and approachability of the service’s registered manager, the provider and the management team.

Inspection areas

Safe

Good

Updated 1 November 2017

The service remains Good.

Effective

Good

Updated 1 November 2017

The service remains Good.

Caring

Good

Updated 1 November 2017

The service remains Good.

Responsive

Good

Updated 1 November 2017

The service remains Good.

Well-led

Good

Updated 1 November 2017

The service remains Good.