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Inspection Summary


Overall summary & rating

Good

Updated 29 June 2019

About the service

Birtley House Nursing Home is a residential care home providing personal and nursing care for up to 47 older people in one adapted building. At the time of our inspection, 33 people were living at the home. The home is also registered to provide personal care for eight independent living flats, however, none of these people were receiving a regulated activity at the time of our inspection.

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

People said they felt safe living at the home. Their risks were identified and assessed, with guidance for staff on mitigating risks. Staff followed this guidance. Staffing levels were enough to meet people’s needs. One person commented, “My feeling is that staff come promptly. I need to ring the bell at night-time because I use a bed pan and staff come quickly”.

Medicines were managed safely. One person said, “Yes, I receive my medicines and staff explain any side effects to me”. The home was clean and smelled fresh. Staff had been trained in infection prevention and control. Lessons were learned if things went wrong.

People were positive about the training and experience of staff who supported them. One person said, “They all treat you as if you are a friend; that’s very important”. Staff had regular supervisions and an annual appraisal. One staff member said, “The whole environment is so lovely to work in, so homely. Everyone is nice and friendly”.

People were supported to have a healthy diet and with their nutrition and hydration needs. The lunchtime meal was a sociable occasion. Special diets were catered for. People had access to a range of healthcare professionals and support. Premises were suitable and comfortable and met people’s needs. A relative said, “She’s comfortable here and gets the attention she needs”.

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 looked after by kind and caring staff who knew them well. People were encouraged to be involved in decisions relating to their care and were treated with dignity and respect.

People received personalised care that was responsive to their needs. Activities were organised according to people’s preferences and interests. People were encouraged to go out if they wished and had access to the gardens and grounds of the estate. Many activities involved people from the local community. People spoke highly of the activities on offer. A relative said, “I looked at 21 different places and this was head and shoulders above the rest, down to how Christmas, Easter, theme nights and the seasons are celebrated”.

People could spend the rest of their lives at the home, if their needs could be met and this was their wish.

People considered the home was well-organised and commented on the pleasant working atmosphere amongst staff. People appreciated the community feel at the home. The directors of the provider and the registered manager provided a visible presence at the home. People were encouraged in their involvement and development of the home and their feedback was encouraged.

Staff felt well supported in their roles. Staff meetings provided opportunities to reflect on people’s care and anything that might be done differently.

A system of audits monitored and measured all aspects of the home and were used to drive improvement. There were strong links with the community, for example, people with a learning disability worked in the grounds to produce vegetables and flowers which people enjoyed. The home worked proactively with the NHS and Social Services.

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

Rating at the last inspection

The last rating for this service was requires improvement (published 2 July 2018) and there were multiple bre

Inspection areas

Safe

Good

Updated 29 June 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 29 June 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 29 June 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 29 June 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 29 June 2019

The service was well-led.

Details are in our well-led findings below.