Firgrove Nursing Home

Updated 9 January 2021

The inspection

This was a targeted inspection to check whether the provider had acted upon concerns raised at the previous inspection in relation to ensuring people’s safety and process for monitoring the service.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by one inspector.

Service and service type

Firgrove is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and two staff. We reviewed a range of records. This included three people’s care records and a variety of records relating to the management of the service.

Updated 9 January 2021

About the service

Firgrove Nursing Home is a residential care home providing nursing care to seven people with a range of complex health needs at the time of inspection, including some people living with dementia. The service can support up to 35 people

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

The service did not have a manager employed. Day to day management of the service was undertaken by the acting manager who knew people well. Individual risks were assessed and managed to keep people safe.

Processes were in place for assessing and monitoring the quality of the services provided and ensuring that records were accurate and complete. The environment was clean and enhanced infection control processes were in place to keep people safe.

People told us that they felt safe and said there were enough staff to look after them. People received their medicines safely.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 September 2020). A breach of regulation was found in relation to infection prevention and control and in governance.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a targeted inspection to check if improvements had been made to address the concerns highlighted at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We undertook this targeted inspection to check on a specific concern we had about how risks to people were managed and the providers processes for monitoring the service. 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.

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.