We carried out a review of the data available to us about Barnhaven Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Barnhaven Residential Care Home, you can give feedback on this service.
We found the following examples of good practice.
Safe arrangements were in place for people’s relatives and professionals visiting the service. This included reviewing evidence of a confirmed negative lateral flow device test (LFD), recent polymerase chain reaction (PCR) test result, vaccination against COVID-19, requirements to show a COVID-19 pass and a temperature check at point of entry. All visitors were reminded of the requirement to wear the necessary personal protective equipment (PPE) in line with government guidance and to ensure good hand hygiene and sanitization.
Policies, procedures and risk assessments relating to COVID-19 were up to date which enabled staff to keep people safe.
The service was clean and fresh, the staff maintained effective cleaning schedules in line with the government guidance. Staff carried out additional tasks such as the cleaning of any regular touchpoint surfaces. Regular infection control audits took place and actions had been followed up when required.
Visiting arrangements were in place to keep people and visitors safe. There was an option to use a visitors’ pod designed to minimise the risk of cross infection.
The provider ensured they assessed people’s individual needs, this included where people who might struggle with isolation requirement ensuring they would be appropriately supported keeping themselves and everyone else safe.
The provider ensured a meaningful program of social events was in place to support people with activities of their choice.
Barnhaven Residential Home provides accommodation for 17 people, including people living with dementia. There were 16 people living at the service at the time of the inspection.
People’s experience of using this service and what we found
People had limited opportunities to follow interests and to take part in activities that were socially and culturally relevant to them. We have made a recommendation for the provider to seek advice and guidance on developing meaningful activities and occupation for people.
People were cared for by staff in a way that kept them safe and protected them from avoidable harm. Enough staff were available to respond to people’s needs and requests in a timely way. Recruitment procedures ensured people were protected from unsuitable staff. People’s medicines were safely managed, and they received their medicines as prescribed. Accidents and Incidents were investigated, and measures were taken to prevent re-occurrences. The premises were clean throughout, and staff followed infection control principles.
The service continued to be effective. People were supported by staff who were skilled, well trained and knowledgeable. People had access to health professionals when needed.
Their dietary needs were considered, and people enjoyed the food and the choices they were offered. The service had been adapted to consider people’s needs.
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.
People received personalised care which reflected their needs and preferences. Staff were kind and caring. They supported people in a discreet and dignified way which maintained people’s privacy. People were encouraged to make choices and remain independent.
The provider and registered manager monitored the quality and safety of the service and identified areas which could be improved. Quality assurance processes were well-established within the service and the registered manager and staff team promoted a positive and open culture.
Rating at last inspection - The last rating for this service was good (published 13 July 2017.)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner. This was a planned inspection based on the previous rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This comprehensive inspection was unannounced and took place over two days on 22 and 28 June 2017. We judged they were now compliant with the breaches identified from the focussed inspection
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Barnhaven Residential Home provides accommodation for 17 people, including people living with dementia. There were 15 people living at the home and one person on a respite stay; one person who lives at the home was in hospital.
People said they felt safe and secure living at the home. They were positive about their relationships with staff. People were complimentary about the way the home was run; a person living at the home commented how hard the registered manager worked. Many felt the positive atmosphere was due to the good team work. Staff said they would recommend it to others as a good place to work. People and staff repeatedly used the words “happy” and “friendly” to describe their experience of living and working at the home.
People were cared for by well trained staff who were supported to develop their skills and understanding to benefit people living at the home. People benefited from range of food and drink in a calm atmosphere with staff who supported their individual nutrition and hydration needs.
People told us the home was “friendly and happy”, “staff are happy and helpful” and they described the staff team as “a charming lot.” Staffing levels met people’s emotional and physical needs. People said they knew the staff well as there had been few changes since the home had opened in early 2016. We saw people were at ease with the staff and they shared jokes with each other. Staff spoke about the people they cared for in respectful manner. People looked well cared for. People expressed satisfaction with the standard of the laundry and how their clothes were care for.
A health care professional ‘I was left with an overwhelming sense that your staff are kind, compassionate and dedicated to deliver the best care ... as possible.’ Written feedback to the service included comments such as ‘thank you all so much for the care, kindness and compassion’ and ‘Nothing is too much trouble.’
People living at the home spoke positively about the events and activities had been arranged. A group of people were engaged in an art activity during our inspection; the atmosphere was relaxed and light hearted with care staff assisting people to participate.
People received personalised care that responded to their individual needs. Care records were clear and easy to follow. Records showed staff monitored changes in the person’s health and worked with health care professionals to reduce risks.
There were effective recruitment and selection processes in place. Staff had the knowledge and confidence to identify safeguarding concerns and acted on these to keep people safe. People received their medicines in a safe and caring way. People visiting and living at the home praised the standard of cleanliness and the lack of unpleasant odours. People’s legal rights were protected.
Complaints information was on display; people told us they would feel confident to raise a concern if needed. There were no on-going complaints being investigated; CQC has not received any complaints about the service since the last inspection. There were systems to monitor the quality of the service, including responding to suggestions for improvements.
We received a concern which related to poor care practice at the service. This included how medicines were managed and how decisions had been made for two people, which impacted on their privacy and dignity. As a result we undertook an unannounced focused inspection on 22 July 2016. This report only covers our findings in relation to the concern.
We judged improvements were needed in the management of medicines, how consent is sought from people and how their capacity to consent is assessed. One area of concern identified did not respect the dignity of two people and did not respect the privacy of a third person. During the inspection, we also found two areas of concern in relation to the quality of pre-admission assessments and care plans. There were not effective systems to monitor the quality of care and support that people received.
During this inspection we identified breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 with regards to medicines, safe care and treatment, seeking consent, person centred care, dignity and respect and good governance. You can see what action we told the provider to take at the back of the full version of the report. We contacted commissioners at the local authority about our concerns on the same day of the inspection.