Burton Closes Hall Care Home

Updated 27 July 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

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 team consisted of 2 inspectors.

Service and service type

Burton Closes Hall Care Home is a 'care home’ with nursing care. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement, dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we received about the service. We sought feedback from local authority care commissioners who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and any improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and 2 relatives; 1 nurse, 3 care staff, including 1 senior, an administrator, a cook, a cleaner and maintenance person. We also spoke with the registered manager and 1 operations manager for the provider.

We observed how staff interacted with people and reviewed a range of records. This included 6 people's care plans, multiple medicines records, complaints, staffing and other management records. This included meeting minutes, equipment maintenance records and audits, along with some of the provider's operational policies for people's care and safety. Following this inspection, we continued to seek clarification from the provider, to validate evidence found.

Updated 27 July 2023

About the service

Burton Closes Hall Care Home is a residential care home providing accommodation for up to 58 people who require nursing or personal care. This includes both older and younger adults who may be living with dementia and/or a physical disability. At the time of this inspection there were 27 people living at the service, including 17 people receiving nursing care. This included 2 people with learning disabilities, whose primary care needs related to their physical health conditions. The service provides single room accommodation, including some en-suite, over 2 floors within 1 adapted building.

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

Risks to people's safety associated with their environment, health condition and any equipment used for their care, were effectively managed and mitigated. People’s medicines were safely managed to ensure people received their medicines when they should.

The provider was meeting key principles for infection prevention, control and cleanliness at the service, including for COVID-19. The provider's safeguarding, emergency contingency planning and staffing measures, helped to ensure people’s safety and protect them against the risk of harm or abuse.

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.

We expect health and social care providers to guarantee people with a learning disability, respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting any person with a learning disability and providers must have regard to it. The service was able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture to ensure people’s needs could be fully met.

The provider's governance arrangements were now wholly effective, to regularly check the quality and safety of people's care and ensure timely service improvement, when needed.

The service was well managed. Managers and staff understood their individual role and responsibilities for people’s care and regulatory requirements were being met. Related communication, reporting and record keeping procedures, helped to ensure this.

There was an open, positive and inclusive culture at the service, where people felt they mattered and staff were supported and motivated to provide people’s care in the right way.

The provider worked in partnership with people, relevant authorities, care partners and others with an interest in people's care at the service. Related consultation and feedback was used to help inform and improve the service, when needed.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published: 12 August 2022) and there were breaches of regulation. The provider completed an action plan following 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 was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. We checked whether the Warning Notice we previously served, regarding a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, had been met. This report only covers our findings in relation to the Key Questions Safe and Well-led, which contain those requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last full comprehensive inspection to calculate the overall rating.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Burton Closes Hall Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.