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Birch Grove Nursing Home Good

Inspection Summary

Overall summary & rating


Updated 19 February 2020

About the service

Birch Grove Nursing Home was providing nursing and/or personal care to 46 older people at the time of our inspection. The service can accommodate and support up to 50 people in a single five-storey building, each floor with their own separate unit with suitably adapted facilities. Most people using the service were living with dementia. The service also supports people with a range of other care and support needs, including those associated with complex health conditions and mental ill health.

People’s experience of using this service

At our last inspection we found the provider had failed to ensure people were helped to move and transfer safely. We recommended at the time the provider seek advice and guidance from a reputable source about how to move and transfer people with mobility needs safely. At this inspection we found staff followed relevant national guidelines in relation to supporting people with mobility needs to move and transfer.

We also observed at our last inspection people who required assistance to eat and drink were not always supported to do so in a dignified or respectful manner. At this inspection we observed staff who were assisting people to eat and drink did so in a dignified, patient and respectful manner.

At this inspection it was clear staff had received most of the training they needed to effectively perform their working roles and responsibilities. However, we found some gaps in staff's knowledge and skills. We have made a recommendation about staff training on the subject of positive support for people whose behaviour might challenge the service at times, to help staff prevent or manage such incidents more effectively.

Staff had opportunities to reflect on their working practices and professional development through regular individual supervision meetings with their line manager. However, records showed staff had not had their overall work performance appraised for well over 12 months. We discussed this issue with the manager who agreed to ensure all staff had their work performance routinely appraised. Progress made by the provider to achieve these stated aims will be assessed at their next inspection.

People lived in a reasonably well decorated care home that met their needs. However, we saw the service’s environment was not particularly ‘dementia friendly’ and most communal areas lacked any easy to understand pictorial signage. We discussed this matter with the manager who agreed to make the care homes communal areas more suitable for people living with dementia. Progress made by the provider to achieve these stated aims will be assessed at their next inspection.

Most people told us they remained happy with the standard of care and supported they received at this care home.

People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. People received their medicines safely and as prescribed. Staff continued to undergo all the relevant pre-employment checks to ensure their suitability and fitness for the role. The premises remained clean and staff followed relevant national guidelines regarding the prevention and control of infection.

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 were offered well-balanced meals that meet their dietary needs and wishes and were supported to stay healthy and well.

People were treated equally and had their human rights, diversity and privacy respected. People were encouraged to make decisions about the care and support they received. People were supported to be as independent as they could and wanted to be.

People had their own individual care plans for staff to follow. People’s communication needs and preferences continued to be respected and met. People were aware of the providers’ complaints polic

Inspection areas



Updated 19 February 2020

The service was safe.

Details are in our safe findings below.


Requires improvement

Updated 19 February 2020

The service was not always effective.

Details are in our effective findings below.



Updated 19 February 2020

The service was caring.

Details are in our caring findings below.



Updated 19 February 2020

The service was responsive.

Details are in our responsive findings below.



Updated 19 February 2020

The service was well-led.

Details are in our well-led findings below.