Burnham Lodge

The last inspection evidenced the provider was in breach of the legal regulation in relation to safe care and treatment, safeguarding, good governance and failing to notify The Care Quality Commission of certain events at Burnham Lodge. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.

We spoke with the registered manager, management team, the staff team, people and their relatives on site. We reviewed a range of records relating to people's care and the way the service was managed. We spoke with staff working for the service following our visit, and an external professional partner.

Environmental safety was professionally managed. Professionals and relatives consistently found the home clean, odour free and well maintained, and equipment and safety certifications were up to date.

The provider protected people from the risk of abuse or harm and carried out investigations into safety events or where people raised negative feedback. People, their relatives, and relevant professionals were involved in assessments and consequent reviews of their care. Management and staffing was safely led. Risk assessments and care plans were in place and contained effective strategies to mitigate risks and provide good care, however, documentation was not always person-centred.

The staff team were supported by the senior leadership team to deliver exceptionally kind, compassionate and respectful care. The service was responsive to people’s needs, worked well with people to encourage independence, and was effective in supporting people to access different healthcare services as needed. People had access to a wide range of activities, outings and daily stimulation. The service provided a range of opportunities for people, their relatives and staff to give feedback.

Regular audits were carried out across the service, whilst documentation was not immediately clear of actions identified, learning was communicated to staff on a regular basis.

The provider was very responsive to feedback provided during the assessment period and had a service wide continuous improvement plan which was updated on a regular basis.