Rated Care Homes

Birch Abbey

RI

Requires improvement

Rated on

Rating from the Care Quality Commission.

At a glance

  • 4 ratings

    Its last inspection moved it down from Good to Requires improvement.

  • 18 months

    since the latest rating was published.

  • 21 of 106

    rated care homes in Sefton are rated Requires improvement, like this one.

Birch Abbey: inspection record

Care home with nursing, 60 beds, Sefton

Rated Requires improvement in April 2025, down from Good.

Birch Abbey: inspection record: inspection ratings by year, 2015 to 2026
201520162017201820192020202120222023202420252026
Overall
Safe
Effective
Caring
Responsive
Well-led

Ratings published by the Care Quality Commission.

Compare nearby

Nearest rated Good or Outstanding: Abingdon (Good, less than 0.1 miles away) and Rosebank Care Home (Good, 0.1 miles away).

Nearest care homes:

  1. G
    Abingdon Good, less than 0.1 miles away
  2. G
    Rosebank Care Home Good, 0.1 miles away
  3. G
    Argyle Park Care Good, 0.1 miles away
  4. G
    Benridge Residential Care Home Good, 0.2 miles away
  5. G
    Blair House Care Home Good, 0.2 miles away

See all care homes in Sefton

See all care homes in Southport

What inspectors found

From the Care Quality Commission's assessment published 9 April 2025 (assessment visit 17 May 2024). Quoted under the Open Government Licence.

Date of assessment: 8 January to 3 February 2025. Birch Abbey is a residential care home

  • Safe No rating
  • Effective No rating
  • Caring No rating
  • Responsive Good
  • Well-led No rating
Read the rest of CQC's summary

providing personal and nursing care for up to 60 people of all ages, living with dementia, mental

health conditions, physical disabilities and sensory impairments. At the time of our assessment,

33 people lived at the home. This assessment was carried out due to emerging risk. The overall

rating of the service has changed from good to requires improvement. The provider was in

breach of the legal regulation relating to governance. Learning was not consistently embedded

which led to repeat incidents. Some admissions were not safely managed, and staff lacked the

necessary training to manage risks effectively. Policies were not always followed, and

improvements in recording were needed, for example, wound care monitoring. Further

improvements were required in relation to the safety of the environment, medicines

management and aspects of infection prevention control (IPC). The provider did not always

follow the principles of the Mental Capacity Act 2005, and there were inconsistencies in activities

and food choices, as well as some delays in seeking medical advice. Ongoing issues with call

bells and sensors were being addressed by the provider, but at times, this left people without

working safety measures in their bedrooms. Some staff felt unappreciated and unsupported by

management, and a high turnover in leaders had contributed to low staff morale. While audits

were in place, they were not always effective, for example, actions from fire risk assessments

had not been completed, and there were gaps in records. The management team were

responsive and proactive in addressing some of the shortfalls we raised. They had already

identified some of the main concerns prior to the assessment and had a home improvement

plan in place. We have asked the provider for an action plan in response to the concerns found

at this assessment.

  1. Safe

    No rating

    Safe – this means we looked for evidence that people were protected from abuse and avoidable

    harm. At our last assessment, we rated this key question good. At this assessment the rating

    has changed to requires improvement. This meant some aspects of the service were not always

    safe, and there was limited assurance about safety. There was an increased risk that people

    could be harmed.

  2. Effective

    No rating

    Effective – this means we looked for evidence that people’s care, treatment, and support

    achieved good outcomes and promoted a good quality of life, based on best available evidence.

    At our last assessment, we rated this key question good. At this assessment, the rating has

    changed to requires improvement. This meant the effectiveness of people’s care, treatment and

    support did not always achieve good outcomes or was inconsistent.

  3. Caring

    No rating

    Caring – this means we looked for evidence that the provider involved people and treated them

    with compassion, kindness, dignity and respect.

    At our last assessment we rated this key question good. At this assessment the rating has

    changed to requires improvement. This meant people did not always feel well-supported, cared

    for or treated with dignity and respect.

  4. Responsive

    Good

    Responsive – this means we looked for evidence that the provider met people’s needs. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

  5. Well-led

    No rating

    Well-led – this means we looked for evidence that service leadership, management and

    governance assured high-quality, person-centred care; supported learning and innovation; and

    promoted an open, fair culture. At our last assessment we rated this key question requires

    improvement. At this assessment the rating has remained requires improvement. This meant the

    management and leadership was inconsistent. Leaders and the culture they created did not

    always support the delivery of high-quality, person-centred care.

    The service was in breach of the legal regulation in relation to governance at the service.

Questions to ask when you visit

  1. Safe was rated Requires improvement on 9 April 2025. Ask how medicines are managed, how staffing levels are decided and how incidents are reviewed.
  2. Effective was rated Requires improvement on 9 April 2025. Ask about staff training and how health appointments are arranged.
  3. Caring was rated Requires improvement on 9 April 2025. Ask how staff protect dignity and how residents are involved in decisions about their care.
  4. Well-led was rated Requires improvement on 9 April 2025. Ask about changes in management and what has changed since the report.

Registration details

Registered manager
Rachel Smalley
Registered with the CQC since
What it provides
Care home service with nursing
Who it supports
Dementia, Mental Health, Older People, Physical Disability, Sensory Impairment, Younger Adults

Inspection report

Read the full inspection report (opens the Care Quality Commission website)

2 inspection reports, latest 5 August 2022. Latest assessment published 9 April 2025; the Care Quality Commission's newer assessments are published on its website rather than as reports.

The rating is the Care Quality Commission's. We show it as published and do not change it.

Who runs it

Ownership type
Organisation
Companies House number
12415416 (opens Companies House)

DHCH14 Limited runs 23 services, all in the North West. 17 are rated Good or Outstanding, 3 are rated Requires improvement or Inadequate and 3 have no rating yet.

Other services run by DHCH14 Limited

  1. O
    Church View Outstanding. Care home with nursing, Liverpool
  2. G
    Argyle Park Care Good. Care home, Sefton
  3. G
    Ashton View Nursing Home Good. Care home with nursing, Wigan
  4. G
    Avonleigh Gardens Good. Care home, Oldham

See all 23 services run by DHCH14 Limited

Getting help from Sefton Council

The council can assess what care someone needs and tell them what help with the cost they may get.

Checked on the council's website, November 2026.

Common questions

Does Birch Abbey provide nursing care?
Yes. The Care Quality Commission lists Birch Abbey as a care home with nursing.
How many beds does Birch Abbey have?
The Care Quality Commission's register lists 60 beds at Birch Abbey.
When was Birch Abbey last inspected?
The Care Quality Commission's latest rating for Birch Abbey was published on 9 April 2025.
Who runs Birch Abbey?
Birch Abbey is run by DHCH14 Limited. It runs 23 services, all in the North West.
What is Birch Abbey's CQC rating?
Its overall rating from the Care Quality Commission is Requires improvement, published on 9 April 2025.

Contact

Phone
01704 410010
Address
55 Alexandra Road, Southport, PR9 9HD Map (opens Google Maps)
Read the full inspection report (opens the Care Quality Commission website)

Compare nearby

Nearest rated Good or Outstanding: Abingdon (Good, less than 0.1 miles away) and Rosebank Care Home (Good, 0.1 miles away).

Nearest care homes:

  1. G
    Abingdon Good, less than 0.1 miles away
  2. G
    Rosebank Care Home Good, 0.1 miles away
  3. G
    Argyle Park Care Good, 0.1 miles away
  4. G
    Benridge Residential Care Home Good, 0.2 miles away
  5. G
    Blair House Care Home Good, 0.2 miles away

See all care homes in Sefton

See all care homes in Southport