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Birkdale Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 June 2018

This inspection took place on 5 and 6 April 2018 and was unannounced. At the last inspection completed on 23 November 2017 we rated the service as inadequate, as the provider was not meeting the regulations for safe care and treatment, person centred care, dignity and respect, consent, responding to complaints and they did not have effective governance arrangements in place.

This service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

Following the last inspection, we asked the provider to provide us with an action plan of how they were going to make improvements. We checked the provider had taken the actions required at this inspection.

At this inspection we found improvements had been made and the provider was meeting the regulations for safe care and treatment, person centred care, dignity and respect, consent, responding to complaints and governance arrangements, however further improvements were needed.

Birkdale residential home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Birkdale residential home accommodates up to 27 people on one adapted building. At the time of the inspection there were 22 people using the service.

There was a registered manager in post at the time of our inspection. 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 2008 and associated Regulations about how the service is run.

People were supported to manage risks to their safety however improvements were needed to the assessments and plans as they sometimes lacked detail.

Staff had received training, however further work was required to ensure this was kept up to date.

Improvements were needed to the environment to ensure it was suitable for people living with dementia. People did not always receive consistent care. People received support from staff that were caring, however improvements were needed to make this consistent.

People’s preferences were understood by staff. However this did not always inform people’s care planning. People were not consistently supported to follow their interests. Improvements were needed to how people were supported in a way that met their wishes and effectively at the end of their life.

The governance arrangements required further improvement to ensure they were driving improvements and that the changes made were sustainable.

People were safeguarded from potential abuse. People were supported by sufficient numbers of staff that had been safely recruited. People were supported to take their prescribed medicines. People were protected from the risk of cross infection.

People were supported to maintain their health and well-being. People had their rights protected by staff that understood and could apply the principles of the Mental Capacity Act 2005. People were supported to meet their dietary needs.

People were involved in decisions and had their choices respected by staff. People were respected and their dignity was maintained. People understood how to make a complaint and these were responded to and used to make improvements.

Notifications were submitted as required and the registered manager understood their responsibilities. We found people; their relatives and staff felt supported by the registered manager and were able to be involved in their care.

Inspection areas

Safe

Requires improvement

Updated 7 June 2018

The service was not consistently safe.

People had their medicines administered safely, however guidance for administration was not consistently in place.

People were supported to manage risks to their safety, however plans sometimes lacked detail.

People received support from safely recruited staff. People received support from sufficient staff.

People were protected from the spread of infection.

People were safeguarded from potential abuse.

The manager had systems in place to learn when things went wrong.

Effective

Requires improvement

Updated 7 June 2018

The service was not always effective.

People’s needs were assessed and planned for, but improvements were needed to ensure these reflected up to date information.

People were supported by staff that had the knowledge to support them, however plans to ensure staff stayed up to date required further improvement.

The environment required further improvement to meet the needs of people living with dementia.

People’s rights were protected by staff.

People’s nutrition and hydration needs were met.

People received support to monitor their health and seek advice from health professionals.

Caring

Requires improvement

Updated 7 June 2018

The service was not consistently caring.

People were supported by caring staff, but staff sometimes missed opportunities to engage with people.

People were involved in making decisions and choices.

People’s privacy and dignity was maintained.

Responsive

Requires improvement

Updated 7 June 2018

The service was not consistently responsive.

People were not always able to follow their interests or spend time doing activities they enjoyed.

People’s needs and preferences in relation to their gender, sexuality and culture for example were not consistently assessed and reflected in care plans.

People received a response to their complaints.

People were not consistently supported to consider their preferences for effective support with end of life care.

Well-led

Requires improvement

Updated 7 June 2018

The service was not always well led.

The systems in place to monitor care delivery were not fully embedded.

People and staff felt supported by the registered manager.

The registered manager notified us of incidents.