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Birchwood Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 20 November 2019

About the service

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

The home provides facilities over three floors. There were five units in the home across these three floors. People had their own bedrooms with en-suite facilities and use of an enclosed private garden. Some of the people supported at the home live with dementia and other health related conditions. The service is registered to provide accommodation with personal and nursing care for up to 60 people. At the time of our inspection the home was supporting 54 people.

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

The service assessed risks to the health and wellbeing of people who use the service and staff. However, care was not always delivered by staff in line with people’s care plans to mitigate these risks. Safe recruitment practices were not always followed to make sure, as far as possible, that people were protected from staff being employed who were not suitable. Staff were not always deployed effectively to meet people’s needs.

Records did always reflect a clear care and treatment plan of people’s individual needs and preferences. We could not be assured appropriate person-centred care and treatment that was responsive to people’s needs. People’s end of life needs wishes, and preferences had not always been explored.

Care records were not always up to date and accurate. Audit and governance systems were not always effective. The registered person failed to notify the Commission of notifiable events.

People’s dining experience was not always person-centred to meet people’s needs. We have made a recommendation that the provider seeks guidance in line with best practice on ensuring people’s dining experience is more person-centred and meets people’s needs

Whilst actions had been taken by the registered provider to make the environment more dementia friendly, further improvement could be made. We have made a recommendation that the provider takes further action in line with best practice to ensure they make environments used by people living with dementia more dementia friendly.

Staff understood their responsibilities to raise concerns and report incidents or allegations of abuse. They felt confident issues would be addressed appropriately. People and their relatives knew how to complain and knew the process to follow if they had concerns. People, relatives and staff felt they could approach management with any concerns they may have.

People experienced support that was compassionate and caring, from staff they had developed meaningful relationships with and who knew them well.

Staff understood the principles of the Mental Capacity Act and the importance of people making their own decisions. 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.

People had their healthcare needs identified and were able to access healthcare professionals such as their GP, when needed. The service worked well with other health and social care professionals to provide effective care for people.

The service had regular residents and relatives' meetings as well as staff meetings to ensure there was opportunity to feedback about the home and that there would be a consistency in action taken. The staff team had handovers and daily meetings to discuss matters relating to the service and people’s care.

Without exception, relatives and healthcare professionals spoke highly of the registered manager and their commitment to delivering a high quality service.

For more details, please see the full report which is on the CQC website at

Rating at last inspecti

Inspection areas


Requires improvement

Updated 20 November 2019

The service was not always safe.

Details are in our safe findings below.



Updated 20 November 2019

The service was effective.

Details are in our effective findings below.



Updated 20 November 2019

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 20 November 2019

The service was not always responsive.

Details are in our responsive findings below.


Requires improvement

Updated 20 November 2019

The service was not always well-led.

Details are in our well-led findings below.