We carried out a review of the data available to us about The Burlington on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Burlington, you can give feedback on this service.
We found the following examples of good practice
During national lockdown restrictions, staff had supported people to keep in touch with their families through telephone and video calls. Since lockdown restrictions had eased, the provider had put arrangements in place to enable safe visiting. A visiting pod had been created which was accessible without travelling through the home. Visitors were required to have their temperature taken and to return a negative result from a lateral flow test (LFT) immediately before their visit. Visitors were also required to wear appropriate personal protective equipment (PPE).
People had been supported to access medical or healthcare treatment if they needed it during the pandemic. The home’s GP carried out a weekly round via video call and visited to assess people face-to-face if necessary. District nurses visited the residential unit for wound dressing and monitoring people with diabetes.
The home was clean and hygienic. Additional cleaning schedules had been implemented, including of frequently touched areas. All staff had attended infection prevention and control (IPC) and COVID-19 training. Staff had access to the PPE they needed and had attended training in its use.
During an outbreak of COVID-19, people who had tested positive for the virus were cared for in a different part of the home to those who had tested negative. Staff supported people to self-isolate in their rooms and specific staff were assigned to care for people who had tested positive for COVID-19. Since the outbreak, the home’s communal rooms had reopened in a way which enabled social distancing.
The provider had reviewed the home’s contingency plan in relation to COVID-19 to take account of factors such as an increase in staff absence due to the virus. Risk assessments had been carried out for people who may be disproportionately at risk of COVID-19 and measures put in place to reduce risks where necessary.
Further information is in the detailed findings below.
People’s experience of using this service:
The home’s management and staff recognised the importance of meeting people’s individual needs in all areas of their lives. Staff supported people to live meaningful lives in the way they chose and to develop relationships with others, which helped avoid social isolation.
The home had worked hard to become a hub for the local community and had created and established links with local schools, churches and businesses. This had created opportunities for people to make friends and meet others of different generations. If people did experience loneliness, the home had implemented innovative, person-centred approaches, which had achieved positive outcomes for people.
Activities were planned to meet people’s individual needs. People were supported to maintain interests and hobbies they enjoyed before they moved to the home. The home recognised and celebrated people’s individual achievements. There was a busy programme of events and activities which people enjoyed and valued highly.
Staff were kind and caring and treated people with respect. They encouraged people to make choices about their care and respected their decisions. People were supported to be independent where this was important to them.
People were supported to maintain good health and to access healthcare services when they needed them. The home had established effective relationships with local GP surgeries and the community nursing team. Staff monitored people’s health closely and acted promptly if they identified concerns. Medicines were managed safely.
People felt safe when staff provided their care. Measures had been implemented to mitigate any risks involved in people’s care. Guidance was provided for staff to ensure they supported people safely and in a consistent way. Staff were recruited safely and understood their role in safeguarding people from abuse.
People enjoyed the food at the home and were involved in the development of the menu. Relatives were able to join their family members for meals and told us they and their family members valued this.
Staff had access to the induction, training and support they needed for their roles. Staff communicated effectively with one another and worked well as a team. Handovers and team meetings kept staff up-to-date about any changes in people’s needs or to working practices.
The home had an effective management team which provided good leadership to staff and communicated effectively with people, relatives and professionals. The provider maintained an effective oversight of the service, which ensured people’s care was well-planned and managed. Staff were positive about their roles and were valued by the provider for the work they did.
The views of people who lived at the home, their families and staff were encouraged and acted upon by the management team. People and their families felt able to raise any concerns they had and were confident these would receive an appropriate response.
People’s care was designed and planned to meet their individual needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 17 December 2018 and this was its first inspection.
Why we inspected:
This was a planned inspection based on the date of registration.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.