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

Not met this standard

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 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

Although a new system for all care documentation has been initiated, it has not been established fully to underpin the care provided. Plans of care were not developed enough to respond to individual needs to ensure the care, welfare and safety needs of people are met.

Overall, we found that improvements were needed for this essential standard.

User experience

All people who were spoken with during the visit to the home expressed a satisfaction with the care provided. Comments included ‘I am happy here’ ‘everything is fine’.

Other evidence

The atmosphere in the home was found to be happy and positive. People living in the home were chatting with each other and with staff and this demonstrated with their positive interaction a good level of well being.

Four plans of care were viewed during the visit to the home. All the care documentation has been transferred on to a new computerised system. This system provides a template for extensive and comprehensive care records. The appointee manager and the deputy manager have worked over the past months to populate this new system to provide a working document that is also held in hard copy for staff convenience.

Although the care documentation was mostly completed much of the information was transferred from the old records in the home. Plans of care were provided and in general these were individual and personalised. It was however noted that although individual needs were identified, how these needs were to be met was not well documented in an individual way. Risk assessments are used to inform the care provided and routinely cover nutrition, pressure areas, safe moving and handling.

Discussion with staff confirmed a good understanding of people’s needs and how these are met and responded to on a daily basis. The relationship between staff and people using the service was seen to be positive and appropriate.

During the visit 3-4 people were doing a puzzle, staff were helping at times and chatting to all involved. The deputy manager said that the activities in the home had increased and provided a copy of an activities chart displayed in the home. Motivation therapy is provided on a weekly basis and further external activity is provided each week, which usually includes music. Other activity and entertainment is provided by staff as time is available.

A visiting health care professional was very complementary about the care provided and felt the home provided ‘excellent care’ being responsive to any advice given and keen to ensure appropriate contact, and to understand the health needs of people.

A regular visitor to the home was also complimentary about the standard of care provided to her relative.