• Care Home
  • Care home

Burnside Court

Overall: Requires improvement read more about inspection ratings

104-106 Torquay Road, Paignton, Devon, TQ3 2AA (01803) 551342

Provided and run by:
ABC Care Home Ltd

Latest inspection summary

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Our current view of the service

Requires improvement

Updated 30 July 2025

Date of assessment: 5 August 2025 to 20 August 2025. Burnside Court is a care home that provides accommodation for up to 26 people who require personal care. The service specialises in providing care to adults over 65 years living with dementia and/or sensory impairments. At the time of our assessment, 25 people were using the service.

We found some improvements had been made since our last inspection, the service was escalating and recording weight loss, and people’s mattresses were set correctly.

Environmental processes identified at our last assessment had been implemented.

The provider was previously in breach of the legal regulation in relation to fit and proper persons. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.

At this assessment, we found the overall rating of the service remains requires improvement.

We identified 3 breaches of regulation in relation to safe care and treatment, governance and staffing.

The provider was previously in breach of the legal regulation in relation to safe care and treatment and governance. Improvements were not found at this assessment, and the provider remained in breach of these regulations. We also identified a breach in the regulation relating to staffing.

The service did not always do all that was reasonably practicable to mitigate and assess risks, which included the implementation of CCTV. The provider did not always ensure medication was being disposed of correctly and in line with best practice. The provider did not always deploy staff in a systematic approach, ensuring there were enough staff to meet people’s care, support and wellbeing needs. The provider did not always ensure systems and processes were robust and were able to identify the shortfalls identified at this assessment.

We have asked the provider for an action plan in response to the concerns found at this assessment.

People's experience of the service

Updated 30 July 2025

We spoke with 4 people living at the service, 2 health professionals and 8 relatives to help assess and understand how people’s care needs were being met.

Most people were unable to verbally provide feedback on their experience of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. For more information relating to our observations, please see the person-centred section of this report within responsive.

People felt safe, and relatives told us they felt their loved ones were safe at the service.

One person told us, “I feel safe here, I couldn’t manage at home. The carers make me feel safe”. A relative told us, “(Person’s name) is really well looked after. They’re very compassionate. Care has been absolutely excellent”.

Relatives told us they knew who the management team were, and they were approachable.

Most people and relatives were positive about the management team and service. However, our assessment found there were issues to address in the quality of the service, which may have affected people’s experience.