Background to this inspection
Updated
26 February 2020
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.
Service and service type
Barley House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The manager registered with CQC at Barley House was also the nominated individual for the provider organisation. A manager had been appointed at the service in November 2019 and they were applying to take over this registration.
Notice of inspection
We gave a short period notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We looked at the information we have received from, and about, this service since the last inspection. We used the information the provider sent us in the provider information return. 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
During the inspection we met both people living in Barley house and spoke with one of them. We also spoke with two members of staff, the deputy manager, the manager and a representative from the provider organisation. When we visited we were able to observe how staff and the people interacted with each other.
The provider also gathered and shared feedback from two relatives and a health care professional with us.
We looked at a selection of records which included;
One person’s care and support plans
Quality assurance documents
Medication Administration Records (MARs.)
Compliments and complaints
Updated
26 February 2020
About the service
Barley House is a residential care home providing personal and nursing care to two people. The service is registered to provide care and support to two people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.
People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were supported by a caring, knowledgeable and committed staff team. The staff team were well led by a senior team committed to promoting person centred care within a framework of robust monitoring and developments. There were systems in place to monitor standards and plan continual improvements.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for the people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. The person’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People were supported by staff who respected them and knew them well. The staff were kind and compassionate. Staff were happy in their jobs and wanted to provide the best care they could. People had built positive relationships with staff and appreciated the familiarity they had. Staff understood how people communicated.
People were relaxed in the company of staff. The staff understood their responsibilities and how to protect people from abuse. Staff understood the risks people faced and the support they needed to reduce these risks.
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. Staff respected people’s choices and preferences.
People had access to healthcare when they needed it. Appointments for routine monitoring, such as dental and optician appointments, had been made. People were supported to eat and drink safely and their preferences were reflected in the food they shopped for.
People were supported to fill their time with things they found enjoyable and/or meaningful. They were supported to maintain important relationships.
Staff felt supported by the management team. All staff shared an ethos of personalised care and support to enable people to live the life they chose to live.
Rating at last inspection
The last rating for this service was good (published August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk