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Birchfield Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 August 2019

About the service

Birchfield Residential Care Home is a residential care home providing personal care to 23 people aged 65 and over at the time of the inspection. The service can support up to 24 people in one adapted building. Bedrooms comprised of 24 single bedrooms, six of which had en-suite facilities, spread over two floors. There was no lift but access could be gained via two stair lifts. There was sufficient washing and toilet facilities for people. People had access to a number of communal areas, including quiet spaces and a garden.

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

The provider had not ensured the recruitment systems and processes in place were robust when employing staff. Medicines were not always managed safely. We have made a recommendation about the management of medicines and oxygen. A number of radiators within the service required covers to reduce the risk to people. The provider took immediate action to address this. Accidents and incidents were not always recorded sufficiently. We have made a recommendation about the recording of accidents and incidents.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The registered manager did not always ensure care plans were personalised to meet people’s needs. Staff gave us mixed responses about the accessibility of the electronic system and we found this difficult to navigate; care records were often difficult to locate. We have made a recommendation about care plans and their accessibility.

The service was not consistently well-led. The provider and registered manager had quality assurance checks in place. However, these were not sufficiently robust to identify the issues we found during inspection.

People told us they felt safe. One person commented, “I feel safe and secure here no problems.” Staff had been trained in safeguarding and knew their responsibilities to report concerns. We received mixed responses from staff about staffing levels. However, people told us there was always enough staff on duty to meet their needs. People told us the service was clean.

The registered manager ensured staff completed and induction and had access to training to meet the needs of people using the service. The registered manager also supported staff through supervisions and appraisals. People were supported to maintain a healthy and balanced diet. People told us they enjoyed the food. We saw people had choices of what they wanted to eat, and staff supported people as necessary. People had access to healthcare professionals such as GP’s.

People told us they were cared for by staff who were kind and caring. They appeared comfortable around staff and told us their privacy and dignity were respected. People were supported to be independent and express their views.

The provider had systems in place for receiving and responding to complaints. People told us they had not needed to complain but knew who to speak to if they did. There were systems in place to support people at the end of their life.

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 1 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to recruitment, Mental Capacity Act 2005 and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive a

Inspection areas

Safe

Requires improvement

Updated 9 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 9 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 9 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 9 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 9 August 2019

The service was not always well-led.

Details are in our well-Led findings below.