• Care Home
  • Care home

Birchwood Grange Nursing Home

Overall: Good read more about inspection ratings

177 Preston Hill, Kenton, Harrow, Middlesex, HA3 9UY (020) 8385 1115

Provided and run by:
Avery Homes (Nelson) Limited

Latest inspection summary

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Background to this inspection

Updated 6 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 3 inspectors, 1 pharmacist specialist and 2 Expert by Experience.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Birchwood Grange is a care home with nursing. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 22 people, 14 relatives, 14 members of staff including the registered manager, deputy manager, regional director, activities coordinator and the chef. We reviewed records relating to the management of the service including quality audits, accident and incident analysis, compliments and complaints files and staff meeting minutes. We looked at 7 staff files in relation to recruitment and staff supervision, 8 people’s medicines and 8 other people’s care plans.

Overall inspection


Updated 6 December 2023

About the service

Birchwood Grange Nursing Home is a nursing and residential care home providing accommodation and personal care for up to 150 people. The service provides support to people living with dementia, a mental illness, and/or a physical disability. At the time of our inspection there were 114 people using the service.

People’s experience of the service and what we found:

People told us they felt safe at the service and could speak with staff or managers if they had any concerns. Staff understood how to recognise and report allegations of abuse and said they felt confident the registered manager would act on any disclosures.

People received medicines from trained and competent staff. The service was clean, and staff practised good infection control to help protect people from the risk of infectious diseases.

People were supported by enough staff who were trained to meet their needs. Care plans in place gave detailed guidance for staff to follow to ensure they supported people safely.

People were treated with dignity and respect. We observed kind interactions throughout the inspection. Staff spoke to people respectfully.

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, their relatives and staff told us they we able to make suggestions and raise concerns if needed and their views were listened to. Quality assurance processes were effective in identifying areas for improvement, shortfalls were addressed at the time or shortly following audits.

Staff and the management team worked with health and social care professionals to improve people's care and well-being.

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

Rating at last inspection

The last rating for this service was outstanding (10 October 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.