- Care home
Burlington Mews Care Home
Assessment report published 12 October 2026
Contents
Ratings
Our view of the service
Date of assessment: 28 July 2026 to 30 July 2026
Burlington Mews Care Home is a Residential Care Home which provides accommodation and personal care for up to 57 older people, some of whom were living with dementia and complex health needs. At the time of inspection, there were 27 people living at the service. This assessment was carried out due to information of concern we received regarding medication errors and ability to safely care for people.
Burlington MewsCare Home is a newly registered service, registering with the CQC on 24 November 2025. Due to this, considerations were made during our assessment that understands the service is a work in progress. At the time of inspection, there was no registered manager in place, and the service was being overseen by the nominated individual.
There was a good learning culture where incidents were investigated and improvements made. We found that there were enough staff with the right skills and experience to maintain a level of safety. However, there were not enough staff to actively promote creative ways to improve people’s lives. People were protected and kept safe. Staff understood and managed risks. Managers made sure staff received training, but regular support to maintain high-quality care was inconsistent. Staff worked with all agencies involved in people’s care. The facilities and equipment met people’s needs. People were involved in assessments of their needs. They monitored people’s health to supported healthy living. Staff involved those important to people in people’s best interests where they did not have the mental capacity to make specific decisions.
People were treated with kindness and compassion. They treated people as individuals and supported their preferences. Staff protected their privacy and dignity. People had choice in their care and were encouraged to maintain relationships with friends and relatives.
Leaders and staff did not always have a shared vision and culture based on listening, learning and trust. Staff did not always feel valued, listened to or involved in decision making. The provider worked with the local community. The management team did not always support staff morale, wellbeing, development and progression.
People's experience of this service
People’s experience of Burlington Mews was consistent. Many people and relatives spoke positively of the kindness and compassion shown by staff. People voiced that they felt safe. People described how staff treated them kindly and made sure any personal care was done sensitively, preserving their privacy and dignity. Comments included that people felt that staff had a “comfortable approach.”One person commented, “I have no concerns on how staff treat me.” People also voiced that they felt the quality of support varied depending on who was working. People declared that although the care provided was good, there were not enough staff present. A person said, “The girls are lovely. There are just not enough of them.” This feedback was consistent with people and relatives. A relative told us, “It can be difficult to pin anybody down in the place, staff wise it is lacking.” We used a structured observation tool to assess how people received good care. This approach showed people were included and listened to and staff consistently interacted positively with them during mealtimes. People felt that they were able to go to staff with concerns.