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Inspection Summary


Overall summary & rating

Good

Updated 29 June 2018

Birch Avenue is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Birch Avenue is a one-storey purpose built home and provides nursing care for 40 older people who are living with dementia. The home has four, ten bedded, 'bungalows' with an interlinking corridor surrounding a large garden and patio area. Each unit has a communal lounge and dining room. All 40 bedrooms are single and have en-suite facilities. There is a central kitchen and laundry.

At our last inspection, we rated the service good. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a manager at the service who was registered with the CQC. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The registered manager was on annual leave on the day of our inspection. The clinical and deputy managers assisted with the inspection.

People living at Birch Avenue said they felt safe and they liked the staff. Relatives we spoke with felt their family member was in a safe place and did not have any concerns about their family member’s safety. Staff said they had been provided with safeguarding vulnerable adults training so they had an understanding of their responsibilities to protect people from harm.

There was sufficient staff to meet people’s needs safely and effectively. The service used effective recruitment procedures which helped to keep people safe.

There were effective procedures in place for the safe management and administration of medicines. Staff competency to administer medicines was checked regularly to ensure people received their medicines safely.

Staff completed a thorough induction and received regular training to support them in their roles.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People enjoyed the food provided and were supported to receive adequate food and drink to remain healthy.

We found the home was clean, bright and well maintained. There had been recent refurbishment of the home.

People were treated with dignity and respect and their privacy was protected. People, their relatives, visitors and health professionals we spoke with made positive comments about the care provided by staff.

We found people’s care plans and risk assessments were reviewed regularly and in response to any change in needs.

We saw people participated in a range of daily activities both in and outside of the home which were meaningful and promoted independence. Relatives were positive about the increase of activities for people over the last year.

People living at the home and their relatives said they could speak with staff if they had any worries or concerns and they would be listened to.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.

Staff told us they felt they had a very good team. Staff, people and relatives said the registered manager was approachable and communication was good within the service.

Inspection areas

Safe

Good

Updated 29 June 2018

The service remains Good.

Effective

Good

Updated 29 June 2018

The service remains Good.

Caring

Good

Updated 29 June 2018

The service remains Good.

Responsive

Good

Updated 29 June 2018

The service has improved to Good.

Well-led

Good

Updated 29 June 2018

The service remains Good.