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Berwick House Rest Home Good

Inspection Summary


Overall summary & rating

Good

Updated 18 December 2018

Berwick House is located in a residential area of South Shore Blackpool. The home is registered to accommodate up to 24 people who require assistance with personal care. At the time of our inspection there were 23 individuals who lived at the home. The property has garden areas to the front and rear of the building. There are a range of aids and adaptations to meet people’s needs. Accommodation is available over two floors with lift access to the upper floor.

At the last inspection on 01 June 2016, the service was rated 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 ongoing 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.

During this inspection visit, we found there were sufficient staffing levels and skill mixes to meet people’s requirements. People and their relatives said staff took their time and were calm and patient. One person stated, “Yes, there’s always staff about.” They said this helped them to feel safe and secure at Berwick. When we discussed safeguarding vulnerable adults from the risk of harm or abuse with staff, we found they had a good understanding.

The registered manager had multiple environmental procedures and auditing systems to ensure the continued safety of those who lived at Berwick. They provided guidance for staff to assess and mitigate the risk of unsafe or inappropriate care.

People who lived at Berwick and their relatives told us staff managed their medication safely and administered them on time. The registered manager undertook audits to assess the continued safety of medication procedures.

Staff files we reviewed showed the registered manager completed recruitment procedures to verify they employed suitable staff. Records we looked at evidenced staff had a range of training and qualifications to underpin their knowledge and experience.

Care records we looked at held a variety of assessments and monitoring forms to mitigate the risks of malnutrition and dehydration. We observed staff offered choice at lunch and supported people, where applicable, discreetly and patiently.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. A visiting professional commented they observed staff were patient and gave people the time and basic information they needed to make decisions.

The registered manager went above and beyond to guide staff to people’s diverse needs and preferences about their culture and beliefs. Those who lived at Berwick and their relatives consistently commented about a kind and respectful team approach. One relative said, “The staff have such a loving attitude. They are like family.”

During our inspection, we saw staff sitting for long periods and engaging with people, talking quietly and reassuringly. A relative told us, “[My relative] loves it here. She is almost like another staff member in that she chats with the other residents and keeps them company. The staff really encourage that.” People and their relatives were at the heart of their care and fully involved in the development of their support plans.

We found each person’s documentation was personalised to their individual needs. Each care planned area included agreed goals to help people maximise their independence and life-skills.

Those who lived at Berwick and their relatives told us the home was well organised and had good leadership. We further noted everyone at the home was involved in its ongoing development. A relative commented, “[The registered manager] frequently asks me if there is anything else they could improve on.” The management team completed a range of audits to retain oversight of quality assurance, safety and people’s welfare.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 18 December 2018

The service remains good.

Effective

Good

Updated 18 December 2018

The service remains good.

Caring

Good

Updated 18 December 2018

The service remains good.

Responsive

Good

Updated 18 December 2018

The service remains good.

Well-led

Good

Updated 18 December 2018

The service remains good.