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Inspection Summary


Overall summary & rating

Good

Updated 9 November 2017

The Firs is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection. The Firs provides accommodation for up to 22 older people who are physically frail or may be living with dementia. At the time of our inspection there were 19 people living at the home. The home provides long term care and respite care. It does not provide nursing care. Most people needed assistance with managing daily routines such as personal care. A small number of people routinely needed support with tasks such as feeding or support with moving and positioning. The home is located in a residential area of Locks Heath. There is a small car park located at the front and there is a secure garden to the rear of the property. The accommodation is arranged over two floors with both a lift and stairs available for accessing the first floor. The home offers 16 single rooms and three shared rooms. All of the rooms have ensuite facilities.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

At our last inspection in August 2016, we found that the service was not meeting a number of the fundamental standards and was in breach of four Regulations. This inspection checked to see whether the required improvements had been made.

Improvements had been made which ensured that people were appropriately protected from harm or abuse. Staff had received training in safeguarding adults, and had a good understanding of the signs of abuse and neglect. Staff were confident the manager would act upon any concerns they raised.

Improvements had been made to ensure that risks to people’s safety and wellbeing were fully assessed and planned for.

The registered manager had taken action to ensure that serious injuries were notified to the Care Quality Commission (CQC). This is important as it enables the CQC to effectively monitor the safety and quality of the service provided.

Improvements had been made to ensure that all of the required checks were made before new staff started working at the service.

Medicines were managed safely and there were sufficient numbers of experienced staff to meet people’s needs.

The home was clean and good infection control practices were followed.

Staff worked in accordance with the Mental Capacity Act 2005 and the deprivation of liberty safeguards were applied appropriately.

Staff received training, supervision and an induction which ensured they had the skills and knowledge to support people appropriately.

The Firs provided a secure but comfortable and homely environment that was appropriate to people’s needs.

There was a strong emphasis on the importance of eating and drinking well and people told us the food and drink provided was good and met their individual preferences.

Where necessary a range of healthcare professionals had been involved in planning and monitoring people’s support to ensure this was delivered effectively.

People were cared for by staff that were kind and caring and with whom they had developed good relationships. Staff were attentive, showed people kindness and patience and displayed a genuine interest in the people they supported. People were treated with dignity and respect.

The service was focused on providing person centred care. Staff had a good knowledge and understanding of the people they were supporting which helped to ensure people received care and support which was responsive to their needs

Staff looked for ways to meet people’s needs in a creative way so that they m

Inspection areas

Safe

Good

Updated 9 November 2017

The service was now safe.

Staff had received training in safeguarding adults, and had a good understanding of the signs of abuse and neglect. Staff were confident the manager would act upon any concerns they raised.

People had risk assessments and where risks had been identified, measures were in place which helped to ensure that the risk was minimised.

Medicines were managed safely and there were sufficient numbers of experienced staff to meet people’s needs.

The home was clean and good infection control practices were followed.

Effective

Good

Updated 9 November 2017

The service remained effective.

Staff worked in accordance with the Mental Capacity Act 2005 and deprivation of liberty safeguards were applied appropriately.

Staff received training, supervision and an induction which ensured they had the skills and knowledge to support people appropriately.

The Firs provided a secure but comfortable and homely environment that was appropriate to people’s needs.

There was a strong emphasis on the importance of eating and drinking well and people told us the food and drink provided was good and met their individual preferences.

Where necessary a range of healthcare professionals had been involved in planning and monitoring people’s support to ensure this was delivered effectively.

Caring

Good

Updated 9 November 2017

The service remained caring.

People were cared for by staff that were kind and caring and with whom they had developed good relationships. Staff were attentive, showed people kindness and patience and displayed a genuine interest in the people they supported. People were treated with dignity and respect.

Responsive

Good

Updated 9 November 2017

The service remained responsive.

The service was focused on providing person centred care. Staff had a good knowledge and understanding of the people they were supporting which helped to ensure people received care and support which was responsive to their needs

Staff looked for ways to meet people’s needs in a creative way so that they might have positive experiences and receive care that was meaningful to them and met their needs in a person centred way.

People were supported and fully engaged in activities that were meaningful to them.

People were at the heart of the service, their opinions mattered and there was evidence that they were being consulted about the running of the home on an ongoing basis.

Complaints procedures were in place and information about how to make a complaint was freely available within the service and within the service user guide.

Well-led

Good

Updated 9 November 2017

The service was now well led.

People spoke positively about how well organised and managed the service was.

There were systems in place to assess and monitor the quality and safety of the service and to ensure people were receiving appropriate support.

The registered manager had nurtured a friendly and homely environment where people felt valued and part of a family.