Birch Tree Manor

People told us they were happy with the care they received and said they felt safe living at the home. One person said, " Everyone is really nice." People living at the home were comfortable with staff. Staff spent time chatting with people and supporting them when they became distressed.

People were protected from abuse because staff understood what was meant by abuse and the correct procedures to follow if they had any concerns about people's safety. People received their medicines as prescribed and staff had clear information about how people liked to be supported with their medicines. Staff were knowledgeable about people's health needs and the provider had sought support from other health professionals as appropriate to support people's needs.

Risks were not always fully assessed, monitored and reviewed. Risks such as choking, and weight monitoring was not always monitored appropriately. Some key information in people's care records about the management of risk was not accurate.

Staffing levels were appropriate and matched the dependency tool being used to match the needs of people at the home. The home used a moderate volume of agency staff. The provider assured us that they were continuously working to recruit more permanent staff. Staff received training and support to enable them to effectively meet the needs of the people they supported.