# Burham Court

*Operated by CLBD Limited.*

Burham Court is a CQC-regulated home-care agency in Rochester.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 25/05/2018

## Practical info

- Postcode: ME1 3XX
- Local authority: Kent
- Region: South East
- City: Rochester
- Last CQC check: 25/May/2018 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Open and transparent management culture with accessible registered manager
  - Published: 2020-01-29
- Finding
  - Evidence: Effective audit systems including spot checks and six-monthly reviews to monitor quality
  - Published: 2020-01-29
- Finding
  - Evidence: People were supported to be independent and involved in care planning and decision-making
  - Published: 2020-01-29
- Finding
  - Evidence: Families reported staff were kind, caring, respectful and communicated well
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received regular supervision, one-to-one meetings and annual appraisals supporting development
  - Published: 2020-01-29
- Finding
  - Evidence: Medicines were appropriately managed with clear policies, staff training and competency checks
  - Published: 2020-01-29
- Finding
  - Evidence: Detailed risk assessments developed with input from individuals, families and professionals, regularly reviewed
  - Published: 2020-01-29
- Finding
  - Evidence: Staff were knowledgeable about safeguarding, recognising signs of abuse and knew how to report concerns
  - Published: 2020-01-29
- **record_keeping** _(minor)_
  - Evidence: these would be improved if staff had documented more details...staff had not recorded what the person had been able to do themselves.
  - Published: 2020-01-29
- **record_keeping** _(critical)_
  - Evidence: in three of the five files seen there was just one reference, in another file there were no references.
  - Published: 2020-01-29
- **staffing_levels** _(critical)_
  - Evidence: We saw on one of the five staff files viewed that there was no current enhanced Disclosure and Barring Service (DBS) check for that member of staff.
  - Published: 2020-01-29
- Finding
  - Evidence: Comprehensive risk assessments in place, regularly reviewed and signed by people to demonstrate consent
  - Published: 2020-01-29
- Finding
  - Evidence: Accidents and incidents recorded, reviewed, and reported to care manager and CQC where significant
  - Published: 2020-01-29
- Finding
  - Evidence: Staff trained in infection control and clear on responsibilities in preventing cross-contamination
  - Published: 2020-01-29
- Finding
  - Evidence: Sufficient staffing levels to ensure no missed calls; rotas based on people's needs and health appointments
  - Published: 2020-01-29
- Finding
  - Evidence: Medicines appropriately administered with clear and up-to-date risk assessments
  - Published: 2020-01-29
- Finding
  - Evidence: Staff had good knowledge of safeguarding; all staff knew responsibilities in taking action to protect people and report abuse
  - Published: 2020-01-29
- Finding
  - Evidence: People felt safe with staff; person stated 'I am happy with the girls who help me, yes I do feel safe with them'
  - Published: 2020-01-29
- Finding
  - Evidence: Robust recruitment procedures now in place with quality monitoring sheets ensuring all required checks before employing new staff
  - Published: 2020-01-29
- **staff_competency** _(critical)_
  - Evidence: the provider had not ensured that robust recruitment procedures were followed to make sure only suitable staff were employed
  - Published: 2020-01-29
- Finding
  - Evidence: The service engaged with external consultants and national research to develop non-aversive behaviour support approaches.
  - Published: 2018-05-25
- Finding
  - Evidence: Regular supervision (minimum six sessions per year) and observational competency checks were in place.
  - Published: 2018-05-25
- Finding
  - Evidence: Management team was accessible, visible and well-regarded by staff, people and health and social care professionals.
  - Published: 2018-05-25
- Finding
  - Evidence: Effective incident management with lessons learned and person-centred responses to concerns.
  - Published: 2018-05-25
- Finding
  - Evidence: People were supported to access their local community and engage in meaningful activities.
  - Published: 2018-05-25
- Finding
  - Evidence: Detailed, person-centred care plans including behaviour support plans and communication guidance for non-verbal individuals.
  - Published: 2018-05-25
- Finding
  - Evidence: Staff were kind, caring and had built genuine relationships with people, maintaining consistent staffing rotas.
  - Published: 2018-05-25
- Finding
  - Evidence: Robust recruitment procedures including DBS checks and employer references kept people safe.
  - Published: 2018-05-25
- Finding
  - Evidence: Medicines were managed safely with MAR charts audited monthly and checked by two staff for accuracy.
  - Published: 2018-05-25
- Finding
  - Evidence: Risks were appropriately assessed and mitigated with detailed individual risk assessments and Personal Emergency Evacuation Plans in place.
  - Published: 2018-05-25

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-1233784741

HomeCare Compass is an independent guide and is not affiliated with the CQC.