Firbank House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

The assessment of people’s need prior to their admission to the service was not always clearly recorded or updated following incidents at the service or a change in their need.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s needs were not always robustly assessed and action to mitigate risk was not always taken in response to changes. Care plans and daily records were not always kept up to date to ensure suitable care was given. However, people felt that their care needs were being met.

Staff did not always have access to the information they needed although a professional spoke positively about the improvements they had seen in a person at the service. They attributed this to staff understanding the person and how to support them as an individual.

The registered manager explained they had been involved in strategy meetings prior to a person moving into Firbank House. This is good practice, however the care plan did not contain any information regarding what had been learnt during these meetings.

Staff supported people to access outdoor space in line with their preferences. Care plans did not demonstrate that people had been involved in reviews about their care. Care plans were reviewed regularly however they were not consistently updated with information and changes which were relevant to the person. Care plans did not demonstrate that meaningful conversations had taken place with people and their family about their ongoing care needs.

The registered manager was knowledgeable about the needs of a person who had recently moved into the service. However, this information had not been included into the person’s care plan nor had the input from other professionals who were involved in their care.

Care plans and care notes did not always demonstrate people were receiving the best care for their needs. One person at the service displayed episodes of distressed behaviour. There were no plans in place to guide staff on how to support them during these signs of distress. Care notes, written by staff, demonstrated a lack of insight to their needs and how to support them.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.