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CQC report explained · a nursing home

What the CQC found at Burwood Nursing Home

Outstandingpublished 2 September 2022, 4 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People felt safe and risks such as falls, choking, malnutrition and skin damage were assessed and reviewed. Staff were safely recruited and medicines were given by trained staff, although some as-needed medicine protocols were initially missing.
Effective?
Outstanding
Care assessments involved people and families and included input from specialist health professionals. Staff received ongoing training, and people were supported with eating, drinking, healthcare and healthy lifestyles.
Caring?
Outstanding
People and families described exceptional kindness and compassion. Staff respected people's dignity, privacy, choices, cultural backgrounds and independence.
Responsive?
Outstanding
Care plans reflected people's needs, preferences and life histories. The home offered meaningful activities, trips, communication support and highly personalised end-of-life care.
Well-led?
Outstanding
Inspectors found visible and supportive leadership, motivated staff and an inclusive culture. Quality checks were described as robust and effective, with people, families and staff regularly involved.
The latest report, explained

What inspectors found, September 2022

Rated Outstanding overall; inspectors found exceptional care, with a Good safe rating and a small medicines-record issue fixed during the inspection.

Inspectors visited unannounced on 24 and 29 June 2022. They spoke with eight people, four relatives and 12 staff. They also reviewed care records, medicines records, staff recruitment files and management records.

People and families described the care as outstanding. Inspectors found kind and respectful staff, personalised care, meaningful activities, excellent food choices and strong support at the end of life. People were involved in decisions and supported to remain independent.

The home was rated Good for Safe and Outstanding for Effective, Caring, Responsive and Well-led. This means the inspection found exceptionally high standards in four areas. The only shortfall noted was that some as-needed medicines did not initially have full guidance, but the missing protocols were completed during the inspection.

What inspectors praised
  • Kind and respectful care

    People and families consistently described the care as outstanding. Staff treated people as individuals and supported their dignity, choices and independence.

    “People and their families described care as outstanding.” from the report
  • Personalised activities

    Activities reflected people's hobbies, interests and life histories. People could take part in trips, exercise, theatre, films, community links and activities in their rooms.

    “People spent their time enjoying activities meaningful to them, reflected their past hobbies, interests and life histories.” from the report
  • Excellent food choices

    People's dietary needs, allergies and preferences were understood. They could help shape menus and choose where and when to eat.

    “Strong emphasis was placed on people having excellent food and drink experiences.” from the report
  • Strong staff training

    Staff received induction, ongoing training and support suited to people's individual needs. Staff also shared their skills with colleagues.

    “Staff completed an induction and had ongoing training and support that enabled them to carry out their roles effectively.” from the report
  • Exceptional leadership

    The management team was visible and focused on people's wellbeing. Inspectors found motivated staff, a supportive culture and strong quality checks.

    “Quality assurance systems were multi layered and robust ensuring outstanding care was sustained.” from the report
  • End-of-life support

    End-of-life care was described as holistic and highly personal. Staff involved families and responded to people's wishes and changing needs.

    “People received outstanding care at the end of their lives.” from the report
What inspectors were concerned about
  • As-needed medicines guidance

    minor

    Some medicines prescribed for use when needed did not initially have protocols explaining how they should be used safely and effectively. The home completed these protocols during the inspection.

    “Not all these medicines had protocols in place detailing any additional information needed to ensure appropriate, effective use of these medicines.” from the report
Questions to ask them, based on this report
  1. 01What protocols are now in place for every medicine prescribed to be given when needed?
  2. 02How will you make sure my relative's individual risks, such as falls, choking or malnutrition, are reviewed as their needs change?
  3. 03What training and competency checks will staff caring for my relative have for their specific nursing needs?
  4. 04How will you involve our family in care planning, activities and decisions about end-of-life care if needed?
  5. 05How can my relative choose activities, meals and the way they spend their day?

This was an unannounced inspection covering all five key questions, including infection prevention and control; it was described as the first inspection of this newly registered service. This explanation was written from the published report of 2 September 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.

The story over the years

Every inspection of Burwood Nursing Home

3 rated inspections over 7 years: the service has improved, from Good to Outstanding.

  1. September 2022Outstandingcurrent ratingstayed Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Burwood Nursing Home →

  2. August 2018Outstandingup from Good
    Safe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Good
  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. March 2020

    Registered with the Care Quality Commission on 6 March 2020.

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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