Barton House

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. People’s relatives told us managers were available and keen to engage. One persons’ relative said, “They are always available, and I can talk to them.” A health professional said, “Barton House wants to get things right and the team are passionate about what they do. They are overall an example of how to get it right.

The service had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. All of the staff we spoke to gave positive feedback about the management of the service and told us they felt well supported. One member of staff said, “We have a fantastic team, and our management structure is working really well.” A health professional said, “I have seen Barton House change for the better since the appointment of [registered manager]. I am proud of the care given to their clients and I know that they take on board everything we ask of them and can be depended on to report on any concerns.”

The service fostered a positive culture where people felt they could speak up and their voice would be heard. All of the people and relatives we spoke to told us they felt comfortable raising concerns. One person’s relative said that if they had any concerns, “I would ring the manager straight away, and I feel they would manage the situation to a resolution.”

The service valued diversity in their workforce. They work towards an inclusive and fair culture by improving equality and equity for people who work for them.

The service had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They act on the best information about risk, performance and outcomes, and share this securely with others when appropriate. Staff roles were clearly defined, and staff understood their responsibilities. A rota system was in place to ensure a member of the management team was always on call and available to staff. A robust governance system was well embedded into the service. A continuous service improvement plan was in place, and routine provider oversight demonstrated good governance of the service.

The service understood their duty to collaborate and work in partnership, so services work seamlessly for people. They share information and learning with partners and collaborate for improvement. The registered manager had forged links with other registered managers and organisations in the local area. They shared information and best practice to support peer learning and improvement.

The service focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contribute to safe, effective practice and research. The provider routinely engaged with external bodies and publications to keep up to date with best practice and innovation. This was shared with the service on a regular basis and informed the service development plan.