CQC report explained · a residential care home
What the CQC found at Burrows House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control procedures were being followed. They found measures covering visitors, distancing, admissions, personal protective equipment, testing, hygiene 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.
What inspectors found, October 2020
Inspected but not rated; inspectors found good infection prevention and control measures during the COVID-19 pandemic.
This was an announced, targeted inspection on 23 October 2020. Inspectors looked only at infection prevention and control measures.
The home was being used as a designated setting for people discharged from hospital with a positive COVID-19 status. Inspectors found visitor screening, suitable personal protective equipment, social distancing and safe arrangements for testing and admissions.
The home had separate areas, entrances and exits for the designated setting. Staff had a separate break area, and people using the setting had a separate outside area.
The service was inspected but not rated. This report does not give an overall quality rating or ratings for most areas of care.
Visitor and staff safety
Visitors had their temperatures checked and completed screening before entering. Staff used appropriate personal protective equipment and followed social distancing guidance.
“Visitor's temperatures were checked on arrival, and asked a screening questionnaire to ensure they were safe to enter the service.” from the report
Separate COVID-19 areas
The designated COVID-19 area was separated from the rest of the home, with separate entrances and exits.
“The service had been effectively zoned to ensure that the area used as the designated setting for COVID-19 discharge was appropriately separate, including with separate entrances and exits.” from the report
Assured infection control
Inspectors said the home met good infection prevention and control guidelines for its role as a designated care setting.
“We were assured that this service met good infection prevention and control guidelines as a designated care setting.” from the report
Inspectors raised no specific concerns in this report.
- 01What checks have been carried out on the wider quality of care, since this inspection only looked at infection prevention and control?
- 02How are people admitted safely when they arrive from hospital with a positive COVID-19 status?
- 03How often are staff and residents tested, and what happens if someone tests positive?
- 04How are residents in the designated setting kept separate from other people using the home?
- 05What infection prevention and control arrangements are now in place for visitors?
This was a targeted inspection of infection prevention and control measures only, so the report did not assess the other areas of care. This explanation was written from the published report of 30 October 2020 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.
What inspectors found, August 2018
Rated Good; inspectors found safe, kind and well-managed care, with some care plan information needing improvement.
The inspection took place on 24 May 2018 and looked at the whole service. Inspectors spoke with people living there, relatives and staff. They also reviewed care records, staff files, training records, medicines information and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and that staff were caring, respectful and involved them in decisions. Inspectors found medicines were managed safely, staffing levels were enough and risks were assessed and reviewed.
The previous inspection in May 2017 found problems with secure medicine storage, medicine records and quality checks. This inspection found that the provider had acted to address those problems. Inspectors did find that some care plans did not yet have a short, up-to-date information sheet, but the provider said these would be completed and later provided evidence that this had been done.
Safe medicines
Medicines were stored and given safely, and records were accurate. This was an improvement on the problems found at the previous inspection.
“Medicines were managed safely and accurate records were maintained.” from the report
Kind and respectful staff
People said staff were caring. Inspectors saw staff protect privacy and dignity, use people's preferred names and respond calmly when someone was anxious.
“Staff treated people with respect and dignity. Staff interacted with people in a positive manner” from the report
Care based on individual needs
Care plans included people's choices, preferences, cultural and spiritual needs. People and relatives were involved in decisions about daily care.
“People were involved in making decisions about their care and support requirements.” from the report
Management checks
The provider used audits, meetings and surveys to monitor the quality and safety of the home. The report says these checks had led to improvements.
“The home had systems in place to effectively monitor the quality and safety of the home.” from the report
Care plan information
needs fixingNot every care plan initially had an 'At a glance' sheet showing people's current needs. The provider said this would be corrected by the end of July 2018 and later sent evidence that the sheets had been added.
“However, not all care plans included an 'At a glance' sheet to give staff up to date information about people current needs.” from the report
- 01How do you make sure each person's 'At a glance' information stays up to date?
- 02How do you ensure agency staff read and understand the current care information before starting a shift?
- 03What activities are available for someone with my relative's interests and abilities?
- 04How will you involve my relative and our family in reviews of their care plan?
- 05How are medicines checked and recorded, including topical creams and medicines taken only when needed?
This was an inspection of the whole care home and all five CQC questions were rated. This explanation was written from the published report of 1 August 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 Burrows House
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- October 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2017
Registered with the Care Quality Commission on 19 May 2017.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Bromley
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 £980 to £1,260 a week. 83 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“Usha rapidly became 'one of the family' and is sorely missed.”
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.