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Inspection Summary


Overall summary & rating

Good

Updated 1 June 2018

The Firs is a care home without nursing which is registered to provide a service for up to ten people with learning disabilities and some with physical disabilities. There were nine people living in the service on the day of the visit. All accommodation is provided within a two story building within a village style development.

We carried out a focussed inspection on 2 February 2017 to follow up concerns about how the service was managed which we had found at the previous inspection on 13 February 2016. We found that whilst there had been improvements some concerns remained.

This unannounced inspection took place on 23 April 2018. At this inspection we found the service was Good overall. We found considerable improvements with the management of the home which had positively impacted on all aspects of the quality of the service provided.

Why the service is rated Good overall:

There is a registered manager running the service. A registered manager is a person who has registered with the Care Quality Commission 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 2008 and associated Regulations about how the service is run.

People’s safety was contributed to by staff who had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Staff understood how to protect people and who to alert if they had any concerns. General operational risks and risks to individuals were identified and appropriate action was taken to eradicate or reduce them.

There were enough staff on duty at all times to meet people’s diverse, individual needs safely. The service now had a stable staff team. The provider had robust recruitment procedures. People were given their medicines safely, at the right times and in the right amounts by trained and competent staff.

The service remained effective. Staff were well-trained and able to meet people’s health and well-being needs. They were able to respond effectively to people’s current and changing needs. The service sought advice from and worked with health and other professionals to ensure they met people’s needs.

People were encouraged 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 practise.

The service continued to be caring and responsive. The committed, attentive and knowledgeable staff team provided care with kindness and respect. Individualised care planning ensured people’s equality and diversity was respected. People were provided with a range of activities, according to their needs, abilities, health and preferences. Care plans were reviewed by management regularly. Care plans contained up to date information and records demonstrated that risk assessments were usually reviewed within stated timescales.

The registered manager was well regarded and respected. The quality of care the service provided continued to be reviewed and improved, as necessary.

Inspection areas

Safe

Good

Updated 1 June 2018

The service remains good.

Effective

Good

Updated 1 June 2018

The service remains good.

Caring

Good

Updated 1 June 2018

The service remains good.

Responsive

Good

Updated 1 June 2018

The service remains good.

Well-led

Good

Updated 1 June 2018

Improvements had been made. The service is now rated good.