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Inspection Summary


Overall summary & rating

Good

Updated 30 June 2018

We last inspected this service in March 2016 where it was rated ‘good’ overall. This inspection took place on 30 May 2018 and was announced. We gave the service 48 hours’ notice of the inspection as it is a small service for adults with a learning disability who are often out during the day. We needed to be sure people would be in during our inspection.

Forest Haven 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.

Forest haven can accommodate up to five people. At the time of our inspection four people were living in the home. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a registered manager in post. 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 service was safe and people were protected from harm. Support workers were knowledgeable about safeguarding adults from abuse and what to do if they had any concerns and how to report them. Safeguarding training was given to all staff.

Risk assessments were thorough and personalised. Support workers knew what to do in an emergency situation.

Staffing levels were meeting the needs of the people who used the service and support workers demonstrated they had the relevant knowledge to support people with their care.

Recruitment practices were safe and records confirmed this.

Medicines were managed and administered safely and audited on a weekly basis.

Newly recruited support workers received an induction and shadowed more experienced members of staff. Training for support workers was provided on a regular basis and updated when relevant. Support workers told us the quality of training was good.

Support workers demonstrated an understanding of the Mental Capacity Act (2005) and how they obtained consent from people on a daily basis. Consent was recorded in people's care plans.

People were supported with maintaining a balanced diet and the people who used the service chose their meals and these were provided in line with their preferences.

People were supported to have access to healthcare services and receive on-going support. Referrals to healthcare professionals were made appropriately and a multi-disciplinary approach was adopted to support people.

Positive relationships were formed between support workers and the people who used the service and staff demonstrated how they knew the people they cared for well. People who used the service and their relatives told us support workers were caring and treated them with respect.

Care plans were detailed and contained relevant information about people who used the service and their needs such as their preferences and communication needs.

Concerns and complaints were listened to and records confirmed this.

People who used the service, their relatives and support workers spoke highly of the registered manager and told us they felt supported by them.

Quality assurance practices were robust and taking place regularly.

Inspection areas

Safe

Good

Updated 30 June 2018

The service continued to be safe.

Effective

Good

Updated 30 June 2018

The service continued to be effective.

Caring

Good

Updated 30 June 2018

The service continued to be caring.

Responsive

Good

Updated 30 June 2018

The service continued to be responsive.

Well-led

Good

Updated 30 June 2018

The service continued to be well led.