Background to this inspection
Updated
29 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection began on the 4 June 2019 and was unannounced. It continued on the 5 June 2019 and was announced. The inspection team consisted of one adult social care inspector.
Service and service type:
James Burns House 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.’
What we did:
Before the inspection we looked at notifications we had received about the service. A notification is how providers tell us important information that affects the running of the service and the care people receive. We also spoke with local commissioners to gather their experiences of the service.
The provider had completed a Provider Information Return prior to our inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During our inspection we spoke with four people who used the service. We spoke with the registered manager, three team leaders, four support workers, the chef and administrator. We reviewed four people’s care files and discussed with them and care workers their accuracy. We checked three staff files, care records and medication records, management audits, meeting records and the complaints log. We walked around the building observing the safety and suitability of the environment and observing staff practice. After our inspection we spoke with a district nurse who had experience of the service.
Updated
29 June 2019
About the service:
James Burns House is a residential care home that was providing personal care to 19 adults with physical disabilities at the time of our inspection.
People’s experience of using this service:
People told us they felt safe and there were enough staff to meet their needs. Staff understood their role in recognising and reporting any safeguarding concerns or poor practice. People were involved in how their risks were managed. Actions taken to minimise avoidable harm were the least restrictive respecting people’s freedoms and choices.
People had their medicines administered by trained staff who understood the actions needed should an error occur. Infection control processes were in place which protected people from avoidable infections. People had access to healthcare both for planned and emergency events.
Staff had received an induction and had on-going support and training that enabled them to carry out their roles effectively. Care plans were person centred, clear to follow, reviewed regularly and reflected people’s needs and diversity. People had communication plans that were effective in enabling them to be involved in choices and decisions about their care. People’s eating and drinking needs were understood and met. Meals were well balanced and provided people with hot and cold options at each mealtime.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People described the staff as caring. Relationships between people and the staff team were friendly, kind and caring. People described how staff had been emotionally supportive and helped them overcome anxiety and regain confidence.
Staff spoke positively about their roles in supporting people, teamwork and communication. People, families and the staff team had opportunities to share views and feedback through meetings and quality assurance processes. A complaints process was in place that people felt able to use and records showed us concerns were investigated in line with the complaints policy. The leadership promoted an open culture and when things went wrong they were honest and transparent.
Rating at the last inspection:
At our last inspection we rated the home Good (published 10/11/2016).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk