Inspection on 17/08/07 for Burgess House (Flat A)
Also see our care home review for Burgess House (Flat A) for more information
This inspection was carried out on 17th August 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Burgess House provides a relaxed, yet stable and structured environment, for those living there. Each person had been provided with details of their terms and conditions and what the home has to offer, in a way that they may be able to understand. Staff provide a positive environment where communication in different forms is important. The staff have good information on how they may best provide the support for each individual that is person centred and with residents and family involvement in these decisions. They try to balance everyday risks with promoting independence and choices. " I think the care services tries to support the people to live their lives within their own capabilities to reach their potential." Residents are stimulated through a variety of activities, balancing leisure with structured daily living activities to promote some independence and involvement. Four of the five residents are due shortly to go on their annual holiday to Butlins in Minehead, a holiday chosen by them. One relative wrote of the home: "Thanks to the staff`s efforts, X receives a variety of activities which I was unable to provide when X was at home" When asked what they like to do one resident said "go to the pub", "go shopping" They do their best to encourage each person to be involved in their own care with basic decisions and choices being made on how they wish to live. "I think the care home tries to get the best out of the clients with a great deal of care and support." Said one relative. Residents are supported in their health needs by ensuring regular access to both NHS and specialist healthcare and sound systems for medication administration. They have sound relationships with the Community Learning Disability team that enables them to support each individual in their changing needs. They "did an excellent job on understanding the health needs of my service user, especially difficult as he cannot feel pain due to autism." Wrote one individual. There are good systems to ensure any concerns are listened and responded to ensuring individual care is improved. They also ensure each person is protected from abuse with procedures and practices together with a staff understanding of what they could do if confronted with allegations of abuse, therefore minimising the risks to individuals. One relative wrote when responding to a survey: "I cannot suggest anything which could improve the care bearing in mind the difficulty of communicating with my X." The manager is qualified and experienced in the care of people with autism and uses this knowledge to look at ways of improving the service as well as ensuring the health and safety of those in her care is maintained.
What has improved since the last inspection?
Since the last inspection the way in which medication is administered and recorded has improved with good records in place. Adult protection procedures have been reviewed and now provide staff with updated guidance that reflects good practice and ensures residents are protected. There has also been some progress in changes to the environment with a new hall carpet providing a more welcoming entrance and one of the bathrooms has been recently painted.There has been some improvement in the monitoring undertaken by the Provider with reports being written on the outcome of the visits and in the way in which residents monies are maintained. There is now a clear recording system with receipts in place.
What the care home could do better:
It would benefit residents to have all key information in formats that they would best be able to understand. This includes information provided in the Statement of Purpose and how to make a complaint or raise concerns. Improvements could be made in the information detailed on risk assessments to ensure there is clear and specific information on the area of risk identified. The implementation of good infection control procedures and practices would and ensure the cleanliness of the home staff and residents are protected from infections. The Commission require that information and documentation is held in the home on all new staff recruited and, for all staff, basic information about their next of kin and contacts to ensure they can contact them in the event of an emergency. The organisation must implement a system for reviewing the care provided each year to ensure improvements are made where identified. This system must include consultation with residents and other stakeholders to ensure the care meets individuals` expectations. The way in which residents` monies are handled are satisfactory, although there is a need to ensure there is clarity about how mobility allowances are spent and recorded by the organisation. This would safeguard them from any allegations of financial abuse.