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The Firs Residential Care Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at The Firs Residential Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 September 2020

About the service

The Firs Residential Care Home is a care home that was providing accommodation and personal care to 21 people at the time of the inspection. The service can support up to 29 people.

The Firs Residential Care Home accommodates people in one adapted building. There are shared lounges, a dining room and a conservatory on the ground floor. Bedrooms are single occupancy and are both on the ground and first floors.

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

Peoples medicines were not always managed safely which increased the risk to people. Some staff did not always follow current national guidance on when to wear personal protective equipment when supporting people.

People had risk assessments and care plans in place to give guidance to staff on how to monitor people’s assessed risks. However, some of these records lacked information to guide staff fully.

Audits had made some improvements to the service provided but had not identified the shortfalls found during this inspection. Staff had been trained on how to keep people safe from poor care and harm. However, there were delays in staff taking action and seeking advice when people had missed their medication. These delays had also not been identified in the governance monitoring of the service.

Relatives of people who lived at the service told us that communication was good, and they felt listened to and involved in their family members care decisions.

There were enough staff to meet people’s care and support needs. Staff involved and worked with external professionals to help people maintain their health and well-being. Recruitment procedures were in place to check whether a proposed new staff member was suitable to work at the service.

The registered manager made sure appropriate people and organisations such as the local authority safeguarding team, were informed when things went wrong. They gave people and their relatives opportunities to feedback and make suggestions on the running of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 17 October 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve (November 2019). At this inspection enough improvement had not been sustained and the provider was still in breach of regulations.

The service remains rated requires improvement. This service has been rated requires improvement for the last inspection (17 October 2019) and rated inadequate prior to that (published 25 May 2019).

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm that they had met the legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.

The inspection was also prompted in part due to concerns received about staffing levels during the COVID-19 pandemic. A decision was made for us to carry out this focused inspection and examine those risks.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Firs Residential Care Home on our website at www.cqc.org.uk.

We have found evidence that the provider needs to make improvements. Please see the safe section of this full report. You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took

Inspection areas

Safe

Requires improvement

Updated 12 September 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 12 September 2020

Caring

Requires improvement

Updated 12 September 2020

Responsive

Requires improvement

Updated 12 September 2020

Well-led

Requires improvement

Updated 12 September 2020

The service was not always well-led.

Details are in our well-led findings below.