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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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

The manager told us that there are a number of systems in place to assess and monitor the quality of care provided.

Two annual surveys were undertaken one of visitors and one of Residents/Relatives. The last two surveys were undertaken in 2012 and the results of these showed that five people had returned the visitors survey with 100% of returns having positive comments. Eight people had returned the residents/relatives survey and 100% of these returns were also positive. The questionnaires included questions such as “How do you feel residents are care for by staff?” and if people had the opportunity to express their views about the home. Responses included comments such as “a very good service”, “the staff are always cheerful and friendly”, staff are always helpful, “staff very attentive towards residents” and residents are well cared for”.

The organisation also subscribes to the British Standards Institute Quality Management System ISO 9001:2008. This is quality management system that helps organisations to continually monitor and manage quality and involves two inspection visits a year. The last inspection undertaken by the British Standards Institute was on 30.11.12. The outcome of the inspection was that all areas assessed during the visit were found to be effective and necessary corrective action identified at the previous inspection had been implemented. Burnside Court also holds the Investors in People award and has done so for a number of years. This showed that the organisation involves external agencies in assessing quality of the services it provides.

We looked at the accident/incident report file. We noticed that incidents were reported when no apparent injuries had been observed, most of which were a result of falls. This suggested good recording of accidents. The front of the file contained a summary sheet which included reference to the incident, the outcome and who had been informed, i.e. Accident and Emergency or Reporting of Injuries, Diseases and Dangerous Occurrences (RIDDOR). This gave an up to date picture accidents and incidents. Handover meetings and handover notes provided a means of communicating with staff any issues related to learning through these reports. The organisation subscribes to Mentor (Royal Bank of Scotland) that provides advice and updates on Employment Law and Health and Safety Issues. This showed that the organisation has advice and processes in place to deal with and learn from accidents and incidents.

One relative we spoke with told us that they “could not think of anything bad to say” and “were happy with everything they had seen”. Another relative told us that they had been “impressed with the homes leadership” and that was why they decided Burnside Court as a suitable place for their relative.