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CQC report explained · a residential care home

What the CQC found at Burntwood Hall Care Centre

Goodpublished 3 April 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 prevention and control arrangements were in place. This included PPE, testing, safe admissions, social distancing, cleaning and outbreak management.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Burntwood Hall Care Centre had assured infection control arrangements, but this targeted inspection did not give an overall rating.

Inspectors visited on 20 January 2021. This was an announced, targeted inspection during the coronavirus pandemic. They looked at infection prevention and control measures in the home.

Inspectors were assured that the home was managing infection risks. This included safe admissions, use of protective equipment, testing, social distancing, cleaning, visiting arrangements and plans for managing outbreaks.

The home supported window visits using telephones and a Perspex screen. It also had plans for in-home visits after residents received COVID-19 vaccinations, and supported visits for people receiving end of life care.

The service was inspected but not rated. This means the report gives no overall quality rating and does not assess all five areas of care.

What inspectors praised
  • Safer visiting

    The home provided equipment and carried out checks to support window visits safely. It also had risk assessments for visits.

    “The service had provided telephones and a Perspex screen to support safe unrestricted window visits.” from the report
  • Infection control

    Inspectors were assured that the home used protective equipment safely and had arrangements for testing, hygiene and preventing or managing outbreaks.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Safe admissions

    The home followed procedures for admitting people during the pandemic, including testing before admission.

    “The home followed guidelines to safely admit people to the home.” from the report
  • Staff training

    Staff received extra training and infection prevention and control testing during the pandemic.

    “Staff received additional training about the Covid-19 pandemic and additional infection prevention and control testing.” 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. 01What infection prevention and control arrangements are in place now, including PPE, testing, cleaning and outbreak management?
  2. 02How are visits currently arranged, including visits for people receiving end of life care?
  3. 03What arrangements are in place for in-home visits?
  4. 04What checks and testing are carried out before someone is admitted to the home?
  5. 05What extra infection prevention and control training do staff receive now?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not assess all five key questions or give an overall rating. This explanation was written from the published report of 12 February 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, April 2019

Rated Good; inspectors found kind, safe care, with some concerns about rushed staff, activities and overdue appraisals.

This was an unannounced inspection on 28 February 2019. Inspectors spoke with people living at the home, visitors and staff. They reviewed care records, staff files and management records, and observed daily life.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safe medicines systems, suitable staffing overall, trained staff, respectful care, support with food and health needs, and managers who listened and checked the quality of care.

There were some smaller shortfalls. People and relatives said staff could seem rushed at times. Some staff appraisals were overdue, the activities boards were blank while a replacement activity coordinator was being recruited, and there was a faint smell on one corridor. Inspectors also found that information about one as-needed medicine was not clear, but this was updated immediately.

The home was rated Good at its previous inspection, published on 3 September 2016, and remained Good at this inspection. This means the inspectors found that legal requirements were met and that people's outcomes were consistently good.

What inspectors praised
  • Kind and respectful care

    People and relatives spoke positively about the staff. Inspectors saw patient, caring interactions and found that privacy and dignity were respected.

    “We saw positive, caring interactions between people and staff throughout the day of the inspection.” from the report
  • Medicines managed safely

    Medicines were stored securely, staff were trained and their competence was checked. The ten medication records inspected were complete.

    “Medicines were stored safely and securely. There were effective systems in place to ensure people received their medicines as prescribed.” from the report
  • Support with food and health

    People were offered choices of food and drinks, with support for dietary needs. Staff helped people access health professionals and updated care records after visits.

    “A member of staff sat at each table to eat lunch with people after every person had been served.” from the report
  • Good staff support and oversight

    Staff received induction, yearly mandatory training and regular supervision. The home had audits, updated policies and systems for acting on problems.

    “The service had effective quality assurance audits in place.” from the report
  • People's views were sought

    The home held meetings and surveys for people, relatives and staff. Inspectors found evidence that people's views and needs were considered.

    “Residents and relatives' meetings were also held every three months.” from the report
What inspectors were concerned about
  • Staff sometimes seemed rushed

    needs fixing

    Some people and relatives said staff could appear rushed, including a comment about occasional short staffing at weekends. The deputy manager said staffing levels were adjusted when people's needs or occupancy changed.

    “Some people did tell us staff could appear rushed on occasion.” from the report
  • Activities information was not up to date

    needs fixing

    The activities boards were blank while the activity coordinator had moved to another post and a replacement was being recruited. People still had access to some activities, visits and outdoor areas.

    “However, the activities boards were blank, there were no forthcoming activities listed.” from the report
  • Some appraisals were overdue

    needs fixing

    The staff records reviewed showed that annual appraisals had not always taken place on time. The deputy manager had plans to complete them.

    “We saw these had not always taken place every year, meaning some were overdue.” from the report
  • A faint smell on one corridor

    minor

    Inspectors noticed a faint malodour on the first-floor corridor. Managers were taking action, including buying specialist cleaning solutions.

    “We noticed a faint malodour on a corridor on the first floor.” from the report
  • Minor concerns were not always recorded

    minor

    The deputy manager recorded formal complaints but did not record some minor issues dealt with at the time. Inspectors suggested recording these as well.

    “We suggested the deputy manager may want to consider recording these minor issues as well.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure staff are not rushed, especially at weekends?
  2. 02Who is currently responsible for activities, and what regular activities are now available?
  3. 03Have all staff appraisals that were overdue at the inspection now been completed?
  4. 04How do you record and review minor concerns that are dealt with informally?
  5. 05What action was taken to resolve the faint smell on the first-floor corridor?

This was an unannounced planned inspection covering all five CQC questions, and the home remained Good in each area. This explanation was written from the published report of 3 April 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 Burntwood Hall Care Centre

2 rated inspections over 3 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Burntwood Hall Care Centre →

  2. April 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Burntwood Hall Care Centre →

  3. September 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 9 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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