Archived: St Barnabas Residential Home

Updated 26 May 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced inspection took place on 22 and 29 January 2015. The inspection team consisted of two inspectors.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed other information we held about the service including previous inspection reports, notifications they had made to us about important events and action plans to address non-compliance. We also reviewed all information sent to us from other stakeholders for example the local authority and members of the public.

We spoke with nine people who were able to verbally express their views about the service and four people’s relatives.

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, due to their complex health needs. We also observed the interaction between staff and people in the lounge and dining room and joined people in a reminiscing activity. We also spoke with two health care professionals including a community nurse.

We looked at records in relation to three people’s care. We spoke with the nominated individual, five members of staff including the administrator, team leader, care staff and catering staff. We looked at records relating to the management of the service, medication records, two staff recruitment and training records, and systems for monitoring the quality of the service.

Updated 26 May 2015

This was an unannounced inspection carried over two days, 22 and 29 January 2015.

St Barnabas Residential Home provides accommodation and personal care for up to 14 older people who require 24 hour support and care. Some people are living with dementia. There were 13 people living in the service when we inspected.

At our last inspection in June 2014 we found breaches of regulations relating to; assessing and monitoring the quality of service provision, management of medicines, staffing and notifications. Following the inspection the provider sent us an action plan to tell us what improvements they were going to make. During this inspection we found that the improvements had been made.

There was no registered manager in post at the time of our inspection.. 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. At the time of our inspection action was being taken to recruit a new manager.

Staff understood their responsibilities to ensure people were kept safe and knew who to report any concerns to.

There were procedures and processes in place to ensure the safety of the people who used the service. These included checks on the environment and risk assessments which identified how risks to people were minimised.

There were sufficient numbers of staff who were supported to meet the needs of the people who used the service. Staff were available when people needed assistance, care and support.

There were appropriate arrangements in place to ensure people’s medicines were stored and administered safety.

Staff had good relationships with the people and their representatives and they were attentive to their needs.

Staff respected people’s privacy and dignity and interacted with people in a caring, respectful and professional manner.

People were supported to see, when needed, health and social care professionals to make sure they received appropriate care and treatment.

People’s nutritional needs were being met. Where issues were identified, for example, where a person was losing too much weight, appropriate referrals were made to other professionals. The service took action to ensure that people’s dietary needs were identified and met.

People knew how to make a complaint if they were not happy with the service they were provided with. People’s concerns and complaints were listened to, acted on and used to improve the service.

Staff understood their roles and responsibilities in providing safe and good quality care to the people who used the service. However improvements were required to ensure shortfalls in the service provision were identified so actions can be taken to address them. As a result, it would lead to continued improvements in the quality of the service being provided.