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Inspection carried out on 26 May 2017

During a routine inspection

Burrell Mead is a care home that provides accommodation and personal care for up to 22 older people. It is located in West Wickham in the London borough of Bromley. At the time of this inspection 20 people were using the service.

At our inspection of this service on 5 and 7 May 2015 the service was rated Good. However a breach of a legal requirement was found. This was because although people's care and support needs were assessed there were no guidelines in place for staff on how they should support people to meet these needs. At our focused inspection on the 15 June 2016 we found that the provider had complied with this legal requirement.

At this inspection we found the service remained Good. The home demonstrated they continued to meet the regulations and fundamental standards.

People told us they felt safe living at the home. Training records confirmed that all staff had received training on safeguarding people from abuse. There was a whistle-blowing procedure available and staff said they would use it if they needed to. We observed a good staff presence at the home and staff were attentive to people’s needs. Action was taken to assess any risks to people using the service. Risk assessments included information for staff about action to be taken to minimise the chance of accidents occurring. Medicines were managed appropriately and people were receiving their medicines as prescribed by health care professionals.

Staff had the knowledge and skills required to meet people needs. The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. People using the service told us they enjoyed the meals provided to them and could choose what they wanted to eat. People were supported to maintain good health.

People had been consulted about their care and support needs. The home had a well-established staff team. Most of the staff team had worked at the home for a long time and knew people very well. People’s privacy and dignity was respected.

People told us there were plenty of activities to partake in if they wished to do so. People’s care and support needs were assessed before they moved into the home. Care plans and risk assessments included detailed information for staff about how people’s needs should be met. The home had a complaints procedure in place and people said they were confident their complaints would be listened to and acted on.

The home had a registered manager in post. They had managed the service for nearly two years and they were knowledgeable about the requirements of their role. The provider recognised the importance of regularly monitoring the quality of the service. The provider sought the views of people using the service, their relatives and friends through residents and relatives meetings and satisfaction surveys.

Inspection carried out on 15 June 2016

During an inspection to make sure that the improvements required had been made

We carried out an unannounced comprehensive inspection of this service on 5 and 7 May 2015 at which a breach of a legal requirement was found. We found that people’s care and support needs were assessed, however there were no appropriate guidelines in place for staff on how they should support people to meet these needs. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Burrell Mead’ on our website at www.cqc.org.uk.

We undertook this focused inspection on the 15 June 2016 to check that the provider had complied with this legal requirement. This report only covers our findings in relation to the follow up on the breach in respect of person-centred care, Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities Regulations 2014).

We found that the provider had addressed the breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities Regulations 2014).

Inspection carried out on 5 and 7 May 2015

During a routine inspection

Burrell Mead is a care home that provides accommodation and personal care for up to 22 older people. It is located in West Wickham in the London borough of Bromley. At the time of this inspection 20 people were using the service.

At our inspection of this service on 5 and 7 May 2015 the service was rated Good. However a breach of a legal requirement was found. This was because although people's care and support needs were assessed there were no guidelines in place for staff on how they should support people to meet these needs. At our focused inspection on the 15 June 2016 we found that the provider had complied with this legal requirement.

At this inspection we found the service remained Good. The home demonstrated they continued to meet the regulations and fundamental standards.

People told us they felt safe living at the home. Training records confirmed that all staff had received training on safeguarding people from abuse. There was a whistle-blowing procedure available and staff said they would use it if they needed to. We observed a good staff presence at the home and staff were attentive to people’s needs. Action was taken to assess any risks to people using the service. Risk assessments included information for staff about action to be taken to minimise the chance of accidents occurring. Medicines were managed appropriately and people were receiving their medicines as prescribed by health care professionals.

Staff had the knowledge and skills required to meet people needs. The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. People using the service told us they enjoyed the meals provided to them and could choose what they wanted to eat. People were supported to maintain good health.

People had been consulted about their care and support needs. The home had a well-established staff team. Most of the staff team had worked at the home for a long time and knew people very well. People’s privacy and dignity was respected.

People told us there were plenty of activities to partake in if they wished to do so. People’s care and support needs were assessed before they moved into the home. Care plans and risk assessments included detailed information for staff about how people’s needs should be met. The home had a complaints procedure in place and people said they were confident their complaints would be listened to and acted on.

The home had a registered manager in post. They had managed the service for nearly two years and they were knowledgeable about the requirements of their role. The provider recognised the importance of regularly monitoring the quality of the service. The provider sought the views of people using the service, their relatives and friends through residents and relatives meetings and satisfaction surveys.

Inspection carried out on 2 April 2013

During an inspection to make sure that the improvements required had been made

People we spoke with said that the staff at the care home were friendly and helpful. One relative we spoke with said that “there’s a culture of caring here”. Relatives said that staff were available when they needed them and spoke to them in a pleasant manner. They said in their observations that they had noted staff to be considerate and not rushing people.

We found that the staff received support and training in different aspects of care and demonstrated an understanding of safeguarding of vulnerable adults. Care records were stored securely and were mostly accurate.

Inspection carried out on 24 October 2012

During a routine inspection

People we spoke with said that the staff were caring and friendly. They were happy with the care provided at the home. One relative we spoke with said, "the staff are very caring and helpful. In all these years that my father has been here, I have never had any reason to complain." One person who lives at the home said, “I get all of the assistance I need.” They said that staff were available when they needed them.

However, on our visit we found gaps in staff training and their understanding of safeguarding of vulnerable adults, incomplete documentation of care plans and lack of regular supervision and support provided to staff.