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Inspection Summary


Overall summary & rating

Good

Updated 5 December 2020

Burnham Lodge 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. The service provides care to a maximum of 60 people. On the day of our inspection, 28 people were living at the service.

We found the following examples of good practice.

Visitors had their temperature taken and were asked about their health to identify signs of infection. There was clear signage and all visitors wore personal protective equipment (PPE). At the time of our visit the home was closed for non-essential visitors, but we observed a garden visiting area which had been in use. This promoted social distancing and included a canopy for the comfort of residents. The registered manager had also identified where a transparent screen would be used to accommodate safe visiting during winter months.

The home was registered to regularly test staff and people using the service for COVID-19 infection. The service had a good supply of testing kits and acted immediately where test results confirmed a positive result. Systems were in place to isolate affected residents to minimise the risk of infection spread. This included personalised infection control care plans, to ensure individuals were appropriately supported, with a one to one carer if required. People’s social and emotional needs had also been considered, and staff offered one to one activities.

We observed staff wearing appropriate PPE, including the use of face visors where additional eye protection was needed. PPE stock levels were monitored on a weekly basis and staff had received training on infection prevention and control. Audits took place to monitor infection prevention and control across the service.

Safe processes were in place to admit new residents from the community or a hospital setting. This included testing for COVID-19 and a period of isolation on arrival. We have signposted the provider to resources to support them to update their infection prevention and control policy to ensure it reflected their current admissions practice and relevant government guidance for new admissions.

We observed changes made to the service’s environment to help promote social distancing. Seating in dining areas had been arranged to ensure people were seated at a safe distance. Where people used communal lounges, staff encouraged people to sit at a safe distance from one another.

Regular cleaning was undertaken to minimise the risk of infection. In addition to routine daily cleaning, all staff worked together in sanitising areas which could pose a higher risk of cross infection four times daily. This included surfaces, door handles, hand rails and light switches. We observed this activity twice during our visit. We provided feedback regarding items in a fridge which required open-date labelling, the storage of personal belongings in a cleaning cupboard, and a janitorial sink which required sanitisation. All issues identified were quickly rectified before the end of our visit, and we were satisfied appropriate actions had been taken. The premises were generally kept in a clean and hygienic condition throughout and we reviewed completed cleaning schedules.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 5 December 2020

We were somewhat assured the service was following safe infection prevention and control procedures, to keep people safe.

Effective

Good

Updated 5 December 2020

Caring

Good

Updated 5 December 2020

Responsive

Good

Updated 5 December 2020

Well-led

Good

Updated 5 December 2020