30 May 2019
During a routine inspection
Birchmere Mews accommodates up to 63 people in a purpose-built building. It provides residential care to older people, younger adults, people with a mental health condition, dementia, a physical disability and sensory impairment.
People’s experience of using this service
People's needs were assessed before they moved into the home to make sure these could be met and it was the right place for them to live.
There was an effective system to identify risks associated with people’s care. These were identified, recorded and regularly reviewed to keep people safe. Health professionals were contacted, where appropriate, to support people’s healthcare needs.
People felt safe and spoke positively of the staff and of living at the home. Staff understood what they needed to do to keep people safe. Where people lacked capacity, this had been identified and people were supported with decision making where needed.
Staff were recruited safely and there were enough staff to meet people’s needs. Staff received on-going support, training and supervision to be effective in their roles.
Staff knew people well and ensured people had access to social activities and stimulation to maintain their wellbeing in accordance with their preferences.
The environment was clean, and staff followed good infection control practice.
People received their medicines when they needed them, and medicines were managed safely by suitably trained staff.
People's nutritional and hydration needs were met. People were offered a choice of meals and snacks on a daily basis and staff understood and supported people's dietary needs.
Staff cared about people and were responsive to their needs. Care plans supported staff to provide
personalised care. People had opportunities to maintain positive links with the community and there were plans to further expand these.
People were supported to be independent. Signage and visual prompts were limited to support people to find their way around the home. Actions were in progress to review the environment to ensure this fully supported people living with dementia.
Staff understood how to respect people privacy and dignity and people told us this was maintained.
People's end of life wishes were discussed with them as appropriate and specific decisions were documented to ensure their wishes were respected.
People and their relatives felt at ease to raise any concerns with staff and said any issues discussed with the registered manager were effectively acted upon.
Systems to monitor the quality and safety of the service were in place to ensure staff followed the required policies and procedures to keep people safe and meet their needs. People, staff and relatives had opportunities to voice their views of the service through planned meetings or quality questionnaires. Feedback from people, their relatives and staff was welcomed to drive improvement.
Health and safety checks were carried out to make sure equipment and the environment was safe for people.
At this inspection, we found the evidence supported a rating of 'Good' in all areas.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This was the first inspection to this service under the new registered provider.
Why we inspected
This was a planned inspection for the newly registered service.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.