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CQC report explained · a residential care home

What the CQC found at Pauline Burnet House

Goodpublished 6 March 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, including visitors, PPE, testing, cleaning and social distancing.
Effective?
Good
This was not covered by the targeted inspection.
Caring?
Good
This was not covered by the targeted inspection.
Responsive?
Good
This was not covered by the targeted inspection.
Well-led?
Good
This was not covered by the targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found infection prevention measures were in place at Pauline Burnet House.

This was an unannounced, targeted inspection on 05 February 2021. It looked at infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home was managing visitors, testing, PPE, cleaning, social distancing and shielding safely. The home had enough PPE and cleaning equipment, and staff had been trained to use PPE.

People were supported to keep in touch with family and friends by telephone and video calls. The inspection did not give an overall quality rating or a rated score for Safe.

What inspectors praised
  • PPE and training

    The home had enough PPE, and staff had been trained in how to put it on and remove it safely.

    “All staff had received training in the correct use of PPE, and how to take it off and put it on safely.” from the report
  • Visitor safety

    Visitors had temperature checks, completed a health questionnaire and used PPE. Some visitors were also asked to take a lateral flow test before entering.

    “Visitors to the service had their temperature taken, completed a health questionnaire and wore personal protective equipment (PPE).” from the report
  • Testing and cleaning

    People and staff were tested regularly. Cleaning, including of frequently touched surfaces, had increased.

    “Regular COVID-19 testing for all people and staff living and working in the home was regularly carried out.” from the report
  • Family contact

    People were supported to stay in regular contact with their families and friends using video and telephone calls.

    “People were supported to have regular contact with their families and friends through video and telephone calls.” 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. 01Are visitors still asked to complete health checks, use PPE or take a test before entering?
  2. 02How often are people living at the home and staff tested for infections now?
  3. 03How is cleaning of frequently touched surfaces carried out and checked?
  4. 04How are people supported to keep in regular contact with family and friends?
  5. 05What information can you provide about care areas that were not covered by this targeted inspection?

This was an unannounced, targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide a full service rating or assess the other key questions. This explanation was written from the published report of 5 March 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, March 2019

Pauline Burnet House is rated Good; inspectors found kind, safe care, with some risk assessments and end of life plans needing improvement.

This was a comprehensive inspection on 5 February 2019. One inspector visited the home, observed care, spoke with three residents and staff, reviewed two support plans, and checked records, audits and notifications.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were kept safe, received their medicines properly, had enough skilled staff, and were supported by health and social care professionals.

People were treated with kindness and respect. They had choices, support to remain independent, and help to enjoy activities and maintain relationships. Inspectors noted that some risk assessments and end of life support plans needed more information, but found no serious risks or concerns.

What inspectors praised
  • Safe medicines

    Inspectors found that medicines were stored, administered and recorded appropriately. Staff had training and regular competency checks.

    “People received their prescribed medicines, which were managed safely.” from the report
  • Kind and respectful care

    Staff knew people well and supported their privacy, dignity, choices and independence.

    “We saw that staff supported and treated people with respect.” from the report
  • Choice and activities

    People were supported to choose meals, activities and outings, and to keep in touch with family and friends.

    “People were encouraged to take part in a range of activities that they enjoyed and were the choice of the person at that time.” from the report
  • Health support

    People could access health and social care professionals, and staff supported them with appointments and hospital care.

    “People continued to have access to the necessary health and social care professionals.” from the report
What inspectors were concerned about
  • Risk assessments

    needs fixing

    Some risk assessments did not contain enough information. The home had identified this and was updating them.

    “We saw that some risk assessments could be improved.” from the report
  • End of life planning

    needs fixing

    End of life support plans did not contain enough information to guide staff in providing comfortable, dignified and pain-free care.

    “We saw that end of life support plans did not have the necessary information for staff to ensure people were supported in a comfortable, dignified and pain free death.” from the report
Questions to ask them, based on this report
  1. 01Have all the risk assessments identified in the January 2019 audit now been updated?
  2. 02What information is now included in each person's end of life support plan?
  3. 03How often are night shifts staffed only by agency workers, and which regular agency staff would support my relative?
  4. 04How are residents and relatives' feedback and quality questionnaires reviewed and acted on?

This was an announced comprehensive inspection covering all five rating areas, and all five ratings remained Good from the previous inspection in July 2016. This explanation was written from the published report of 6 March 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 Pauline Burnet House

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Pauline Burnet House →

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

    Read what inspectors found at Pauline Burnet House →

  3. August 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 29 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.

Next steps

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