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Inspection Summary


Overall summary & rating

Good

Updated 7 August 2020

About the service

Birchwood House is a residential care home providing personal care to six people with learning disabilities at the time of the inspection. The service can support up to seven people in one building.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service

We have made one recommendation about staff training.

People, a relative and staff spoke positively about the leadership in the service. The provider carried out quality checks to identify areas for improvement. People and staff had regular meetings so they could be updated on service development and could give their views about the service. The provider worked jointly with other agencies to achieve good outcomes for people.

Staff were supported in their role with supervision and appraisals. People’s care needs were assessed before they began to use the service. Staff supported people with their nutritional, hydration and healthcare 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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People using the service had risk assessments carried out to protect them from the risks of avoidable harm. Staff knew about safeguarding and whistleblowing procedures. Medicines were managed safely and people were protected from the risks associated with the spread of infection. The provider had a system in place to learn lessons from accidents and incidents.

People and a relative told us staff were caring. Staff demonstrated they knew people and their care needs well. The provider and staff understood how to provide a fair and equal service. People were involved in their care planning and were encouraged to make choices. Relatives were kept informed of their relative’s wellbeing. Staff understood how to maintain people’s privacy, dignity and independence.

Care plans were detailed and personalised. Staff understood how to deliver a personalised care service. People’s communication needs were met. People participated in a range of activities that interested them. There was a system in place for people to make a complaint. People had an end of life care plan in place so staff would know how to provide care in accordance with their wishes should this be required.

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

Rating at last inspe

Inspection areas

Safe

Good

Updated 7 August 2020

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 7 August 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 7 August 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 August 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 7 August 2020

The service was not always well-led.

Details are in our well-Led findings below.