What the CQC found at Burleigh House

People and relatives said they felt safe and that staff were kind. Staff were observed speaking warmly and offering choices.

“People and their relatives told us they felt safe and that staff were kind.” from the report

There were no staff vacancies at the inspection, staffing numbers had been increased, and recruitment checks were in place.

“Robust recruitment procedures were in place to help ensure staff employed were suitable to work in a care setting.” from the report

Staff said they received training and supervision and felt able to raise concerns with the manager. Training records were up to date.

“Staff told us training and supervisions were provided, and they felt supported.” from the report

The home worked with visiting professionals, the local authority and Public Health England during the pandemic.

“The provider and the registered manager were open to feedback and wanted to use this to improve and develop the service further.” from the report

Some bruises and skin tears were not included in the incident records. This meant the manager did not know about all injuries and could not investigate them or look for patterns.

“The registered manager was not aware of all injuries and told us therefore an investigation into injuries was not completed” from the report

Some care plans did not explain people's preferences or how to reduce risks during care. One person needed guidance for transfers involving a stand aid.

“care plans needed further development to ensure they were personalised and included all care needs.” from the report

One as-needed medicine had no care plan explaining when to give it. A medicine count also found one extra tablet, suggesting a missed dose.

“However, for medicines prescribed on an as needed basis for one person we reviewed, there was not a care plans to instruct staff when this would be needed.” from the report

Some people were not dressed suitably for the weather. One person was cold, and another was wet from saliva and food without clothing protection or an offer to change.

“The appearance and comfort of people who were more dependent, had not always been considered.” from the report

The home's audits had not identified failures in injury recording and care planning. New systems were being introduced but still needed further development.

“However, the audits had not been fully effective as the points raised on the inspection had not been identified through quality assurance systems.” from the report

The chef was seen wearing a mask on the chin while responsible for people's food. The home's COVID-19 policy also had not been updated, although extra guidance had been shared.

“However, we noted that the chef had their mask on their chin.” from the report