Birnbeck House - Care Home Learning Disabilities

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 requires improvement. At this assessment the rating has remained 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.

The provider was previously in breach of the legal regulation in relation to staffing. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

We found improvements were needed to ensure the provider had effectively assessed and mitigated risks for people. The provider was previously in breach of the legal regulation in relation to safe care and treatment. Improvements were not found at this assessment, and the provider remained in breach of this regulation.

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 requires improvement. At this assessment the rating has changed to good.

Some improvements had been made to ensure care and treatment reflected people’s personal preferences and most people were offered meaningful ways to spend their time.

The provider was previously in breach of the legal regulation in relation to person centred care. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

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.

We found improvements were needed to the provider’s governance arrangements around risk management, and ensuring improvements identified were made in a timely manner.

The provider was previously in breach of the legal regulation in relation to governance. Although some improvements were found at this assessment, the provider remained in breach of this regulation.