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Burnside Court Requires improvement

All reports

Inspection report

Date of Inspection: 25 February 2013
Date of Publication: 22 March 2013
Inspection Report published 22 March 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 25 February 2013, observed how people were being cared for and talked with carers and / or family members. We talked with staff.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

There were twenty five people living at Burnside Court. On the day of our inspection seven people stayed in their room for different of reasons. People were not able to tell us about their experience of living at Burnside and so we observed people in the lounge and dining room.

We arrived early and saw people just finishing their breakfast. We observed staff asking people what they would like eat and how many pieces of toast people wanted. During the morning we saw people being transferred from wheelchairs to armchairs using a hoist. During the transfers staff explained to people what was going to happen and spoke reassuringly throughout the process. Time was taken to ensure people were comfortable and gentle prompts were given as required. At lunch time we saw people asked if they wanted to come to the table for their meal. People that needed assistance were helped appropriately. One person was a little disorientated when they stood up the care worker reassured them and explained they ”could get their bearings, there was no rush”. We observed staff offering people the choice of salt and vinegar with their meal of egg, chips and beans. One person said she didn’t want chips and so the carer arranged for the chef to provide mashed potatoes. Staff responded quickly when one person asked for a drink and throughout the meal people were asked if the had eaten enough and offered a choice of drinks. We spoke with a Podiatrist who was visiting on the day of the inspection. She told us that “people were treated respectfully and there was no indication of people being treated inappropriately”. This showed that staff treated people with respect and took time to ask people what they wanted and offered people choices.

We spoke with three staff, two senior care staff and a care worker who had worked with the organisation for between four and eight years. They all told us that some people required help with all personal care tasks but they tried to help people remain independent for as long as possible by offering choices and encouraging people to do as much as they could for themselves. One care worker told us that in the morning they “knock on the person’s door and ask them if they would like to get up and get dressed”. They told us that if the person refused to get up their action would depend on what the situation was. They gave the example of someone just wanting a lie in and said “this was fine and they would come in twenty minutes or so and ask them again”. If they noticed that the person had been incontinent and therefore it was preferable for them to get up they would explain why this was important and work hard to encourage them to do so. All care staff we spoke with told us that they asked what they would like to wear and made choices as “simple as possible”. They told us that they break tasks down into little steps and gave an example of putting the soap and water on the flannel so the person could wash themselves or they might run the water and ask the person if they would like to wash. This showed that staff encouraged people to do as much for themselves as possible to help retain their independence.

We were told that there are usually activities organised each day of the week. These activities range from quizzes, gentle exercise and music and singing sessions. Every two weeks animals are brought for people to stroke and talk about. People came to Burnside Court to facilitate these group sessions. On the day of our inspection we observed a gentle exercise session being run which a small group of people actively participated in.

Burnside Court specialises in caring for people with dementia we asked staff about the Mental Capacity Act (2005). They told us that people can make unwise decisions and this does not mean that they lack capacity. They understood that people’s capacity to make decisions can change from day to day and vary between different decisions. Staff told us that they tried to explain to the person so they u