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
Dementia, Diagnostic and/or screening services, Learning disabilities, Mental health conditions, Physical disabilities, Sensory impairments, 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 9 October 2012
We inspected on 11 September 2012 during a routine inspection
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 11 September 2012, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.
People experienced care and support that met their needs and protected their rights.
Reasons for our judgement
The people we spoke with said that staff respected their personal preferences such as when to rise in the morning and when to go to bed. They also felt that their needs were met at The Firs, although one of the people we spoke with thought that their religious needs, could be better met. The relative we spoke with told us, Im very happy with [my parents] care and [my parent] is very happy here.
People felt that a range of suitable activities were offered and described some of these. One person described the activities as, stimulating. Another person told us, I choose not to join in I like reading.
The members of care staff we spoke with were confident that they knew what peoples needs were. They said this was through reading their personal care plans, which guided the care they provided, talking with people and at shift hand over meetings. They felt that all residents needs were being met by the service and one staff member added, theres a lot of love here.
We read the care plans of five people who use the service. These documents were generally accurate, up to date and were being reviewed regularly. They showed that peoples health needs were well monitored and their needs were assessed and care was planned and delivered in line with their individual care plans. We found that staff took an approach, to the people who use the service, which was centred on their individual needs. The provider may find it useful to note that this person centred approach was not fully reflected in the services personal documents. Care plans did not include a record of peoples personal preferences or likes and dislikes. However, the manager showed us person centred records that had been developed for 28 of the people who use the service. These were called This is me.
We found that a range of risk assessments were being recorded and reviewed regularly and these included risk management procedures. The provider may find it useful to note that not all of these risk assessments provided staff with enough information to minimise risk. For example, one persons manual handling risk assessment referred to the need to use a hoist when [the person is] on the floor. There were no details about the type of sling required, techniques needed or number of staff.
The staff members we spoke with showed an awareness of the benefits of recording risk assessments as a way of identifying and minimising risks to the people who use the service. They gave us examples of the kind of risks people were exposed to and what staff needed to do to manage these.
The members of staff that we spoke with were positive about the range of activities provided to the people who use the service and described some of these to us. One staff member told us that the activities were, brilliant. They indicated that some activities were based on peoples personal interests. The previous activities coordinator had left the service although a newly appointed person was due to take up this role soon.
There was a generally relaxed atmosphere within the service, during this inspection, and we observed staff relating sensitively to the people who use the service. We also observed a persons dignity and privacy being respected, following their collapse in the entrance hall, through the use of screens.
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