Last updated 19 June 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 service was inspected by one inspector, one specialist advisor (a registered learning disability nurse) 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 care service, in this instance older people with dementia.

Service and service type: Burton, Bridge and Trent Court are three buildings covered by one CQC registration. The provider is registered to accommodate and provide personal and nursing care for up to 85 younger or older people who may have mental illness or dementia that may be combined with a physical disability and/or sensory Impairment.

Notice of inspection: This inspection was unannounced on the first day and announced on the second.

What we did: We visited Burton, Bridge and Trent Court on 2 and 3 May 2019. The service had a registered manager. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of care provided. The registered manager was available throughout our inspection.

We reviewed information we had received about the service since they were last inspected by us. We looked at details about incidents the provider must notify us about, such as allegations of abuse, and we sought feedback from the local authority and other professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

We spoke with seven people who lived at the home. Some people were not always able to share their views, so we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with four relatives/friends who were visiting. We spoke with four nurses (one a modern matron), two senior care assistants, three care assistants, one activities coordinator, an occupational therapist, psychologist (who was part of a clinical psychology team), registered manager and nominated individual/provider. We also spoke with a visiting GP. We used this information to form part of our judgment. We looked at eight people’s care records to see how their care was planned and delivered, this including their medication records. Other records looked at included three recruitment files to check suitable staff members were recruited and received appropriate training. We also looked at records relating to the management of the service along with a selection of the provider’s policies and procedures, to ensure people received a good quality service.