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The Firs Nursing Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 3 November 2020

About the service

The Firs Nursing Home can accommodate 31 older people and people living with dementia and nursing needs in one adapted building. Accommodation is provided on three floors; a passenger lift is available. At the time of our inspection 18 people were living at the service.

People's experience of using this service and what we found

Improvements had been made to the systems and processes that monitored the quality and safety of the service. Audits and checks were robust and up to date. The provider had a detailed action plan to continually drive forward improvements and a more stable, positive and committed staff team.

A new experienced registered manager had been appointed, who had provided good support and leadership to the staff team. Staff were clear about their roles and responsibilities and supported people effectively. People received person centred care and treatment and achieved positive outcomes. The registered manager had developed an inclusive and transparent service.

People who used the service were positive about the care and treatment they received. They felt involved in their care and spoke postivly about the registered manager and staff team.

Staff moral had improved, and staff were positive about their role and felt well supported. Staff spoke highly of the registered manager and their leadership style and support.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 8 January 2020) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, we found improvements had been made in the breach of regulation we followed up and the provider was no longer in breach of this regulation.

Why we inspected

We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 17 Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. The overall rating for the service has not changed following this targeted inspection and remains Requires Improvement.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 3 November 2020


Requires improvement

Updated 3 November 2020


Requires improvement

Updated 3 November 2020


Requires improvement

Updated 3 November 2020



Updated 3 November 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.