Burleigh House

Staff spoke with people nicely and gave them choices about their day. However, on the day of the inspection, some people were not always dressed appropriately for the weather, such as not wearing socks or appropriate footwear or clothing such as short sleeves. It was not clear if this was people's choice or an oversight. Visiting professionals told us they had never had concerns about people's welfare in the home. While staff knew people well, care plans needed further development to ensure they were personalised and included all care needs.

Medicines were managed safely in the most part. Supervisions were carried out with staff if an error occurred and audits needed to check that plans for medicines prescribed as needed were in place.

Staff knew how to recognise and report abuse. However, unexplained injuries, such as bruises or skin tears, that were either observed on the inspection or recorded on people's body maps, were not always logged on the registered manager's incidents and accident overview. As a result, they were not aware of all injuries and they had not been investigated. Following the inspection, the provider submitted information stating that one injury was a scratch and they had not considered this to require recording. They also stated that they were not able to see injuries on another person's arm as reported by us. We were also advised that when some injuries had occurred, they liaised with the visiting nurse or GP who did not raise concerns. However, there was a lack of oversight and monitoring of these injuries to help identify themes or trends and to ensure all appropriate actions had been taken.

Training relating to infection control and COVID-19 had been delivered. Staff felt confident in their knowledge. However, we did note that the chef did not wear a mask in the kitchen. There were processes in place to help keep people safe from being at risk of COVID-19 and there had been no cases in the home.

Staff training, supervision and support was given, and staff felt they could go to the registered manager if they had any concerns. There was a robust recruitment process in place to help ensure staff employed were suitable to work in a care setting.

Since the last inspection, a new registered manager had been in post since February 2020. There were quality assurance systems in place, however these needed to be further developed to ensure they were

robust. The provider and the registered manager were committed to make the required improvements and started implementing new systems following the inspection.