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Archived: Burdon Grange Care Home Good

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Reports


Inspection carried out on 1 and 2 September 2015

During a routine inspection

This unannounced inspection took place on 1 September 2015. We returned on 2 September 2015 as arranged with the registered manager.

Burdon Grange provides accommodation, personal and nursing care for people with varying physical disabilities. The service also provides personal care to people in their own homes in the local area.

When we visited there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe and staff demonstrated a good understanding of what constituted abuse and how to report if concerns were raised. Measures to manage risk were as least restrictive as possible to protect people’s freedom. People’s rights were protected because the service followed the appropriate legal processes. Medicines were safely managed.

Care files were personalised to reflect people’s personal preferences. Their views and suggestions were taken into account to improve the service. They were supported to maintain a balanced diet, which they enjoyed. Health and social care professionals were regularly involved in people’s care to ensure they received the care and treatment which was right for them.

Staff relationships with people were strong, caring and supportive. Staff were motivated and inspired to offer care that was kind and compassionate.

There were effective staff recruitment and selection processes in place. Staffing arrangements were flexible in order to meet people’s individual needs. Staff received a range of training and regular support to keep their skills up to date in order to support people appropriately. Staff spoke positively about communication and how the registered manager worked well with them, encouraged team working and an open culture.

A number of effective methods were used to assess the quality and safety of the service people received.

Inspection carried out on 31 December 2013

During a routine inspection

Burdon Grange presented as a lively and positive home. People living there, and their families, were fully involved in their care and treatment. One parent told us "the activities and stimulation here is geared towards younger people." The house was clean, though not tidy, and there was a holiday atmosphere as some people left for a trip to the cinema and others prepared for the evening activities.

Staff enjoyed working at the Grange, and we found that many staff stayed in post for a long time, with several people only leaving as they had been encouraged to progress their careers. One member of staff said "I feel well respected and well received here, the manager listens to me. It is a valuing place."

The manager was able to show us everything we asked to see.

Inspection carried out on 13 March 2013

During a routine inspection

People told us they made their own decisions about their care and support. They said “Here we choose to do whatever we want and get all the help we need. I’ve never thought about consent on its own, but as staff always asks me ‘is that alright’ or ‘do I want’ I suppose that is giving consent when I say yes”. “I’ve been here for a long time now. Staff never do anything for me without my say so and that’s how it should be”.

People got the help they needed and wanted. We were told, “I need help with dressing. I choose my own clothes. One of the nurses helps me have a wash, no complaints”. And “I have difficulty standing. I’ve fallen over at home. I’ve been told ‘always ring for us when you want to get up’. I do because I’m frightened of hurting myself and I know I need help anyway”.

We found the extent of activities and one to one support people received was exceptionally good. People benefited the services of a physiotherapist and occupational therapist to help them improve their physical ability. Arrangements were made to make sure people living in the home were cared for safely.

People had their medicines administered safely and when they needed them.

People who used the service benefited from staff that had been subject to necessary character checks to ensure they were fit, trustworthy, and physically and mentally fit to do their job. People were supported to raise any issue of concern and were confident it would be dealt with appropriately.

Inspection carried out on 24 February 2012

During a routine inspection

On the day of our visit, we were told there were 25 people living at Burdon Grange. We spoke with 10 people and overall they told us that they were very happy with the care and support they received. They said the staff were polite and easy to communicate with. Comments included:

“Its lovely here, best home ever.”

“I would not want to live anywhere else.”

“I have lived here since it opened, best home I have been in and they allow pets.”

“I am fully involved in my care.”

“Staff respond quickly if I need them.”

“Staff are lovely, really friendly and always happy. Nothings ever too much, staff will always help me.”

We were told by people living at Burdon Grange that staff supported them appropriately with daily living tasks, including personal care and meeting nutritional needs. During our visit, we observed staff supportively assisting people to meet their personal needs, such as transferring from one area of the home to another with the use of a walking frame.

People told us that the food provided at Burdon Grange was very good. Comments included:

“Foods good, always get a choice and choose on the day.”

“Always like the food here, the kitchen staff are very good at cooking.”

People we saw and spoke with confirmed that they felt safe and supported by staff at Burdon Grange and had no concerns of their ability to respond to safeguarding concerns. They felt that their human rights were upheld and respected by staff.

People we spoke with said that staff were supportive and helpful. Staff knew how to respond to specific health and social care needs and were observed to be competent with such. Staff were able to speak confidently about the care practices they delivered and understood how they contributed to people’s health and wellbeing.

People we spoke with confirmed that Burdon Grange sought their views about the quality of the service they received and that this information was sought by questionnaires and resident meetings. Questionnaires were also completed by family members involved in people’s care. We were able to see that where improvements were needed they were followed up by the home.

Reports under our old system of regulation (including those from before CQC was created)