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Burton Closes Hall Care Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 25 May 2019

About the service:

Burton Closes Hall is a care home that provides personal care and nursing for up to 58 people. The accommodation is established over two buildings. However, the provider has taken the decision to only use one building. This building is set over two floors. There are communal spaces on the ground floor and access to a secure outside space. There are bedrooms on both floors with bathing facilities. At the time of the inspection there were 26 people using the service.

People’s experience of using this service:

The provider had completed audits to support the quality of the home, however some areas had not been addressed swiftly to reduce the impact on the person. Other areas which had been identified had not been followed up to ensure any changes were embedded. People’s views had been obtained, however no action had been taken to consider how to address any required outcomes or how to share the information.

People using the service were not always supported to have meaningful activities in relation to their hobbies or interests. The environment did not provide orientation guidance for people living with dementia or information in different formats.

There were enough staff to support people’s personal needs, however there were not always enough staff to support the opportunities for interactions or required paperwork.

There was a choice of meals and dietary requirements were catered for. However, the provider recognised that further work was required in this area to make the meal times a more social experience.

Staff had been recruited appropriately to ensure they were suitable to work with people. There was an established group of staff who knew people well. This enabled them to provide care which was personal and supported people’s daily choices and preferences.

People’s dignity was maintained, and consent obtained before care was provided. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People’s health care was supported with established partnerships from a range of professionals. Information about people’s care was only shared with those relevant or at the persons permission. Relatives were made welcome at the home.

Any risks had been assessed and measures put in place to reduce the risks. Medicines was managed safely and in line with current guidance. People were protected from the risk of harm with staff having training in safeguarding and understanding the importance of reporting any concerns.

Staff had received training for their roles, which enabled them to develop their skills in providing care which was in line with current guidelines to ensure safety and good practice. Lessons had been learnt from events.

Care plans were detailed and reflected the individual’s needs to support their care, this included any religious or cultural needs. There were regular services provided from the local religious denominations.

There was a complaints policy which was used to address any concerns raised. The providers rating was displayed on their website and within the home as required. We had received notifications of events and incidents and this enabled us to reflect on the action the provider is taking to ensure people’s ongoing safety.

Rating at last inspection: Requires Improvement (Published June 2018)

Why we inspected: The inspection was prompted in part by notifications and concerns raised by relatives and health and social care professionals. At this inspection we found the service continues to be ‘Requires Improvement.’

Enforcement: We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.You can see what action we told the provider to take at the back of the full version of the report.

Follow up: We will continue to monitor intelligence we receive about the service until we return to

Inspection areas



Updated 25 May 2019

The service was safe

Details are in our Safe findings below.



Updated 25 May 2019

The service was effective

Details are in our Effective findings below.



Updated 25 May 2019

The service was caring

Details are in our Caring findings below.


Requires improvement

Updated 25 May 2019

The service was not always responsive

Details are in our Responsive findings below


Requires improvement

Updated 25 May 2019

The service was not always well-led

Details are in our Well-led findings below