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We are carrying out a review of quality at Burlington Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 15 October 2019

About the service

Burlington Nursing Home accommodates a maximum of 40 people in one adapted building. At the time of this inspection 32 people were living at the home. Most people who lived at the service were living with dementia.

Burlington Nursing Home was located over two floors which are accessible via stairs or lifts. The home had a large communal area and people and families had access to a beautiful garden at the rear of the home.

There had been a history of the service being rated as 'Requires Improvement' and ‘Inadequate’ for three consecutive inspections. At this inspection we found that the provider had worked hard over the past six months to ensure that standards were improved to a good standard of care for people.

People’s experience of using this service and what we found

At this inspection we found significant improvements had been made to embed change and improve the management, culture, oversight and leadership at Burlington Nursing Home. However, further improvement was required to ensure people’s care plans were person-centred and reflective of their needs.

The provider had quality assurance systems in place to monitor the standard of care and drive improvement. People, relatives and staff spoke positively about the culture of the home and said it was well managed. One relative told us, “It’s changed completely. It’s homely. There’s a lot going on, they’ve worked hard.”

People felt safe and told us they enjoyed living at the service. Risks to people had been assessed and staff followed guidance to keep people safe. There were enough staff to meet people's needs. Medicines were managed safely, and staff had been trained in infection prevention and control. Lessons were learned if things went wrong and systems supported people to stay safe and reduce the risks to them, ensuring they were cared for in a person-centred way.

People spoke positively about the staff who supported them and had confidence in their skills and experience. Staff had regular supervision and an annual appraisal. People enjoyed the food and were able to choose what they had to eat and drink. People had access to a range of healthcare professionals and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and relatives told us that staff treated them with kindness and we observed friendly interactions throughout the day. People were encouraged to be involved in daily decisions about their care and support and were treated with dignity and respect.

People received personalised care that was responsive to their needs. Activities were organised according to people's preferences, interests and suggestions. People and relatives told us they felt comfortable to make a complaint and knew how to do this.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 07 February 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 15 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 15 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 15 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 October 2019

The service was not always well-led.

Details are in our well-Led findings below.