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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

Type of service
Care home with nursing, Care home without nursing

Specialisms/services
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
Derbyshire

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People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

Our latest report on this standard published on 4 March 2014

We inspected on 4 November 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 4 November 2013, observed how people were being cared for and talked with staff. We were accompanied by a pharmacist and talked with commissioners of services.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

When we inspected in July 2013 we found that two out of eight care plans looked at contained no information about the person using the service or their needs. This meant that the planning of care did not always ensure that the welfare and safety of people was being met.

We looked at five care plans of people who use the service. We saw that the care plans were person centred. The care plans took into account the needs of the person including physical, mental, social, personal relationships and emotional wellbeing as well as including activities that people had taken part in. The care plans were reviewed regularly and updated when necessary. Risk assessments were included within the care plans and it could be seen that these were altered if necessary.

The provider may wish to note that in one care plan we looked at we saw plans relating to the covert administration of medicine. We could see that appropriate consent had been gained for this through speaking with the next of kin and the GP and a best interest decision made, however the consent was documented on a 'crushing form'. The crushing form is for people who have difficulty swallowing and are having the medication crushed with their knowledge to assist them. The incorrect form could cause confusion for staff as the covert administration only took place infrequently. We did speak to one nurse about this and they were aware of the reasons for covert administration.

The provider ensured that plans of care, treatment and support are implemented, flexible and regularly reviewed.

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