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Burleigh House Requires improvement

All reports

Inspection report

Date of Inspection: 30 November 2011
Date of Publication: 19 December 2011
Inspection Report published 19 December 2011 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

People receive safe and appropriate care.

User experience

People we spoke with told us they could get up and go to bed when they wished. They said they felt in control of their lives and one person told us, “I like to be in my bedroom, I can come and go as I please.” Another person said, “I like my room it is peaceful. I’m not bored, I like to look at the scenery from my window.”

People we spoke with told us that staff were helpful and supportive. Three people told us that they were happy at the home. People told us the staff were friendly and responsive to their needs and they liked the staff, who treated them with respect. They felt that the staff promoted their dignity and privacy and we observed staff supported people discreetly. People were encouraged to do as much for themselves as possible. For example, people chose their own clothes and were encouraged to maintain mobility. When the staff visited bedrooms we saw they knocked on the door and waited until they heard they could enter.

We saw staff spending time with people and supporting them in the way they wanted to be supported. People were able to spend time with others, or spend time in their rooms depending on their choice.

We saw that the staff had a good rapport with people who lived in the home and talked about events and experiences they had shared. Staff told us about people's interests, their life and family and it was evident they knew them well.

We observed care and saw that it was unrushed; the staff knew the people and their individual likes and wishes. Staff showed people genuine warmth and respect whilst encouraging positive interactions. The way the staff went about their work created a calm atmosphere. Staff responded well to the needs of individual people, which enhanced their sense of well-being and comfort.

We observed the staff engaged quietly with those who were disorientated or distressed. People were regularly checked to ensure they were happy or wanted something to eat or drink. People using the service confirmed their call bells were answered.

We asked all the staff on duty if they felt they had enough time to support people using the service. Their comments included,” There is no rush or stress, I give the best to my ability. Life here for people is very flexible, choices are always given.”

The staff confirmed they were able to discuss working practices and plans of care. Staff could identify further training needs, and where possible suitable training was organised in the home or used external services. Supporting the staff and keeping up to date with care practices meant people were able to receive support from trained and competent staff.

Staff commented they felt there was enough information within the care records so they knew how to support people using the service.

We checked medication management for one person and saw that records and audits were correct. Current medication was kept in a locked cupboard. However, additional stocks of medication were kept in a locked filing cabinet. This maybe unsafe and the provider should ensure this is safe and suitable and complies with the law.

Other evidence

We spoke with the local authority to share information on the concerns we received before our visit. The local authority told us they will review people who use the service to ensure they are satisfied with the care provided. The local authority undertook a quality monitoring visit on 29 November 2011 and will revisit on 12 December 2011, they have not raised any concerns with us following the first visit.

We saw that prior to people moving to Burleigh House, assessments were completed in order to develop care records. These recorded details of people's needs and interests. We looked at one care record and it contained clear information of how assessed needs were to be met. They were individually written and reflected the person’s personal wishes and preferences.

The care records showed that people living in the home had a care plan and that a daily entry was made in their care records. This meant information was current and up to date.

Care records showed that people in the home were registered with a GP, and had received monitoring and treatment of their physical health care needs. People also had contact with the community mental health teams. The manager said there were regular meetings with community mental health teams about the care of people living in the home and records reflected this.

Risk assessments identified individual risks to promote and protect people's safety and well-being. These were regularly reviewed so that any new information could be identified and included.

We saw a number of radiators were unguarded and these may cause a risk to people.

Some people who lived at the home did not have a personal emergency evacuation plan (PEEP). The aim of a PEEP is to provide information for people who cannot get themselves out of a building unaided during an emergency situation.

Some information within the home needed updating, for example the complaints procedure did not offer the correct information and the home did not visually promote what was happening within the home. There was not any information on the menu of the day or activities and when they occurred. We asked seven people what was for lunch no one could recall. We observed the television was left on whilst lunch was served which was not in view for people eating their lunch.

People said they enjoyed the food at Burleigh House. One person said, “I get all the food I need, it is lovely.” We noted there was a good variety and choice, the food was well cooked and nicely presented.