Burlington Hall Care Home

Updated 29 March 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector, an assistant inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.

Service and service type:

Burlington Hall Care Home is a residential care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. However, at the time of the inspection the registered manager was out of the Country and was not available.

Notice of inspection:

The inspection took place over two separate days, the 21 and 25 February 2019. The visit on the 21 February was unannounced and the visit on the 25 February was announced.

What we did:

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the previous report, information we held about the service and notifications we had received from the provider. Notifications inform us about changes, events or incidents at the service that providers must tell us about. We also requested feedback from commissioners involved with the service, and Milton Keynes Healthwatch. (Healthwatch is an independent consumer champion for health and social care).

We spoke with 10 people using the service, four relatives, four staff members, the chef, the deputy manager, the registered provider and a visiting healthcare professional. We reviewed records relating to the care of four people using the service and four staff recruitment files. We also reviewed records relating to staff training, safeguarding, complaints, accident and incidents and medicines management.

Updated 29 March 2019

About the service:

Burlington Hall Care Home is registered to provide accommodation and personal care for up to 53 older people, including people living with dementia. At the time of inspection, 47 people were using the service.

People’s experience of using this service:

• People continued to receive safe care. Staff understood safeguarding procedures that should be followed to report abuse and incidents of concern.

• Risk within people’s lives were appropriately managed, whilst also promoting people's independence. People's medicines were safely managed.

• Staff recruitment procedures ensured that appropriate pre-employment checks were carried out. Staffing support matched the level of assessed needs within the service during our inspection.

• Training was provided to ensure staff had the skills, knowledge and support needed to perform their roles.

• Staff were well supported by the senior management team, through team and one to one supervision meetings. The staff we spoke with were all positive about the senior staff and management in place.

• People's consent was gained before any care was provided. People were supported to have maximum choice and control over their lives and staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice.

• Staff continued to treat people with kindness, dignity and respect. Care plans reflected people’s needs and how they wanted their care to be provided. People and their family were involved in reviewing their care and making any necessary changes.

• The provider had systems in place to seek people’s views about the service and raise any concerns or complaints.

• The service continued to be well managed. Areas identified for improvement were acted upon promptly and lessons were learned through positive communication.

Rating at last inspection: Good (Last report published 26 June 2017)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The rating for the service remained Good overall.

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

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