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CQC report explained · a residential care home

What the CQC found at Burnley, Pendle & Rossendale Short Break Services

Goodpublished 4 July 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 cleaning, PPE, testing, social distancing, vaccination checks and an up-to-date infection control policy. The provider also had measures to manage COVID-19-related staffing pressures.
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, January 2022

Burnley, Pendle & Rossendale Short Break Services was inspected but not rated; inspectors found strong infection control and enough staff to support people safely.

This was an announced, targeted inspection on 13 January 2022. It focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the home.

Inspectors found the home spacious, comfortable and hygienically clean. They were assured that people were admitted safely, visitors were managed safely, PPE was used properly and testing arrangements were in place.

Staff had infection control training and audits were used to check arrangements. The home had current COVID-19 policies and risk assessments, and there were enough staff to provide continuity if shortages occurred.

The overall service and Safe question were marked 'Inspected but not rated'. This visit checked particular safety arrangements and did not give a quality rating.

What inspectors praised
  • Clean environment

    The home was described as spacious, comfortable and hygienically clean. Cleaning schedules were used to reduce the risk of infection between short breaks.

    “The short stay service provided a spacious, comfortable and hygienically clean environment.” from the report
  • Good health monitoring

    People's health and wellbeing were monitored during their stay. Communication with next of kin or carers was maintained.

    “People's health and well-being was carefully monitored during their stay and good communication links were maintained with each person's next of kin or carer.” from the report
  • Safe use of PPE

    Staff had infection control training and inspectors observed them using personal protective equipment appropriately.

    “Staff had been trained in infection control. We observed staff were using PPE appropriately.” from the report
  • Staffing cover

    The provider had enough staff to maintain continuity of support if there was a staff shortage.

    “There were sufficient staff to provide continuity of support should there be a staff shortage.” 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 keep the infection prevention and control policy, risk assessments and cleaning schedules up to date?
  2. 02What happens if COVID-19 or other illness causes staff shortages, and how will my relative's support remain consistent?
  3. 03How do you arrange testing and PPE for people staying at the home and for staff?
  4. 04How do you check that visiting professionals meet the COVID-19 vaccination requirements?
  5. 05How will you keep my relative's next of kin or carer informed about their health and wellbeing during the short stay?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 29 January 2022 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, July 2019

Rated Good; inspectors found safe, kind and highly personalised care, although the service had fallen from Outstanding at its previous inspection.

The inspection took place on 24 and 25 April 2019. One inspector spoke with people using the service, relatives, staff and managers. They also reviewed care records, medicines records, incident records, staff records and quality checks.

The home provides short breaks, day care and emergency care for up to six adults with learning disabilities and autism. Inspectors found people felt safe and happy. Risk assessments were detailed, staffing was suitable, medicines were managed safely and the home was very clean.

Care was described as kind, respectful and centred on each person's needs, choices and routines. Staff supported health, activities, relationships and independence. The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the service met the required standards and provided consistently good care, but it was no longer rated Outstanding.

What inspectors praised
  • Detailed risk support

    The home supported people with complex needs using individual risk assessments and positive behaviour support plans. Staff had clear guidance about what to do when someone was distressed or reached crisis point.

    “Detailed risk management strategies were in place.” from the report
  • Personalised care

    Care plans included people's routines, preferences, communication needs, relationships, diet and goals. Staff adapted the environment and support to help people feel comfortable and independent.

    “People's assessments and care plans were exceptionally person-centred.” from the report
  • Kind and respectful staff

    People appeared relaxed with staff, and inspectors saw warmth, humour and compassion in their interactions. Relatives consistently praised the care and reassurance provided.

    “We observed extremely positive interactions between staff and service users demonstrating, warmth, humour and compassion.” from the report
  • Good communication

    People had communication and hospital passports, easy-read information and picture-based choices. Staff communicated patiently and involved people and families in decisions.

    “Communication between relatives, people using the service and the staff was excellent.” from the report
  • Learning and leadership

    The home reviewed incidents, gathered feedback and worked with other professionals to improve support. Staff said they felt listened to, supported and appreciated.

    “There was a strong emphasis on continuous learning and development within the service.” 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 assess whether people with complex needs are compatible when they stay at the same time?
  2. 02How are positive behaviour support plans reviewed when a person's behaviour or circumstances change?
  3. 03How will you manage any changes to my relative's medicines, and how will you keep the family informed?
  4. 04How do you find out which activities, friendships and routines are important to each person before a stay?
  5. 05How do you support a person moving into the home for the first time or moving on to another service?

This was a comprehensive inspection covering all five key questions, based on conversations, records, observations and information held by the CQC. This explanation was written from the published report of 4 July 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 Burnley, Pendle & Rossendale Short Break Services

2 rated inspections over 3 years: the service has slipped, from Outstanding to Good.

  1. January 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Burnley, Pendle & Rossendale Short Break Services →

  2. July 2019Gooddown from Outstanding
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Burnley, Pendle & Rossendale Short Break Services →

  3. November 2016Outstanding
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2011

    Registered with the Care Quality Commission on 2 February 2011.

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.

Next steps

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