Archived: Barley View

Updated 24 December 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.

Barley View 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 did not have a registered manager in place at the time of the inspection. Both 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Prior to the inspection, we sought feedback from the local authority, clinical commissioning groups, agencies and healthcare professionals involved with the service. The provider was not asked to complete a provider information return prior to this inspection. 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 briefly spoke with two people living at the service. However, it was not possible to obtain their views on the service, so 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 spoke with one relative to ask about their experience of the care provided.

We spoke with two members of staff. We reviewed three care records, three medication records and one staff file. We also looked at a variety of policies and procedures, the training matrix, audits, accident records and records relating to the management of the home.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 24 December 2019

About the service

Barley View is a residential care home providing personal and nursing care for up to eight people in one adapted building and is one of four services on the Bilsthorpe site owned and run by Lifeways. On the day of our inspection there were three people using the service.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

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

People living at the service were not always safe, as safeguarding concerns were not effectively reported, monitored or analysed in a timely way. This had resulted in lessons not being learnt following incidents occurring.

People were not always supported by enough staff, and staff did not always know people well enough. Staff had not always received up to date training to support people in a suitable way.

The service did not always consistently apply 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 people using the service did not fully reflect the principles and values of Registering the Right Support for the following reasons, there was a lack of choice and control; people had not been supported to undertake social activities of their choice on a regular basis; staff did not always support people in the least restrictive way.

Peoples medicines, nutritional needs and healthcare needs were managed. People were protected from the risk of infection. Staff supporting people maintained their privacy and dignity.

Risks to people’s safety were assessed.

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 Good, published (8 March 2019).

Why we inspected

The inspection was prompted in part due to concerns received about staffing, safeguarding issues, lack of activities and the management of all Lifeways services at this location. A decision was made for us to inspect and examine those risks.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Barley View on our website at www.cqc.org.uk

We have identified breaches in relation to management of safeguarding issues and governance of the service at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.