- Care home
Burnham
Assessment report published 27 February 2025
Contents
Ratings
Our view of the service
We carried out this responsive assessment between 28 October 2024 and 11 November 2024. We looked at how Burnham assessed and planned for people's care needs, and how they trained and supervised staff to support people according to their needs and preferences. Burnham is a residential care home providing accommodation for persons who require personal care for up to 5 people. The service is registered to provide support to people with learning disabilities and autistic people, older people, younger adults and people with a physical disability. At the time of our assessment there were 5 people with physical disabilities living at the service, some of whom had complex health needs. We spoke with 3 people, 4 relatives, 1 person’s friend and 8 staff during the assessment. The assessment took time as we contacted the care and support staff outside of their working hours to ensure we did not impact on people’s care and support. We made calls to relatives after the site visit, and we reviewed documents and had ongoing discussions with the management team to clarify evidence. We observed care and support in communal areas and reviewed 3 people’s care plans, 3 staff recruitment records as well as general records for the service. These included staff training records, meeting records, policies and procedures and audits. During this assessment we identified 3 breaches of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to risk management, staffing and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People's feedback about the service they received was positive. Comments included, “Staff always knock on my door, that’s my privacy. I get privacy when I have visitors too. I am very happy here” and “I’m really happy. Staff know me well.” People's relatives told us their loved ones were safe and well looked after. They were kept informed about changes in health or incidents and accidents. Relatives said, “They understand [person] and what to do” and “It always feels friendly.” Some relatives felt that their loved ones would benefit from more stimulation and community activities to keep them occupied, stimulated and engaged. Staff supported people in a well-equipped environment, some improvements were needed to infection control practice. People were treated with dignity and respect. Safeguarding concerns were reported to the appropriate authorities. Risks to people were not always identified and risk assessments lacked enough detailed information for staff to know how to keep people safe. Care plans were detailed and people's preferences and choices were documented. Care plans did not always include information about people’s health needs. Some staff had not received all the training they needed to support people safely. There had not always been enough staff deployed to provide support for people. Staff knew people well. The quality monitoring and audit processes were not always robust as these had not identified issues and concerns identified by the inspector. Since the assessment visit the management team have been reviewing these processes to improve the service. Staff gave us positive views about how well supported they were and about the culture within the service, they shared feedback that this had changed for the better since the new management team had been put in post.