This inspection was carried out on 10 April 2018 and was announced.Burham Court is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to people with learning disabilities and autism.
Not everyone using Burham Court receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. There were two people receiving support with personal care.
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good.
The service had a registered manager. 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. The registered manager was also the provider.
Risks were appropriately assessed and mitigated to ensure people were safe. Medicines were managed safely. Records evidenced that people had received their medicines as prescribed.
Effective systems were in place to enable the provider to assess, monitor and improve the quality and safety of the service.
People were very happy with their care and support. Staff had built up good relationships with people.
Health and social care professionals were complimentary about the service people received.
There were enough staff deployed to meet people’s needs. The provider operated safe and robust recruitment and selection procedures to make sure staff were suitable and safe to work with people.
Staff knew what they should do to identify and raise safeguarding concerns.
People were encouraged to make their own choices about everyday matters.
People's care plans clearly detailed their care and support needs. People were fully involved with the care planning process including identifying triggers, signs and actions to address their mental health needs.
People were encouraged and supported to engage with activities that met their needs. People accessed their local community with staff support.
People had choices of food at each meal time. One person was supported to purchase their own food and to manage a weekly budget for this. Another person received most of their meals with support from their relatives. However staff provided support for the person to have build up milkshake drinks to help them maintain or build up their weight. People were supported and encouraged to have a varied and healthy diet which met their cultural needs.
People were supported and helped to maintain their health and to access health services when they needed them.
Staff were cheerful, kind and patient in their approach and had a good rapport with people. The atmosphere in the service was calm and relaxed. Staff treated people with dignity and respect. The service was small and homely.
People were supported to maintain their relationships with people who mattered to them.
People knew who to talk to if they were unhappy about the service. Complaints had been handled effectively.
Staff were positive about the support they received from the management team. They felt they could raise concerns and they would be listened to. Health and social care professionals provided positive feedback about the service.