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Archived: The Firs Specialist Residential Home

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Inspection report

Date of Inspection: 18, 29 March and 8 December 2011
Date of Publication: 28 June 2011
Inspection Report published 28 June 2011 PDF | 214.66 KB

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Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 18/03/2011, 29/03/2011, 08/12/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

People using the service are supported and assisted to make choices and to give consent to care and treatment. The care documentation is still being implemented and does not always record accurately people’s consent or risks associated with care and support.

Overall, we found that The Firs Specialist Residential Home was meeting this essential standard.

User experience

One person said that he was always consulted about the care and support that was to be provided.

Other evidence

There have been no new admissions to the home over the past year, and the senior staff member in the home stated that the practice of the home is to fully assess any possible new admission, to ensure the home can meet any assessed needs. Documentation to record this assessment was available in the home.

The home has implemented a new care documentation system that is computer based. This provides relevant documentation to record people’s consent which is being populated by the staff to record who has given consent or who has been consulted.

Records reviewed demonstrated that people’s capacity is taken into account when consent issues are considered. There was evidence that capacity had been assessed for people and reassessed when decisions are made in relation to liberty.

The deputy manager in charge of the home and the training matrix confirmed that most staff had undertaken training on the mental capacity act.

Although the new care documentation is individual much of the information has been transferred from the old records held in the home. Some information has not been reviewed and updated to ensure it is reflective of current wishes and needs. Risk assessments are completed and documented but again not always fully accurate. These issues are addressed under outcome 4.