Burwood Nursing Home

Updated 2 September 2022

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 was carried out by two inspectors.

Service and service type

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

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 had received about the service since registration. We sought feedback from the local authority and health commissioners. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us 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.

During the inspection

We spoke with eight people who used the service and four relatives about their experience of the care provided. We spoke with 12 members of staff including the registered manager, director and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with nurses, health care assistants, activity staff, chef and administrator. We also received written feedback from 28 staff sharing their experience of the service.

We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 2 September 2022

About the service

Burwood Nursing Home (hereafter referred to as Burwood) is a residential care home providing personal and nursing care to up to 58 people. The service provides support to older people. At the time of our inspection there were 37 people using the service.

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

People and their families described care as outstanding. One person told us, “You have a great life. The staff can never do enough for you.” Staff were kind and respectful of people, recognising their strengths and skills. People’s individuality was respected. People were involved in decisions about their day to day lives and staff respected people’s choices. People had their dignity and privacy respected and were supported to maintain their independence.

People had person centred care that reflected their care needs, individuality and lifestyle choices. People’s skills were showcased and celebrated. People spent their time enjoying activities meaningful to them, reflected their past hobbies, interests and life histories. People felt able to raise concerns and knew they would be listened to and actions taken. People received outstanding end of life care with support extending to families.

People had their eating and drinking needs met with a strong emphasis on an excellent dining experience. People had an opportunity to feedback comments and ideas and share recipes with the catering team. The building and grounds provided an environment that enhanced people’s lives and innovative technology had been used to aid inclusion of all people living at Burwood. People had access to healthcare services and were enabled to follow a healthy lifestyle which had a positive effect on their wellbeing. 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.

Leadership was described by people, their families and staff as outstanding and described the culture of the home as inclusive and supportive. The management team were visible, led by example and put people at the heart of everything they did. Staff were motivated and passionate about their roles. Staff wellbeing was championed. Quality assurance processes were multi-layered, robust and effective at sustaining an outstanding service.

People felt safe. Staff understood how to recognise abuse or poor practice and the actions needed if they had concerns. People were supported by a high level of staff who had the skills to meet their needs. Recruitment practices ensured staff were suitable for their roles. People had their medicines administered safely by trained staff who had their competencies checked regularly. Risks to people were assessed and staff understood actions needed to mitigate the risk of harm whilst respecting people’s freedoms and choices. Infection, prevention and control practices kept people safe from preventable harm.

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 the service under the previous provider was outstanding, published on 8 August 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

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