The Care Quality Commission checks whether hospitals, care homes and care services are meeting government standards. Visit our website at www.cqc.org.uk.
The Firs Care Home with Nursing
- 90 Glass House Hill, Codnor, Derbyshire, DE5 9QT
- (01773) 743810
- See on a map
Type of service
Care home with nursing, Care home without nursing
Accommodation for persons who require nursing or personal care, Dementia, Diagnostic and/or screening services, Learning disabilities, Mental health conditions, Physical disabilities, Sensory impairments, Treatment of disease, disorder or injury, Caring for adults under 65 yrs, Caring for adults over 65 yrs
Local Authority Area
People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)
Our latest report on this standard published on 23 August 2013
We inspected on 16 July 2013 during an inspection to make sure that the improvements required had been made
We checked that people who use this service:
- Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.
How this check was done
We looked at the personal care or treatment records of people who use the service, carried out a visit on 16 July 2013, talked with staff and were accompanied by a pharmacist.
People did not experience care, treatment and support that met their needs and protected their rights. This was because we found some care plans had insufficient information that did not show what a person's needs were or how they were to be met.
Reasons for our judgement
We had not planned to inspect this outcome but when we looked at eight people’s care plans we found that two of the care plans contained insufficient detail.
For one person who used the service we saw that they first came to live at The Firs in June 2013. It was recorded that they were at high risk of falls. There was also some information in the back of the care plan from admission and hospital discharge. Some of the information was recorded on a small white paper towel, which is not a safe or appropriate way to record essential information. This said that the person using the service could not communicate her needs and could not communicate verbally due to dysphagia. There were no needs assessment, specific care plans or risk assessments contained within the care plan. We saw from the daily records that this person had fallen at the home which resulted in a short stay at hospital. Despite their admission as a result of a fall, the provider had not included a falls risk assessment in their care plan to help protect them from further risk of falls and injury.
For another person who used the service we saw that the care plan had not been completed in sufficient detail. This person had been living at The Firs for a short time. We saw that there was a document in the care plan titled 'Holistic Assessment'. This document is a summary sheet of a person's needs covering areas such as communication, skin condition and behavioural patterns and the information recorded is very brief. There were no specific care plans or risk assessments in place in addition to the brief notes recorded on the 'Holistic Assessment'.
This meant that people living at the Firs were at risk of receiving unsafe and inappropriate care, treatment and support because the provider did not always assess people’s needs properly nor plan care to ensure their welfare and safety and meet their individual needs.