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CQC report explained · a residential care home, run by Emas

Firlawn

402 Chessington Road, Epsom, KT19 9EG

Goodpublished 22 September 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found that risks, medicines, staffing, recruitment and infection control were managed safely.
Effective?
Good
Care plans reflected people's needs and choices, and staff were trained and knowledgeable. People were supported with food, drinks, healthcare and decisions about their care.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were encouraged to make choices and remain as independent as possible.
Responsive?
Good
Care was personalised to people's preferences and communication needs. People were supported to keep relationships, follow interests, take part in activities and receive end of life care.
Well-led?
Requires improvement
People, relatives and staff felt listened to, but records of meetings, supervision and improvements were not always available. The home did not have a clear, consistent system for quality checks and tracking progress.
The latest report, explained

What inspectors found, September 2023

Firlawn is rated Good overall, but inspectors found that leadership and quality checks need improvement.

Inspectors visited on 13 July, 20 July and 3 August 2023. They observed care, spoke with people, relatives and staff, and checked care, medicine, recruitment and management records.

The home supported four people with learning disabilities and autistic people. Inspectors found people were safe, treated kindly, supported to make choices and given personalised care. Staff also helped people communicate, see relatives, join activities and access healthcare.

The main weakness was how the home recorded and checked its work. Some training, supervision, meetings and improvements were not recorded clearly. Inspectors made three recommendations about oversight, but did not report any breaches of regulations.

The overall rating was Good. Safe, effective, caring and responsive were all rated Good. Well-led was rated Requires Improvement, which means management and leadership were not always consistent enough to show that improvements were being monitored properly.

What inspectors praised
  • Safe care and staffing

    Inspectors found enough staff to meet people's needs and saw staff managing individual risks appropriately. Recruitment checks were also completed safely.

    There were enough staff to meet people's needs.from the report
  • Kind and respectful staff

    Staff supported people's dignity, privacy, choices and independence. They took time to understand what people wanted and supported their individual ways of communicating.

    People were treated with kindness by caring staff.from the report
  • Personalised support

    Care plans described people's preferences and needs in detail, and inspectors saw staff following them. People were supported with activities, community access and relationships.

    People received a good level of personalised care.from the report
  • Good partnership working

    Staff worked with health and social care professionals and followed their advice. Referrals and follow-up appointments were dealt with in a timely way.

    We saw evidence of staff making referrals to various healthcare services, chasing results and follow up appointments and adding and advice and guidance provided in to care plans.from the report
What inspectors were concerned about
  • Training records were scattered

    needs fixing

    The manager knew when staff training was due, but certificates were kept in different places. Inspectors recommended a clearer way to oversee staff training needs.

    These certificates were recorded and stored in various places in the home.from the report
  • Important meetings were not recorded

    needs fixing

    Staff and relatives' meetings were informal and had no minutes. This made it difficult to show how people's and staff's views had influenced the home.

    Staff and relatives' meetings were all informal so there was no record of these.from the report
  • Quality checks lacked a clear system

    needs fixing

    The home carried out some checks and took action, but there was no structured system to monitor progress consistently. Inspectors recommended a clear audit trail.

    There was no structured approach to governance and quality assurance that would enable the provider to monitor progress effectively and consistently against delivery of the strategy.from the report
Questions to ask them, based on this report
  1. 01How are staff training certificates and renewal dates now kept in one place?
  2. 02How do you record staff and relatives' meetings, suggestions and the actions taken afterwards?
  3. 03What quality checks are carried out now, and how can families see whether actions are completed?
  4. 04How do you check that staff supervisions and competency checks have taken place and are recorded?
  5. 05What has changed since the well-led rating fell from Good to Requires Improvement?

This was a comprehensive inspection covering all five CQC questions, including infection prevention and control; the previous overall rating was Good in 2017, while well-led changed to Requires Improvement. This explanation was written from the published report of 22 September 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Firlawn

3 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. September 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Firlawn

  2. October 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2016Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 30 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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