The Burroughs

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider assessed people’s needs. However, assessments and care plans had not always been updated in a timely way following changes in people’s needs. This placed people at risk of unsafe or inappropriate care. We discussed this with the registered manager who agreed they would review the processes for reassessing needs and updating care plans. Staff had a good knowledge of people’s individual needs.

People and their relatives told us they were asked for their views, and these were incorporated into assessments and plans. A relative explained, “I was included in the care plan discussions. It was well documented.”

The provider did not always ensure people received evidence-based care. Some people felt staff did not have the skills or knowledge to meet their needs. For example, a person explained staff did not know how to respond during an incident when they needed support. We discussed this with the registered manager who investigated this concern. Some relatives felt staff did not always have the skills to understand how to care for people with dementia. Some staff were unable to describe key processes to us. We also discussed this with the registered manager who told us they would review staff skills and ensure additional training was provided where needed. Staff had undertaken training relating to dementia and some senior staff had completed more advanced training. However, the registered manager acknowledged further work was needed to ensure learning from training was embedded.

The management team kept updated with changes in legislation and good practice. Information was cascaded to staff. Some staff took on extra roles within the home specialising in specific areas. Staff worked closely with external professionals.

Staff worked well with each other and external professionals to make sure information was shared and people received joined-up care. Staff attended regular meetings with each other and managers. A staff member told us, “We have regular supervision and team meetings where we can discuss the service.”

External professionals told us staff made timely referrals and asked for support when needed. They explained staff followed their guidance. Their comments included, “Staff make time to support me during visits” and “Staff follow our guidance.”

Staff supported people to live healthy lives. Staff assessed people’s healthcare needs and worked with external professionals to monitor and meet these. External professionals told us they had seen improvements in people’s health and wellbeing. Their comments included, “Staff help improve people’s health” and “Staff know the residents well and make referrals when needed.”

People told us they were able to see doctors when needed and were supported to access other medical services.

People were provided with healthy, freshly prepared food. People liked the food and were able to make choices. Staff understood when people had specialist dietary needs. Staff supported people to stay mobile and active.

Staff monitored people’s wellbeing and outcomes. For example, monitoring people’s skin conditions, weight, nutritional intake and hydration. Staff reported any concerns so that people could receive the treatment and support they needed. A professional commented, “I feel confident that if staff were concerned about a person, they would reach out for support.”

Staff helped people to identify the outcomes they wanted to achieve. They met with people each month to discuss these and to check if they were happy with their care and support.

People consented to their care and treatment. Staff obtained consent before providing care and respected their decisions. Some people did not have the mental capacity to make certain decisions about their care or treatment. The provider worked with their relatives or representatives to help make sure decisions were made in their best interests. The provider obtained information about people’s legal representatives and lasting powers of attorney. They obtained their consent when making decisions.