Forward Community Care received a Good rating across all five key questions at its first inspection in October–November 2022, demonstrating safe, person-centred care with strong staff training and partnership working. The only areas for improvement were medicines management, specifically missing 'as required' protocols and unclear electronic MAR recording, for which a recommendation was made.
Concerns (2)
moderate
Medication management
: “Where people needed to take 'as required' medicines, information on the criteria when this should be provided was not included in the care plan.”
minorRecord keeping: “In a couple of instances, we noted it was not clear on the electronic MAR when a medicine had been given late.”
Strengths
· People felt safe and were protected from avoidable harm with robust safeguarding procedures in place.
· Sufficient staffing levels with consistent staff teams supporting people and safe recruitment practices followed.
· Staff received specialist training including mental health and psychology training, and held level 4 qualifications.
· Regular supervision was provided and staff felt supported and motivated by an approachable management team.
· People's care was personalised, with relatives and health professionals involved in care planning and reviews.
Quality-Statement breakdown (24)
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving care; Working in partnership with othersNot rated