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Inspection Summary

Overall summary & rating


Updated 1 August 2019

About the service

Birch House is a residential care home providing personal care and accommodation in one adapted building to five people with learning disabilities and or autism aged 18 and over. The service was full at the time of inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Peoples experiences were good, and people continued to receive safe care and support. A skilled and competent staff team provided continuity in care. People received their medicines safely and in accordance with their preferences. Risks people may experience from the environment or because of their support needs were assessed and steps taken to minimise the risk of harm occurring. When people’s circumstances changed risks were reassessed, recorded and updated.

People lived in a safe, clean and well-maintained environment. Accidents and incidents were appropriately reported and acted upon. Analysis of these helped staff learn and improve upon delivery of support.

Staff provided people with support that met their needs and was in line with their care plan preferences. People were supported to maintain a good diet. Staff were informed about people’s health needs and supported them to access health care services when they required.

Staff demonstrated commitment to ensuring that people experienced a good quality of life. They showed kindness and compassion in their interactions with people and spoke about them with warmth and respect. People enjoyed caring relationships with staff and there was laughter and smiles in their engagements with them.

Staff knew people well and understood what and who was important to them. Staff respected people’s dignity and privacy. They sought peoples consent with the support they provided and encouraged people to make decisions for themselves around their day to day care. Staff promoted people’s independence to maximize their potential.

People lived in a well-run service. The manager and staff were committed to providing good quality care and undertook regular quality checks to maintain service delivery. The provider was actively involved in monitoring service quality. They had strengthened their oversight of the service through weekly and monthly checks, prompt action was taken to address areas for improvement. There were opportunities for people staff, relatives and professionals to give feedback about service quality to help improve service delivery.

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. The service met the characteristics of good in all areas. More information is in the detailed findings below.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was GOOD (published 28 December 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.

Inspection areas



Updated 1 August 2019

The service was safe.

Details are in our safe findings below.



Updated 1 August 2019

The service was effective.

Details are in our effective findings below.



Updated 1 August 2019

The service was caring.

Details are in our caring findings below.



Updated 1 August 2019

The service was responsive.

Details are in our responsive findings below.



Updated 1 August 2019

The service was well-led.

Details are in our well-Led findings below.