About the service:

Burger Court is a residential care home that provides nursing and personal care including respite and rehabilitation services for up to 17 people aged 18 and over. At the time of our inspection 17 people were using the service which meant the service was full.

People’s experience of using this service:

There were not always sufficient staff on duty to support people safely and for a varied range of meaningful activities to take place. Staff were not always recruited safely.

The environment was generally tired and in need of refurbishment. A refurbishment plan was in place to commence shortly. Although a cleaning schedule was in place, some communal areas had not been cleaned effectively or essential supplies maintained in toilets and bathrooms.

Medicines were generally managed safely and people’s health care needs were supported.

Staff were caring, compassionate and warm and supportive of the people who lived at the service. Staff knew people well, including likes, dislikes and care needs. People’s choices and privacy were respected. Information about people’s care and support was up to date and very person centred. However, some people’s archived information was not stored in a confidential manner.

Staff training was up to date or booked and staff told us they received good support from the registered manager. A system for regular staff supervision and annual appraisal was in place.

Staff had been trained to understand how to keep people safe and report any safeguarding concerns. Accidents and incidents were investigated and analysed for themes, trends and lessons learned. Risks to people’s safety had been assessed and reviewed and actions put in place to minimise these risks.

People were supported to live as independently as possible. Staff supported people to choose and prepare some of their own meals and encouraged people to eat healthily. Where concerns about people’s diet or weight were raised, advice was sought from healthcare professionals.

People’s views were sought about the running of the service. A complaints procedure was clearly displayed and people told us they had not needed to make any formal complaints.

A range of quality checks were in place and required actions documented. However, several actions had been ongoing for several months and we found some of the same concerns remained at our inspection.

More information is in the detailed findings below.

We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around staffing, governance and the environment. Details of action we have asked the provider to take can be found at the end of this report.

Rating at last inspection: This was the first inspection carried out since the service had registered under a new provider.

Why we inspected: This was a planned inspection following the service registration in May 2018.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received we may inspect sooner.