Fircroft Home

This report from the Care Quality Commission (CQC) provides an overview of Fircroft Home, a residential care service for up to 18 older people with learning disabilities, some of whom also have dementia. The inspection focused on two key areas: safety and leadership. It highlights the significant improvements made since the previous inspection, with the service now demonstrating it meets legal requirements and provides a good standard of care and management. The report details specific findings within each area, offering insights into the daily experiences of residents and the operational effectiveness of the home.

On safe care, residents and their families reported feeling safe and well-supported. Staff possess a strong understanding of individual needs and how to manage associated risks, ensuring people are protected from avoidable harm. Medicines are managed securely and administered safely, with accessible information provided to residents. The home maintains a clean and hygienic environment, and robust contingency plans are in place for emergencies. While infection control practices are generally assured, there was an observation about staff not always using PPE in line with current guidance when providing personal care, which was immediately addressed by management.

In terms of effective care, residents are encouraged towards independence, and staff actively support them in pursuing hobbies and interests. People's rights are promoted and protected, ensuring dignity and respect are maintained. Staff are knowledgeable about residents' needs and deliver personalised support. A key positive is the home's ability to provide consistent staffing levels, avoiding reliance on agency staff and ensuring continuity of care with familiar faces.

Regarding caring practices, residents feel safe because staff help alleviate anxiety. The care provided is person-centred, allowing individuals to live their lives as they wish, whether that involves regular outings or engaging in activities within the home. Residents' care records have been updated and are now more accessible, including visual aids for risk assessments, ensuring residents are involved in understanding their support.

The service is responsive to residents' needs and preferences. Staff are keen to involve residents in planning menus, events, and activities, using various methods to gather feedback. Residents' choices, such as making their own hot drinks, are respected and supported. Staff are encouraged to contribute their ideas, fostering a culture where their input is valued in improving the service.

Finally, on how well-led the service is, the management team fosters a positive, open, and supportive culture. They have implemented effective quality monitoring systems to identify and address any shortfalls. Leadership is clear, and there is a shared ethos of providing high-quality, personalised care. The registered manager is approachable and respected by staff and residents alike, and the service maintains open communication with families, particularly when issues arise. The service is actively working to improve and partners effectively with health and social care professionals to ensure positive outcomes for residents.