Birchwood Homecaring Services Limited achieved a Good rating across all five key questions at its February 2023 inspection, demonstrating safe recruitment, effective medicines management, person-centred care and strong governance. Minor concerns around visit timeliness due to staffing pressures were acknowledged and being actively addressed by management.
Concerns (2)
minor
Missed or late visits
: “People told us they did not always receive their visits on time. We found people still received care as the provider ensured visits had been made within the provider's 30-minute time window”
minorStaffing levels: “The provider was transparent with us about the recruitment challenges they faced and the actions they had taken.”
Strengths
· Medicines managed safely with regular audits, staff training and direct observation of competency
· Robust safeguarding processes with correct reporting, recording and investigation of incidents
· Person-centred care culture with staff trained in equality, diversity and person-centred care
· Effective risk assessment and care planning systems, regularly reviewed and promptly updated
· Strong governance with quality monitoring systems identifying and actioning areas for improvement
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candour; Continuous learning and improving careGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood