Background to this inspection
Updated
10 September 2020
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.
This was a targeted inspection to check whether the provider was compliant with infection prevention and control, and staff culture for reporting concerns.
Inspection team
This inspection was carried out by one inspector and an assistant inspector.
Service and service type
Burlington Court 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 the manager 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
The inspection was unannounced; however, we spoke to the senior carer in charge of the service on the telephone before entering the service. This supported the home and us to manage any potential risks associated with Covid -19.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We checked the information we held about the service including statutory notifications. A notification is information about important events which the provider is required to send us by law. We used all this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us 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 the inspection
We met with four people using the service who were unable to communicate verbally as they were living with dementia, we observed their interaction with staff. We spoke with 13 members of staff including the provider, registered manager, two deputy managers, a unit manager, one senior care staff, four care staff, two cleaners and one administrator.
We reviewed a range of records relating to infection prevention and control. We looked at three staff files in relation staff supervision and a variety of records relating to staff communication including team meetings.
After the inspection
We received a comprehensive action plan from the registered manager which demonstrated they had taken immediate action to improve the infection control measures within the home.
Updated
10 September 2020
About the service
Burlington Court provides accommodation for people who require nursing or personal care for up to 102 people. At the time of our inspection there were 97 people living in the home.
People’s experience of using this service and what we found
People were at the heart of the service. People told us they felt safe, exceptionally well cared for and valued as individuals. Staff fully respected people’s privacy and dignity.
People were supported by very kind, caring and compassionate staff who often went the extra mile to provide high quality care. This high standard of care improved people's quality of life and wellbeing.
Person centred care was evident throughout the service. Care plans were individualised, and people’s desired outcomes were identified. The staff and the management team were passionate about providing people with support that was based on their individual needs and wishes.
Staff knew people very well and had good relationships. The registered manager matched staff and people based on skills, personalities and requests. 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.
The service was extremely well led by managers who were dedicated to providing a service which was responsive to needs. People were free to voice their opinions and felt listened to. Regular meetings and feedback took place to ensure people were treated with dignity and respect in a way that truly valued them as individuals.
People and staff told us, and procedures evidenced that the service worked meticulously to ensure people were cared for holistically.
Systems and processes were in place to ensure people were protected from abuse. Risks were well managed. Staff had been recruited safely and had completed comprehensive training. All staff were committed to non-discriminatory practices and providing high quality care.
People were fully supported with all aspects of their healthcare. The service had a very good relationships with healthcare professionals such as doctors, dentists, speech and language therapists and occupational therapists. Medicines were well managed, and staff followed best practice guidelines when administering.
Staff supported people extremely well during end of life care, and respected people's personal, cultural and religious beliefs and preferences. The home had adopted the Gold standards Framework for end of life care and all staff had received training. The Gold Standards Framework is a toolkit that aims to ensure that people experience good quality care at the end of their life through partnership working with people's GP's, early identification of people who may be approaching the end of their life and advanced care planning to ensure that their preferences for their care at the end of their life are followed.
People were supported when required with eating and drinking. People told us the food was excellent and they also had choices. Nutrition and hydration stations were available throughout the building for people and relatives to get food and drink as they liked.
The environment was inviting and personalised and allowed people a choice of where to spend their time. People were supported to access a range of activities and events that were tailored to meet their needs. Staff supported people to visit places and people that were important to them.
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 Outstanding (published 26 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.