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Inspection Summary

Overall summary & rating


Updated 13 May 2021

Burgess Manor is a residential care home providing personal and nursing care to 41 people at the time of the inspection. The service is registered to support up to 53 people.

People’s experience of using this service

People we spoke with told us they felt safe in the home.

Arrangements were in place for checking the environment to ensure it was safe in relation to infection control and the threat of Covid-19. We found the policies and procedures in place followed current national guidance.

We spent time on the mental health unit as there had been several recent safeguarding concerns involving management of risk and challenging behaviour. People were settled on the unit and any risks in relation to their mental health needs had been carefully assessed.

The home was staffed appropriately. There was a core of long serving staff in the home who had good knowledge and rapport with the people they supported.

Staff had been trained in safe holding and de-escalation, but this had not been updated for some time. The registered manager and the trainer for the company had recently attended external update training and would be rolling this out to staff. We had some discussion around staff support following incidents of restraint and the registered manager assured us this would be included in any updated policy for the home. Episodes of restraint were minimal and were carefully recorded and monitored through the home’s quality assurance processes.

There had been settled management of the home since the last inspection. People felt the care staff had the skills and approach needed to help ensure they were receiving the right care. Staff we spoke with felt supported by the registered manager and enjoyed working at Burgess Manor.

Rating at last inspection:

The last rating for this service was Good (published 23 January 2020).

Why we inspected:

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. A decision was made for us to inspect and examine those risks. We had concerns about the way the provider was managing policy and practice related to infection control; specifically, around COVID19. We also received some safeguarding concerns about the way staff responded to managing clinical risk for people.

The Care Quality Commission have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about.

Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 13 May 2021

Inspected but not rated



Updated 13 May 2021



Updated 13 May 2021



Updated 13 May 2021



Updated 13 May 2021

Inspected but not rated.