About the service Barley View is registered to provide accommodation and personal care for up to 28 people. There were 25 people living in the home at the time of the inspection. The home is a purpose-built property situated in Whitworth. The home has two floors, the ground floor is known as Willow Lane and the first floor is known as Forest Grove. Willow Lane provides care and support for people living with dementia. Accommodation is provided in single bedrooms all with ensuite shower facilities.
People’s experience of using this service and what we found
People told us they felt safe living in the home, and they were satisfied with the service provided. Whilst there had been some improvements to the management of medicines, we found some shortfalls in the records and made a recommendation to further strengthen the medicines systems. Following the inspection, the nominated individual assured us a senior lead would have oversight of people’s medicines.
There were sufficient staff deployed to meet people’s needs. We found a shortfall in the regulatory checks for one staff member. The nominated individual assured us appropriate checks had been carried out for all other staff. Whilst environmental risks had been assessed, individual risk assessments had not always been completed. Following the inspection, the nominated individual told us the manager would ensure all risk assessments were completed and added to people’s care plans. The home had a good standard of cleanliness throughout.
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. However, relevant documentation was not always available on people’s care files.
The management team carried out a series of audits to check and monitor the quality of the service. People living in the home, relatives and staff were invited to attend meetings and express their views on the service. Following the inspection, the nominated individual sent us details of previous audits and other information pertaining to the management of the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection and update
The last rating for the service was requires improvement (published 11 December 2019). There were two breaches of the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 12, 13 and 15 November 2019. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the management of medicines and the governance systems.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.
Recommendations
We have recommended the provider further strengthens the systems for the management of medicines.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.