Burgh Heath Care Centre

Updated 14 January 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.

Inspection team

The inspection was carried out by one inspector.

Service and service type

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

There was a registered manager working at Burgh Heath Care Centre. 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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since it had registered with the CQC. We sought feedback from the local authority and professionals who work with the service. 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 spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, deputy manager and care workers.

We reviewed a range of records. This included three people’s care and medication records. We looked at 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.

After the inspection

We analysed additional information provided by the registered manager.

Updated 14 January 2020

Burgh Heath Care Centre is a residential care home providing personal and nursing care to six people aged 18 and over at the time of the inspection. The service can support up to six people.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home and fitted into the residential area. There were deliberately no identifying signs, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

The service provided to people was safe. Staff had been trained in safeguarding and had a good understanding of safeguarding policies and procedures. Risks posed to people had been assessed and suitable action had been taken to minimise the risk to people using the service. The administration and management of medicines was safe. There were sufficient numbers of staff working at the service.

Staff had received training appropriate to their role. People could choose what they liked to eat and drink and were supported on a regular basis to participate in meaningful activities. People were supported to access support from a range of health professionals when required.

Staff were kind and caring and provided person centred care to people. The people and relatives we spoke with told us staff were caring and compassionate. The principles of respect, dignity, compassion and, equality and diversity were embedded in the service. People were treated as equals regardless of age, gender or personal beliefs.

The service was responsive to people’s needs. Care plans were person centred to guide staff to provide consistent, high quality care and support. Daily records evidenced people were receiving person-centred care. Staff had been trained to provide end of life care where required.

The service was well led. Everyone we spoke with praised the registered manager. Quality assurance checks were in place and were effective in identifying shortfalls within the service. We saw that where issues had been identified, appropriate action had been taken. The registered manager sought feedback from people and their relatives to improve the service. There was a positive culture throughout the service which focused on providing person centred care.

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.

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

Rating at last inspection

This service was registered with us on 30/11/2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on when the service was first registered.

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.