Burnham

Updated 5 October 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was completed by one inspector.

Service and service type

Burnham is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and interacted with two others through non verbal communication, about their experience of the care provided. We spoke with five members of staff including the registered manager, the director of care, senior care workers and care workers.

We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 5 October 2019

About the service

Burnham is a residential care home providing personal and nursing care to 5 adults living with physical disabilities at the time of the inspection. The service can support up to 5 people, in one large adapted house.

People’s experience of using this service and what we found

People told us and indicated to us that they felt safe and were happy living at the service. Potential risks to people health, welfare and safety had been assessed and there was guidance for staff to mitigate the risks.

People were supported by staff who had been recruited safely. They had received appropriate training for their role. People told us there was enough staff to support them when they needed and to do the activities they wanted.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were involved as much as possible in developing their care plan. People told us that staff listened to them and respected their decisions. Staff encouraged people to be as independent as possible. People were supported to live as healthy a lifestyle as possible and eat a balanced diet.

People were supported by specialist health care professionals to keep them as healthy as possible. People received their medicines when they needed them. Medicines were reviewed regularly to make sure they remained effective and relevant.

People were treated with dignity and respect. People told us they were supported in the way they preferred. People were given information in ways they could understand, including audio and pictorial.

The registered manager completed checks and audits on the quality of the service. People, relatives and staff were asked for their opinions of the service. When staff and people made suggestions, these were acted upon.

There was an open and transparent culture within the service. Accidents and incidents were analysed, action was taken to reduce the risk of them happening again. People and staff were comfortable in each other’s company. Staff told us the people were at the centre of the service and everything that they do.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 10 January 2018). Since this rating was awarded the registered provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the date the provider changed legal entity.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.