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Burdon Grange Care Home Outstanding

The provider of this service changed - see old profile

Reports


Inspection carried out on 4 December 2019

During a routine inspection

About the service

Burdon Grange is a nursing home in one adapted building providing personal and nursing care to 31 people at the time of the inspection. The service can support up to 31 people.

People’s experience of using this service and what we found

People, relatives and professionals gave consistently positive feedback about the care provided at Burdon Grange. Comments included: “I think this is an outstanding home. The care is fantastic. The staff are kind, caring and keep us safe. My health has improved since I moved here. The physio has really helped my back.”

There was a strong, visible person-centred culture. This was evident from all staff within all roles. From care staff, domestic staff and management. The person-centred culture was embedded at all levels. A staff member commented: “It's about enriching people's lives.”

People were truly respected and valued as individuals, with staff thinking ‘outside of the box.’ For example, one person suffered a close family bereavement and due to having such a proactive, compassionate and kind relationship with staff they felt able to talk to the registered manager and key worker. The service ensured the person received the right professional support to work through their grief.

Staff were exceptional at anticipating people’s needs. We observed this throughout the inspection. For example, sensory stimulation is a very important part of the care provided to people living at Burdon Grange to aid their well-being.

Staff were highly motivated to ensure people received care which was compassionate and kind. The atmosphere in the home was warm and friendly. We saw people had developed strong relationships with staff, and it was evident that this was an important ethos of the service.

Staff created an inclusive, comfortable and safe environment where people were encouraged to overcome obstacles. Promoting people's independence through enhanced communication and technology was central to the service provided at Burdon Grange.

Staff had an excellent understanding of people's individual needs which protected their values and beliefs in a way the person wanted to receive care and support. The approach to care and support meant there was a multi-professional process which aimed at maintaining continuity, independence and autonomy for the person.

Professionals consistently praised the care provided at Burdon Grange. Comments included: “Management are proactive, there appears to be a strong focus on providing opportunities for individuals to partake in many different and varied activities.”

The service supported people to learn new skills and maintain their independence. For example, adult education was introduced at Burdon Grange to compliment the external courses which are facilitated in local centres.

A number of extensive methods were used to assess the quality and safety of the service people received and continuous improvements were made in response to the findings.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service provided safe care to people. One person commented: One person commented: “I feel safe living here.” Medicines were safely managed on people’s behalf.

Care files were personalised to reflect people’s personal preferences. People were supported to maintain a balanced diet. Health and social care professionals were regularly involved in people’s care to ensure they received the care and treatment which was right for them.

There were effective staff recruitment and selection processes in place. People received effective care and support from staff who were well trained and competent.

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

Rating at last inspection

The last rating for this service was good

Inspection carried out on 11 May 2017

During a routine inspection

This inspection took place on 11 and 15 May 2017. The first day was unannounced and the second day was an agreed day so the registered manager would be available. This was the first comprehensive inspection for this provider who took over approximately one year ago.

Burdon Grange provides accommodation for people who require nursing and personal care. They are registered to accommodate up to 30 younger people who have complex physical and nursing needs. Previously they were also registered for the regulated activity of personal care, (providing support to people in their own home) but had recently removed this from their registration.

There was a registered manager running the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People benefitted from a team of staff who were skilled and understood the complex needs of each person. There was a varied activities programme which included various trips and outings into the local community and places of interest.

Care and support was well planned which enabled staff to ensure people received personalised care. People’s safety was considered in every aspect of their care and support. Risks were well documented. Medicines were safely managed. The provider operated safe recruitment processes to ensure only staff who were suitable to work with vulnerable people were employed. Staff knew who they should report any concerns about possible abuse to. They were confident their concerns, ideas and suggestions were listened to and acted upon.

People were supported by a staff team with a range of skills and qualifications. The service employed a part time physiotherapist and occupational therapist to help nursing and care staff provide the right care and support to people. There were sufficient staff available on each shift to ensure people’s needs and wishes were being met. People were confident in staffs’ ability to provide effective and person centred care.

People’s privacy and dignity were fully respected. Staff supported people in a kind and compassionate way. We observed staff supporting people in a way which ensured their dignity and respect was being considered.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Where possible, consent was gained before providing care. Staff were skilled at understanding people’s non-verbal cues. Not all staff knew who was subject to a deprivation of liberty safeguard (DoLS). They did understand about ensuring how to maximise people’s choice and acting in people’s best interests. Since the inspection the provider had given assurances that systems were being put in place to ensure all staff had information about who was subject to a DoLS and what the impact of this was on the ways staff should work with the person.

People were supported to eat a well-balanced diet and they had access to health professionals to make sure they kept as healthy as possible. People said “We are given a huge range and choice of meals.”

The environment was kept clean and safe. We have made a recommendation about individual evacuation plans for people in the event of a fire. Systems were in place to audit the environment, records and care and support provided. People’s views were sought in a variety of ways to help improve the service and ensure their voice was taken into account when planning for the future with such things as activities, room decors and menus. People, staff and visiting professionals believed the management team to be open and inclusive. There was a positive culture of striving to continually improve. The register