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CQC report explained · a nursing home

What the CQC found at Burford Nursing Home

Goodpublished 14 August 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed through visitor controls, social distancing, PPE, testing, cleaning and an up-to-date infection control policy.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection control arrangements and safe visiting measures.

This was an announced, targeted inspection on 16 March 2021. It looked at infection prevention and control because of the coronavirus pandemic.

Inspectors found safe arrangements for visitors, including temperature checks, personal protective equipment and a garden visiting pod. Families could also use video or phone calls, and end of life visits were considered through individual risk assessments.

The home had plans for new admissions, staff training, testing and infection control. Inspectors found the home clean, with regular audits and enough protective equipment. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Safe visiting

    Visitors had infection control information, temperature checks and PPE where needed. A garden visiting pod was available, with additional arrangements for people receiving end of life care.

    “A visiting 'pod' in a form of a summer house situated in the garden was a new addition to facilitate safe visits.” from the report
  • Infection control

    Staff were trained, used PPE and had access to enough supplies. The home also carried out regular testing for people and staff.

    “Staff received infection control training and followed the most recent infection control guidance.” from the report
  • Clean environment

    The home was clean and fresh, with frequent-touch surfaces cleaned and disinfected. Infection control audits were completed and action was taken when needed.

    “On the day of our visit the service was clean and fresh.” from the report
  • Admission planning

    The home had arrangements for isolating or grouping new admissions if COVID-19 was suspected or confirmed.

    “The provider had a safe system to ensure the risks in relation to new admissions were managed.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visits arranged now, and is the garden visiting pod still available?
  2. 02How would you arrange family visits if my relative was receiving end of life care?
  3. 03What infection control training and PPE arrangements are currently in place for staff?
  4. 04How are new admissions managed if there is a suspected or confirmed infection?
  5. 05How are people and staff tested for COVID-19, and what vaccination arrangements are currently in place?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the report does not assess the other areas of care. This explanation was written from the published report of 27 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, August 2019

Rated Good; inspectors found kind, personalised care, safe systems and stronger leadership than at the previous inspection.

This was an unannounced inspection on 30 July 2019. Inspectors spoke with people living in the home, relatives, staff and health and social care professionals. They also checked care records, medicines records, recruitment files, complaints and management audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough safely recruited staff, safe medicines systems, clean surroundings and good support with health, food and activities.

People were treated with kindness, dignity and respect. Staff knew people's needs and preferences, supported their independence and helped them communicate. The home had a warm atmosphere, and managers were described as open and approachable.

The overall rating had improved from Requires Improvement at the previous inspection, published on 10 August 2018. Safe and Well-led improved to Good, while Effective, Caring and Responsive remained Good. No regulations were breached.

What inspectors praised
  • Kind and respectful care

    People were supported by caring staff in a warm and welcoming atmosphere. Staff respected privacy, dignity, equality and people's choices.

    “People received compassionate, caring and kind support from enthusiastic and motivated staff.” from the report
  • Safe care systems

    Medicines, risks, staffing, equipment, infection control and emergency arrangements were managed safely.

    “There were safe systems to manage medicines.” from the report
  • Good activities and community links

    People were supported to continue their interests and join varied activities, including gardening, music, exercise and events involving the local community.

    “People had opportunities to engage in various activities.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you make sure medicines are given at the right times, especially for people with conditions that require timed medicines?
  2. 02How will you assess and manage my relative's risks, such as falls, poor nutrition, mobility problems or pressure areas?
  3. 03How will you support my relative's communication needs if they have limited speech, hearing or understanding?
  4. 04What activities and community links could match my relative's interests and past life?
  5. 05How are end of life wishes recorded and how would you support our family if end of life care became needed?

This was an unannounced inspection covering all five CQC questions, including the care and premises; Safe and Well-led improved from Requires Improvement, while the other three ratings remained Good. This explanation was written from the published report of 14 August 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Burford Nursing Home

7 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Burford Nursing Home →

  2. August 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Burford Nursing Home →

  3. August 2018Requires improvementup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. May 2018Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  5. January 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. June 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. November 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  8. July 2015Inspected but not rated
    Safe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  9. March 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  10. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. June 2013

    Registered with the Care Quality Commission on 28 June 2013.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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