Burger Court

Updated 3 December 2020

The inspection

This was a focussed inspection to check whether the provider had met legal requirements following the inspection in October 2019 where breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014 Regulations were identified relating to Safe Care and Treatment, Staffing and Good Governance. Three key questions were inspected; ‘Is the Service Safe?’ ‘Is the Service Effective?’ ‘Is the Service Responsive?’ and ‘Is the Service Well-Led?’

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

This service is a care home. It provides accommodation and personal care to people living at Burger Court. The service had a manager who had recently applied to become the registered manager with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave 24 hours’ notice of the inspection. Due to the COVID-19 pandemic we wanted to review documentation remotely and make arrangements to speak with people and staff prior to our site visit. This helped minimise the time we spent in face to face contact with the management team.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authorities with whom the service works. On this occasion the provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with three people who used the service about their experience of the care provided. We spoke with five members of staff including the manager, the regional operations manager, regional quality manager, one senior support worker and one support worker.

We reviewed a range of records, some remotely by asking the provider to send us key information prior to meeting with them. We reviewed two people’s risk assessments and multiple health and safety records. We looked at two staff records in relation to recruitment. A variety of records relating to the management of the service, including a number of audits.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records.

Updated 3 December 2020

About the service

Burger Court is a residential care home. The service provides support with personal care and accommodation for up to 17 people. At the time of our inspection, there were eight people living at the home. The service was providing support to people with a range of needs, including younger and older adults with mental health needs.

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

Improvements had been made to the service. Systems and processes had been introduced for the reporting and recording of issues related to safeguarding, accidents and incidents. The management team and wider staff group fully understood their individual and collective responsibilities in this area.

The management of medicines had improved. People received their prescribed medicines when they needed them. The service worked in partnership with other professionals, and the community when able to do so.

There were enough staff available to make sure people received the personal care and support that they needed. People's needs had been assessed and assessments had been used to plan staffing levels. Staff had been recruited safely to make sure they were suitable to work with people at Burger Court.

Since our last inspection we found the provider has completed a full-service review of their training resources provided to staff. Further work was still to be completed to ensure inexperienced or new staff were provided with the care certificate, we have received assurances this will take place. The care certificate is an agreed set of standards that define the knowledge, skills and behaviours expected of specific job roles in the health and social care sectors.

Risks relating to infection prevention and control (IPC), including in relation to COVID-19 were assessed and managed. Staff followed good infection, prevention and control (IPC) practices. They had access to the required personal protective equipment (PPE), and they used and disposed of it safely.

The provider's quality assurance processes had improved and were effective in driving in improvements across the service. This was evident in the premises, fire safety and review of incidents and accidents to ensure people received a safe service. However, we found safety checks connected to the home's passenger lift had not been completed in the correct timeframe. Shortly after the inspection the passenger lift received the appropriate examination and measures were introduced to ensure this would not be missed in the future.

The home had a new manager in post who had worked at Burger Court for approximately three months at the time of our inspection. The feedback we received was positive regarding the changes they made since taking up the role. The current staff team spoke of a positive culture at the home, with good team work throughout.

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 inadequate (published 26 August 2020) and the home has been in special measures since this date. During this inspection the service demonstrated that improvements have been

made. The service is no longer rated as inadequate overall, or in any of the key questions. Therefore, this service is no longer in Special Measures.

At the last inspection we issued the provider Warning Notices for Regulations 9, 12, 17 and 18. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider had met the requirements of the Warning Notices.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link Burger Court on our website at www.cqc.org.uk.

Why we inspected

A decision was made for us to inspect, examine and follow up what improvements had been made since the last inspection in March 2020. Due to the COVID-19 pandemic, we undertook a focused inspection to review the key questions of Safe, Effective, Responsive and Well-led. Our report is only based on the findings in those areas reviewed at this inspection. The rating from the previous comprehensive inspection for the Caring key question was not looked at on this occasion. Ratings from the previous comprehensive inspection for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.