Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvementRated 1 year ago↓ Down from Good
SafeAre people protected from abuse and avoidable harm?56%Requires improvement
See the breakdownHide the breakdown6 of 8 below good
Infection prevention and controlSome shortfalls
Medicines optimisationSome shortfalls
Safe and effective staffingSome shortfalls
Safe environmentsSome shortfalls
Safe systems, pathways and transitionsSome shortfalls
SafeguardingSome shortfalls
Involving people to manage risksGood
Learning cultureGood
EffectiveDoes care achieve good outcomes and a good quality of life?75%Good
See the breakdownHide the breakdownAll 6 good
Assessing needsGood
Consent to care and treatmentGood
Delivering evidence-based care and treatmentGood
How staff, teams and services work togetherGood
Monitoring and improving outcomesGood
Supporting people to live healthier livesGood
CaringAre staff kind, compassionate and respectful?75%Good
See the breakdownHide the breakdownAll 5 good
Independence, choice and controlGood
Kindness, compassion and dignityGood
Responding to people's immediate needsGood
Treating people as individualsGood
Workforce wellbeing and enablementGood
ResponsiveAre services organised to meet people's needs?75%Good
See the breakdownHide the breakdownAll 7 good
Care provision, integration and continuityGood
Equity in accessGood
Equity in experiences and outcomesGood
Listening to and involving peopleGood
Person-centred careGood
Planning for the futureGood
Providing InformationGood
Well-ledIs the home well managed, with a culture of high-quality care?61%Requires improvement
See the breakdownHide the breakdown3 of 7 below good
Governance, management and sustainabilitySignificant shortfalls
Capable, compassionate and inclusive leadersSome shortfalls
Learning, improvement and innovationSome shortfalls
Freedom to speak upGood
Partnerships and communitiesGood
Shared direction and cultureGood
Workforce equality, diversity and inclusionGood
Percentages are CQC scores from its newer way of assessing homes. ?
CQC scored 33 standards: 24 good, 9 below good. Use “See the breakdown” on each key question for its standards. ?
CQC hasn't inspected this home for more than 5 years. It re-inspects based on risk, so an old rating doesn't count against a home on this site, but it may not reflect the home today. ?
The Firs Residential Home is in the Requires improvement tier ?, with 40 other homes in Derbyshire.
81% of rated homes here are Good or Outstanding (England: 82%).
The Firs Residential Home is a 28-bed residential care home in Derby, Derbyshire, run by The Firs Care Home Limited. Its CQC registration covers older people, people with dementia, younger adults and people with mental health needs.
Alexandra Care Home, 1.9 km away, is the closest home rated Good. The kitchen has a food hygiene rating of 5 (very good), from September 2026. 93% of homes in Derbyshire also score 5. Across Derbyshire, 81% of rated homes are Good or Outstanding, against 82% for England.
CQC last rated the home in April 2025, giving it Requires improvement overall. Safe and well-led were also Requires improvement. Effective, caring and responsive were rated Good. Its previous rating, in June 2019, was Good, so the home has slipped. The typical rating in Derbyshire is about 4 years old, so this one is fairly recent. CQC found significant shortfalls in “governance, management and sustainability”, one of 9 standards out of 33 scored below good.
