Burston House

Updated 9 January 2024

Burston House provides specialist hospital care to patients with a primary diagnosis of a learning disability both within Low Secure and Rehabilitation and Recovery services

The location is registered by the Care Quality Commission for the provision of:

• Assessment or medical treatment for persons detained under the Mental Health Act 1983
• Diagnostic and screening procedures
• Treatment of disease, disorder or injury.

The service has 2 wards:

• Kestrel ward is a 15 bedded low secure ward for males over the age of 18
• Rectory ward is an 8 bedded rehabilitation ward for males over the age of 18

The service did not have a registered manager in post since September 2023 but was actively recruiting to the post and had Hospital Director cover in place.

Burston House has been registered with the Care Quality Commission since December 2010 and was last inspected in February 2019. Following the last inspection, a requirement notice was issued under Regulation 12 for the service to complete medication audits.

We found that the service had fully met this requirement.

What people who use the service say

We spoke with 8 people who told us they sometimes feel unsafe when other people are behaving in an aggressive or challenging way but that they could talk to staff about how they felt.

People told us they had a good range of activities and visits out of the hospital, that the food was of good quality, and they had good support with physical healthcare.

Updated 9 January 2024

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Model of Care and setting that maximises people’s choice, control and independence.

Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

SUMMARY

Our rating of this service stayed the same. We rated it as good because:

• People’s care and support was provided in a safe, clean, well equipped, well-furnished and well-maintained environment which met people's needs.
• People were protected from abuse and poor care. The service had sufficient, appropriately skilled staff to meet people’s needs and keep them safe.
• People were supported to be independent and had control over their own lives. Their human rights were upheld.
• People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each person’s individual needs. People had their communication needs met and information was shared in a way that could be understood.
• People’s risks were assessed regularly and managed safely. People were involved in managing their own risks whenever possible.
• If restrictive practices were used, there was a reporting system in place and there were comprehensive reviews to try and reduce the use of these practices.
• People made choices and took part in activities which were part of their planned care and support. Staff supported them to achieve their goals.
• The service provided care, support and treatment from trained staff and specialists able to meet people’s needs. Managers ensured that staff had relevant training, regular supervision and appraisal.
• People and those important to them, including advocates, were actively involved in planning their care. A multidisciplinary team worked well together to provide the planned care.
• People were in hospital to receive active, goal-oriented treatment. People had clear plans in place to support them to return home or move to a community setting. Staff worked well with services that provide aftercare to ensure people received the right care and support when they went home.
• Staff supported people through recognised models of care and treatment for people with a learning disability or people with autistic spectrum conditions. Leadership was good, and governance processes helped the service to keep people safe, protect their human rights and provide good care, support and treatment.

Updated 9 January 2024