Bartley Green Lodge Residential Care Home

Updated 29 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector, one assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Bartley Green Lodge Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the Local Authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 14 people who used the service and seven relatives about their experiences of the care provided. We spoke with ten members of staff including the regional manager, registered manager, deputy manager, senior care workers, care workers, activity co-ordinator and the chef. We also spoke with four visiting healthcare professionals. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included eight people’s care records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 29 August 2019

About the service

Bartley Green Lodge Residential Care Home is a residential care home providing personal care and accommodation to people predominantly aged 65 and over. The service can support up to 47 people. At the time of our inspection 38 people were living at the home and two people were in hospital.

The care home accommodates people over three floors which were accessed by a lift in one adapted building comprising of three units. Two units specialise in caring for people living with dementia.

People’s experience of using this service and what we found

People consistently told us they felt safe living in the home. Staff had completed the required safeguarding training and understood their role and responsibilities to protect people from abuse and avoidable harm. Risks to people were assessed, managed and known well by staff. The registered manager ensured enough suitable staff with the right skills were deployed to provide people with safe care. People received their medicines as prescribed. Staff maintained high standards of cleanliness and hygiene in the home, which reduced the risk of infection. Accidents and incidents were reviewed, and the registered manager took action to prevent a recurrence.

People told us they were supported by staff who had the relevant skills to meet their needs. Staff were well supported through training, supervision and appraisal. Staff worked effectively together to ensure people's needs were communicated and supported them to access healthcare professionals when they needed them. People told us they enjoyed the meals provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us they were supported by staff who were kind and caring. Staff promoted people's privacy, dignity and independence. People appeared relaxed in their surroundings.

People received a service that was responsive to their diverse and individual needs. Care plans were personalised and contained details about people's preferences and their routines. People’s communication needs had been identified and addressed. People were supported to access activities to support their interests and well-being, including links with and trips out to the local community. Processes were in place to ensure complaints were responded to and resolved where possible.

The service had a management structure in place, and quality assurance systems were effective in continuing to monitor and drive improvements across the home. Feedback about the leadership and improvement at the service was very positive. Regular feedback was sought from people and their relatives to ensure they were involved in the development of the service.

The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published August 2018). We rated Effective, Caring and Responsive as good and the key questions Safe and Well-led requiring improvement.

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 re-inspection programme. If we receive any concerning information we may inspect sooner.