The Birches

Safe recruitment procedures were in place. People received safe and effective care from staff who had been appropriately recruited and had undergone the correct recruitment checks.

Staff received regular supervisions and appraisals. Staff were also supported with a variety of different training, learning and development opportunities to support their skills and abilities.

Medication processes and procedures were safely in place. Staff were appropriately trained, and care records contained the relevant information in relation to medicine support people needed. We identified several administrative errors which the registered manager responded to and immediately rectified.

People's support needs and areas of risk management were assessed and determined from the outset. Support needs and areas of risk were regularly reviewed, and staff were provided with the most relevant and up to date information they needed.

People were protected from avoidable harm; safeguarding and whistleblowing procedures were in place and staff knew how to report any concerns they had as a way of keeping people safe.

People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

It was evident during the inspection that the staff team were familiar with the people who lived at The Birches. We discussed with the registered manager how more detailed, person-centred care information would be beneficial.

Service design and adaptations were tailored around the needs of the people living at the home. The home offered assisted equipment, supported independence and accommodated people's equality and diversity support needs.

Activities and stimulation were primarily offered on a one to one basis. Staff provided activity support that was tailored around individual choice and preference.

There was an up to date complaints policy in place. Complaints were responded to and managed in line with company policy.

Quality assurance systems were effectively in place and helped to ensure the quality and safety of care was routinely monitored, assessed and improved upon accordingly.