CQC report explained · a nursing home
What the CQC found at Burleys Wood
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, July 2018
Rated Good; inspectors found safe, kind and responsive care, but consent and liberty safeguards needed improvement.
Inspectors visited on 19 and 20 March 2018. The first day was unannounced. They spoke with people living in the home, relatives, visitors, staff and healthcare professionals. They observed care, medicines, activities and lunchtime, and checked care records, medicine records, staff files, incidents and quality audits.
People were found to be safe and treated with kindness and respect. There were enough staff, medicines were managed safely, the home was clean, and care was personalised. People had meaningful activities, choices about their daily lives and access to healthcare.
The main shortfall was in applying the Mental Capacity Act and Deprivation of Liberty Safeguards consistently. One person's liberty had been restricted unlawfully for a period, and some consent and best-interest decisions were not handled correctly. The overall rating stayed Good. Effective care was rated Requires Improvement, while Safe, Caring, Responsive and Well-led were rated Good.
Safe staffing and medicines
There were enough staff to meet people's needs, and medicines were administered by trained or registered staff whose competence was checked.
“There were enough staff to meet people's needs and records confirmed that staffing levels were consistently maintained.” from the report
Kind and respectful care
People were treated with dignity and staff knew their preferences. Inspectors observed kind, gentle interactions and emotional support.
“Staff were observed interacting with people in a kind and gentle way.” from the report
Meaningful activities
The home offered a wide range of activities and adapted them for people with dementia. People helped choose and take part in events.
“The service was fun, lively, stimulating and inclusive.” from the report
Improved leadership
The home had a registered manager and quality checks were being used to identify and complete improvements. This was better than at the previous inspection.
“At this inspection improvements had been made and the service remained 'Good'.” from the report
Consent and liberty safeguards
seriousStaff did not consistently understand or apply the Mental Capacity Act and Deprivation of Liberty Safeguards. One person's liberty was restricted unlawfully for a period, and some decisions were made without involving all relevant people.
“This meant that for a period of time the person had been deprived of their liberty unlawfully.” from the report
Inconsistent consent records
needs fixingA relative signed a consent form without having the legal authority to do so. The home also did not always involve the right people in best-interest decisions.
“There were sometimes inconsistent approaches to gaining people's consent.” from the report
- 01How do you check whether a person has capacity to consent to each important care decision?
- 02How do you make sure Deprivation of Liberty Safeguards applications are made and renewed on time?
- 03How are relatives, advocates and other relevant people involved in best-interest decisions?
- 04How do you record decisions about restrictions such as bed rails?
- 05What action have you taken since this inspection to improve consent and liberty safeguards?
This was a comprehensive inspection covering all five CQC questions, including care, medicines, records, staffing, management and the experience of people using the home. This explanation was written from the published report of 13 July 2018 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.
Every inspection of Burleys Wood
2 rated inspections over 3 years: the service has held its Good rating throughout.
- July 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 17 December 2010.
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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28 live-in carers within about an hour of West Sussex
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.