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A review of one or more of the ratings contained within the inspection report has been carried out at the request of the provider. Further to the review the ratings within this report have changed.

Inspection Summary


Overall summary & rating

Good

Updated 19 August 2017

Firs Court is a purpose built home divided into three self-contained sections; accommodation and personal care for up to nine people, supported living services and personal care for six people, and four adjacent houses for independent living for five people who may require personal care. All the people who live at Firs Court have a learning and/or physical disability. Firs Court can accommodate a total of 25 people and 23 people were living at Firs Court on the days we visited.

All rooms were en-suite, individually decorated and furnished. The rooms were bright and airy and people told us they could choose what they wanted in their room. Each room has a telephone so people can make and receive calls. There were lounges, dining areas and kitchens in each area and a central courtyard garden. It was close to local amenities including shops, cafes, a library, and churches and had good transport links to the local towns and London.

At the last Care Quality Commission (CQC) inspection in July 2015, the rating for Caring was Outstanding and the overall rating for this service was Good. At this inspection we found the service remained overall Good and Caring remained Outstanding. The service demonstrated they continued to meet the regulations and fundamental standards.

Firs Court provided outstanding care to people. People were supported by caring staff at all times but especially when their physical and mental health needs were changing. Staff worked with multi-disciplinary healthcare professionals to ensure people were cared for in an outstanding way. We saw clear evidence of a person-centred, innovative and creative approach that was taken towards people’s individual rehabilitation so they were able to regain their strength, independence and understand their changing health conditions.

Comments from healthcare professionals to the provider included “The level of care given to this person was like that of a good nursing home, including the use of monitoring charts for sleep patterns and food and fluid intake” and “All the people I discuss with staff are approached as individuals and all the staff team demonstrate flexibility in administering care.”

We could see that support records were comprehensive and staff said that after they had read them, they were aware of people’s background, their skills and their challenges. This meant people were relaxed with staff who knew and cared for them.

Staff treated everyone as an individual and actively promoted the opportunity for people to express their individuality either in gender, religion or sexual orientation.

People remained safe at the home. Staff could explain to us how to keep people safe from abuse and neglect. People had suitable risk assessments in place. The provider managed risks associated with the premises and equipment well. There were enough staff at the home to meet people’s needs. Recruitment practices remained safe. Medicines continued to be administered safely. The checks we made confirmed that people were receiving their medicines as prescribed by staff qualified to administer medicines.

People continued to be supported by staff who received appropriate training and support. Staff had the skills, experience and a good understanding of how to meet people’s needs. We saw that staff encouraged people to make their own decisions and gave them the encouragement, time and support to do so. Staff were providing support in line with the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their needs. People had access to a range of healthcare professionals.

People’s needs were assessed before they stayed at the home and support was planned and delivered in response to their needs. People could choose the activities they liked to do. The provider had arrangements in place to respond appropriately to people’s concerns and complaints.

Staff we spoke with described the management as very positive. We observed during our visit that management were approachable and responsive to staff and people’s needs. Systems were in place to monitor and improve the quality of the service. Audits of the premises helped ensure the premises and people were kept safe.

Inspection areas

Safe

Good

Updated 19 August 2017

The service remains Good

Effective

Good

Updated 19 August 2017

The service remains Good

Caring

Outstanding

Updated 19 August 2017

The service remains Outstanding

Responsive

Good

Updated 19 August 2017

The service remains Good

Well-led

Good

Updated 19 August 2017

The service remains Good