We carried out a review of the data available to us about Arcare for Forte Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Arcare for Forte Limited, you can give feedback on this service.
Arcare for Forte 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. Arcare for Forte is a care home without nursing, which can accommodate up to nine people. At the time of our inspection eight people were using the service and these included older people, people with learning disabilities or those on the autistic spectrum.
People’s experience of using this service and what we found
People were kept safe by staff who knew how to report concerns, manage risks and identify concerns, for people they were supporting. Staff knew how to raise safeguarding concerns. There were sufficient numbers of staff to meet people’s needs. Medicines were managed in a safe way.
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. Staff had received training to ensure they had the skills and knowledge to support people safely. Staff received regular supervision to support them in their role. People’s dietary needs were met, and they had access to healthcare services where needed.
People received personalised care and support to meet their needs and wishes. People using the service, relatives and staff were given the opportunity to provide feedback on the service. Audits took place to ensure the quality of the service was maintained.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. Based on our review of safe and well-led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
People received personalised care and support to meet their needs and wishes. People using the service, relatives and staff were given the opportunity to provide feedback on the service. Audits took place to ensure the quality of the service was maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 January 2019). At this inspection we found the rating remained good.
Why we inspected
The inspection was prompted in part due to concerns received about the safety and monitoring of people using the service. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating of good for the service has remained the same based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Arcare For Forte Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The inspection visit took place on 06 November 2018 and was unannounced.
There was not a registered manager in post, however the acting manager was in the process of becoming registered. 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.
People continued to receive care that made them feel safe and staff understood how to protect people from abuse and harm. Risks to people were assessed and guidance about how to manage these was available for staff to refer to/follow. Safe recruitment of staff was carried out and adequate numbers of staff were available to people. People received medicines as required.
People continued to receive effective support from staff with a sufficient level of skills and knowledge to meet their specific needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People were assisted to access appropriate healthcare support and received an adequate diet and hydration.
The care people received was provided with kindness, compassion and dignity. People were supported to express their views and be involved as much as possible in making decisions. Staff supported people to have choices and independence, wherever possible. People’s diverse needs were recognised and staff enabled people to access activities should they so wish.
The provider had effective systems in place to regularly review people’s care provision, with their involvement. People’s care was personalised and care plans contained information about the person, their needs, choices and cultural needs. Care staff knew people’s needs and respected them. People were able to speak openly with staff and understood how to make a complaint.
The service continued to be well-led, including making detailed checks and monitoring of the quality of the service. People and staff were positive about the leadership skills of the acting manager. We were provided with information we expected to receive.
Arcaro for Forte Limited is a care home which is registered to provide care to up to five people. The home specialises in the care of people who have a learning disability. On the day of our inspection there were five people living at the home.
There was a registered manager in post and they were present during our inspection. 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.
People were protected from the risk of abuse, because the provider had trained staff to be able to recognise and act upon report or suspicions of abuse. Risks people experienced had been assessed and action taken to minimise the risk, while enabling people to live active and fulfilling lives. Staff understood how to provide care that respected people’s rights.
People were supported by sufficient numbers of staff that felt valued and motivated.
People were supported to receive their medication as prescribed, because the provider had effective systems in place.
People were supported by staff that had received the training and support they needed so that they could carry out their role effectively and meet the individual needs of people using the service.
People were supported by staff that were kind, respectful and knew them well. People were supported to pursue their interests and hobbies and lead interesting lives.
People were treated with dignity and respect and were encouraged to develop their independent living skills.
People were able to make choices and decisions about how they wanted their care delivered and what they wanted to do.
People knew what to do if they were unhappy with the care they received, but people told us that they were happy with the care they received.
People were supported to eat food and drinks that they enjoyed and they were able to be involved in its preparation.
The provider had effective management systems in place to assess and monitor the quality of the service provided to people. The provider used feedback from people to improve the service they provided.
People benefited from a service that was led by a capable registered manager who demonstrated good leadership skills.