Burdon Grange Care Home

The current governance systems in operation had not identified the areas of concern we found during the inspection. Whilst it was not evident this had resulted in impact or harm to people, people were at risk of not receiving care in line with their assessed needs.

Not all staff were positive about the leadership of the service. Some staff told us they felt communication from the registered manager could be improved and that this would make a positive difference to the people they supported and increase team cohesion.

People were well supported by staff that were caring and treated them with dignity and respect. Staff knew people well and understood their needs. We received positive feedback from people and their relatives during the inspection.

Risks of abuse to people were minimised. Staff had received safeguarding training and the service had appropriate safeguarding systems and processes. Staff understood safeguarding reporting processes. There were effective systems that ensured the service and environment were safe. Health and safety checks, together with effective checks of the environment were completed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. There were systems in place that ensured people who were deprived of their liberty were done so with the appropriate legal authority.

People were supported by staff who had the skills and knowledge to meet their needs, however some staff told us they would like a more comprehensive continual training package. There was no effective system to monitor staff supervision and appraisal and not all staff were positive about the support they received.

There was a system to investigate and respond to peoples' concerns and complaints. People and their

relatives commented positively about the registered manager and the quality of care their family member received. No concerns were raised about the quality of care provided.

The service continually looked to learn and improve care provision for people. They were involved in trials of new systems and methods to improve peoples' lives. The service worked well with other professionals and we received very positive feedback from healthcare professionals we contacted about both the care provided and the standard of leadership at the service.