Archived: The Burkitt Care Centre

We carried out this inspection to follow up on warning notices we issued to the provider in respect of the care and welfare of people who use services, cleanliness and infection control, supporting workers and assessing and monitoring the quality of service provision. We had told the provider and manager that the service must be compliant with these notices by 20 January 2014.

We found that people did not experience care, treatment and support that met their needs and ensured their safety and welfare.

We found the systems the provider had in place for identifying and managing cleanliness and infection control were not always working as required and were not ensuring the safety of people who used the service.

We found staff were not adequately trained to deliver care appropriately or safely.

We found there was a lack of auditing in place to monitor the quality of service provision.

The provider was not compliant with the warning notices.

We were concerned that consent was always sought from people prior to the delivery of care or treatment. We were concerned that people's needs were not always assessed and care and treatment was not always planned and delivered in line with their individual care plan.

We were concerned that people were not always protected from the risk of abuse.

We found the systems the provider had in place for identifying and managing cleanliness and infection control, and the maintenance of the premises was not working as required and was not ensuring the safety of people who used the service.

We found there were sufficient staff to meet people's identified needs. However, we found staff were not fully trained to deliver care appropriately or safely.

We found there was a lack of audits in place to monitor the quality of the service being delivered. We found areas of concern in relation to other outcomes of the essential standards of quality and safety. The registered manager or provider had not identified these areas of concern.

We were concerned about the quality and accuracy of records kept by the service.

We found mixed evidence about how people's care and welfare needs were assessed and met at the home. We saw staff interactions with people who had dementia were mainly caring and polite. However, there were not enough staff available to interact with people. We saw the majority of people in the lounge sitting passively in their chairs.

We saw improvements in the specific issues we identified in the general maintenance of the premises at our last inspection. However, we found the systems the providers had in place for identifying and managing maintenance and ensuring cleanliness of the premises and the protection of people who use the service from infections was not working as required.