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Inspection Summary


Overall summary & rating

Good

Updated 4 July 2019

About the service

Birchwood Grove is a residential care home providing personal and nursing care of up to 24 older people. At the time of inspection there were 24 people living at the home. Many people living at the home had dementia so had limited verbal communication. There were two double bedrooms and the rest were single bedrooms. Everyone had access to a range of communal spaces including a dining room, conservatory and lounge area.

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

People and their relatives told us they were happy living at the home and they felt safe. All people were comfortable in the presence of staff. People had their medicines administered safely. However, improvements were required with some medicine management. Most risks had been identified with ways to mitigate them. Although the transfer to electronic care plans meant some records were lacking specific details or guidance. Paper care plans were still available to help mitigate this risk.

Systems were in place to monitor the quality and safety of care people received. The management strove to be open and constantly develop and improve the support people received. When systems had identified issues, actions were being taken to rectify them. The management were aware of their responsibility to notify the Care Quality Commission of certain events in line with their statutory obligations.

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.

People and staff felt there were enough staff. During the inspection people were able to participate in a range of activities due to positive staffing levels. Staff had received a range of training considered mandatory by the provider. Specialist training was sourced if a member of staff had a specific role.

People had care plans which were personalised and provided a range of information for staff to use to support their needs and wishes. There were good links with other health and social care professionals which was important due to the complex needs of anyone living at the home.

Staff were kind and caring and knew the people living at the home well. Staff respected privacy and dignity throughout the inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 21 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

Safe

Requires improvement

Updated 4 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 July 2019

The service was well-led.

Details are in our well-Led findings below.