CQC report explained · a residential care home
What the CQC found at The Forbury
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe, and staff understood people's risks and how to protect them. Inspectors found enough staff, safe recruitment and safe medicines management.
- Effective?
- Good
- This question was not inspected during this focused visit. The previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this focused visit. The previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this focused visit. The previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found managers approachable and committed to person-centred care. Audits, meetings and surveys were used to monitor quality and involve people, relatives and staff.
What inspectors found, November 2020
The Forbury rated Good; inspectors found safe staffing, medicines and management, but this was a focused inspection.
Inspectors visited the home without notice on 1 October 2020. They spoke with people, staff, relatives and social care professionals. They observed care and checked care plans, medicines records, recruitment files and management records.
The inspection followed concerns about safety and staffing. Inspectors found enough staff, safe recruitment and appropriate risk assessments. People said they felt safe. Medicines were managed safely, and staff understood how to recognise and report abuse.
The home was also judged well-led. Care plans were reviewed with people and relatives. Managers used audits, meetings and surveys to monitor and improve the service. The overall rating was Good, as were the ratings for Safe and Well-led.
People felt safe
People and relatives told inspectors they were happy with the care and felt protected from harm.
“People and relatives fed back they were happy with the care provided.” from the report
Risks were reviewed
The risk assessments inspectors checked were current and reflected people's care and support needs.
“The risk assessments we reviewed were up to date with people's current care and support needs.” from the report
Medicines were managed safely
Inspectors found medicines were stored, given and disposed of safely. Staff handling medicines had recent training and competency checks.
“Medicines were received, stored, administered and disposed of safely.” from the report
Good oversight
The management team used audits covering medicines, staffing, care plans, equipment and the environment.
“The management team carried out audits to govern, assess and monitor the quality of the service and staff.” from the report
Infection control approach could develop further
minorInspectors were assured about the home's infection prevention arrangements, but signposted the provider to resources to develop its approach.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01How many staff are usually on duty for each shift, and how do you maintain the right mix of experienced and newer staff?
- 02How are care plans and risk assessments reviewed with residents and their relatives?
- 03What infection prevention resources or improvements were identified after this inspection, and what has been done since?
- 04How do you use falls records and other incidents to change people's care and reduce future risks?
- 05What changes have been made as a result of residents' meetings, surveys and relatives' feedback?
This was a focused inspection of Safe and Well-led because of concerns about safety, staffing and management; the other question ratings carried over from the previous full inspection in 2017. This explanation was written from the published report of 12 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2017
The Forbury remained Rated Good; inspectors found safe, kind and personalised care across all five areas.
The home provides accommodation and personal care for up to 40 older people, including people with dementia. At the inspection, 33 people were living there. It had been rated Good at the previous inspection and remained Good.
The inspection was unannounced and took place over two days. Inspectors spoke with people, relatives, staff and health and social care professionals. They reviewed care records, medicines, complaints, accidents, recruitment records and quality checks, and observed care in communal areas.
Inspectors found people were safe, received their medicines correctly and had enough staff support. Staff were trained, kind and respectful. Care plans reflected people's preferences, activities were available, complaints were handled, and managers used audits and feedback to monitor the service.
People felt safe
People said they felt safe and knew who to speak to if they had concerns. Inspectors found risks were assessed and plans were in place to reduce them.
“People were clear who to approach if, at any time, they were worried about their personal safety or wellbeing.” from the report
Kind and respectful staff
Staff were observed speaking warmly with people, listening to them and supporting them patiently. Inspectors found that privacy, dignity and personal choices were respected.
“During our inspection visit, we saw staff adopted a gentle, patient and considerate approach towards their work.” from the report
Personalised care
Care plans included people's likes, dislikes, interests and preferred routines. Staff adjusted support to suit individual wishes and needs.
“People's care plans were individual to them, and covered a full range of needs.” from the report
Good oversight
The management team used audits, feedback and reviews of incidents and complaints to check the quality of care. This had led to changes including more frequent staff supervision and improved falls analysis.
“These quality assurance activities had led to improvements in the service, including more frequent staff supervision meetings and improved falls analysis.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and manage my relative's particular risks, such as falls, pressure damage or mobility problems?
- 02What dementia care and daily activities would be available for my relative?
- 03How would you support my relative to make choices and give consent if they have difficulty making decisions?
- 04How would you support my relative with eating, drinking and any specialist nutritional needs?
- 05How would you keep our family informed about care, complaints, accidents or changes in health?
This was an unannounced inspection covering all five quality areas, with observations, records and discussions with people, relatives, staff and health and social care professionals. This explanation was written from the published report of 4 November 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of The Forbury
3 rated inspections over 5 years: the service has held its Good rating throughout.
- November 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 13 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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11 live-in carers within about an hour of Herefordshire, County of
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £960 to £1,410 a week. 10 can care for a couple. 8 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.