Forest Brow Care Home

The provider had made improvements to their medicines management systems and processes. However, further improvements were required in some areas such as auditing to make processes more robust. The provider had increased the number of permanent staff in place and was working towards ensuring all staff deployed overnight had the required skills and training. People were protected from the risk of suffering abuse or coming to avoidable harm. There were effective systems in place to analyse incidents and put measures in place to reduce the risk of recurrence.

Since our last inspection, there was a new management team in place. People, relatives' and staff were positive about the management and told us they were confident in their ability to manage the service. The manager and nominated individual had a good understanding of their role and regulatory requirements. There had been lots of positive engagement with people, relatives and staff who told us they felt listened to and respected. We received positive feedback from health and social care professionals about the provider's efforts to improve the quality of the care since our last inspection.

The provider had made improvements to ensure that staff received appropriate training and support in their role. Some care plans contained contradictory information, specifically around eating and drinking, but staff mitigated any risks through their knowledge of people's needs. Care records were not always completed accurately, with some staff citing issues with recording systems as contributing factors towards this. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and relatives told us they were happy with the care provided. They told us that staff were caring, committed and empathetic. They said the provider had made significant improvements in increasing the number of permanent staff, which had a positive effect on the atmosphere at the service and consistency of care. They told us they felt consulted about their care and were treated with dignity and respect.

People told us they received personalised care in line with their needs. The provider had made significant improvements to help ensure that people were busy and active throughout the day. This included organising structured activities or events and spending informal time with people talking and reminiscing. There were systems in place to help ensure people were responded to appropriately when they had concerns or complaints.