Birdscroft Nursing Home

Birdscroft Nursing Home, located at 16 Highfields, Ashtead, Surrey, KT21 2NL, underwent a recent inspection by the Care Quality Commission (CQC). This report summarises the findings of that inspection, offering insights into the home's performance across key areas. The inspection aimed to assess the quality and safety of care provided to residents, with a particular focus on improvements since the previous review and ongoing adherence to regulatory standards. The summary below highlights the core observations for families considering this home for their loved ones.

In terms of safety, while there are enough staff and safe recruitment processes are in place, some risk assessments lacked detail for staff on how to mitigate risks. Additionally, environmental checks did not always identify shortfalls, and some bed rails were found in poor repair, with delays in addressing necessary repairs. There were also concerns regarding unpleasant odours in certain areas and instances where staff did not follow best practice for handwashing and linen management.

Looking at effectiveness, the home has improved its rating in this area. Staff are well-trained and supported, with new staff undertaking induction and the Care Certificate. Residents and healthcare professionals noted the staff's good understanding and application of care needs. While consent is generally sought, there were some inconsistencies in how the Mental Capacity Act principles were applied, with a recommendation made for more consistent and accurate application.

The service is described as caring, with residents and their families speaking positively about staff engagement, stating they are treated with respect and dignity. There's an activities programme developed with residents' input, and people feel listened to and their views are valued. Staff also feel supported in their roles and career progression.

Regarding responsiveness, the home has a well-developed activities programme, and residents are encouraged to share their preferences and suggestions. Communication with residents and staff is generally good, and residents feel their contributions are valued. The home also facilitates visits from family and friends in accordance with government guidance.

On how well-led the service is, while there are quality assurance processes, they did not always identify areas for improvement, including potential infection risks and environmental issues. Governance systems need to be strengthened to consistently support safe care delivery. Policies and systems were not always fully supportive of best interest decisions, with limited evidence for how these were made and capacity assessments not always consistently recorded.