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The Firs Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 24 April 2018

We inspected the service on 26 March 2018. The inspection was unannounced.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Firs Residential Care Home accommodates up to 12 people over two floors. On the day of our inspection, 11 people were using the service and one person was in hospital.

The Firs Residential Care Home is also a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of the inspection, two people were receiving a care package where personal care was provided.

At the last inspection in March 2016, the service was rated ‘Good’, in the key questions and at this inspection; we found the service remained ‘Good’ again in all areas.

People continued to receive a safe service where they were protected from avoidable harm, discrimination and abuse. Risks associated with people’s needs including the environment, had been assessed and planned for and these were monitored for any changes. People did not have any undue restrictions placed upon them. There were sufficient staff to meet people’s needs and safe staff recruitment procedures were in place and used. People received their prescribed medicines safely and these were managed in line with best practice guidance. Accidents and incidents were analysed for lessons learnt to reduce further reoccurrence.

People continued to receive an effective service. Staff used nationally recognised assessment tools to effectively support people’s needs. Staff received an induction, ongoing training and support. People were supported with their nutritional needs; food and drink choices were offered and provided. The staff worked well with external health care professionals, people were supported with their needs and accessed health services when required. 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 supported this practice. The principles of the Mental Capacity Act (MCA) were followed.

People continued to receive care from staff who were kind, compassionate and treated them with dignity and respected their privacy. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences, and what was important to them. Advocacy information was available should people have required this support.

People continued to receive a responsive service. People’s needs were assessed and planned for with the involvement of the person and or their relative where required. People received opportunities to pursue their interests and hobbies, and social activities were offered. People were also supported to participate in community activities and interests. The provider had made available the complaint procedure.

The service continued to be well-led. There was an open and transparent culture and good leadership, oversight and accountability. People received opportunities to share their feedback about the service and staff felt valued. The provider had quality assurance checks in place on quality and safety. The registered manager had implemented innovative ways of supporting people with their wishes.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 24 April 2018

The service remains Good.

Effective

Good

Updated 24 April 2018

The service remains Good.

Caring

Good

Updated 24 April 2018

The service remains Good.

Responsive

Good

Updated 24 April 2018

The service remains Good.

Well-led

Good

Updated 24 April 2018

The service remains Good.