We carried out a review of the data available to us about The Barn and Coach on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Barn and Coach, you can give feedback on this service.
The Barn and Coach is a residential care home providing personal care to 14 people aged 65 and over at the time of the inspection. The service can support up to 15 people in one adapted building.
People’s experience of using this service and what we found
People told us they were happy living at the service and felt safe. One person said, “The staff are very good. Anything you want the staff will do for you.” Relatives spoken with were complimentary about the staff and the registered manager. One relative told us, “The registered manager is good at what she does, I have so much faith in her.”
The registered manager and staff spoke with compassion when referring to the people they cared for. The caring ethos of putting people first, was expressed by all staff we spoke with. One staff told us, “We are encouraged to talk and get to know them [people], they come first.”
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.
The service was person-centred and promoted independence. People’s nutrition and hydration needs were catered for and people told us the food was very good. People and relatives commented that the service was small and friendly. One relative told us, “It feels like a ‘home’ with a family atmosphere.” Another said, “It’s not posh but it's the care we are interested in.”
Systems were in place to keep people safe through audit monitoring. Medicines were managed safely, and records showed that people received their medicines as prescribed.
The service worked in collaboration with health and social care professionals. We spoke with one professional who told us that staff were friendly and communicated well with them.
There was a safe recruitment process in place and staff received training and supervision. The registered manager was visible at the service and worked alongside staff monitoring care practices. Staff told us they were listened to and the registered manager was approachable.
Rating at last inspection: Good (report published 3 February 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
The Barn and Coach is registered to provide accommodation for 15 older people who require personal care. People may also have needs associated with dementia. There were 15 people living at the service on the day of our inspection.
A registered manager was in post who was also the registered provider of the service. 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.
Improvements were needed so that staff received training or updates in core areas in a timely way. Staff had attended training on safeguarding people and were knowledgeable about identifying abuse and how to report it. Recruitment procedures were thorough. Staff understood and complied with the requirements of the Mental Capacity Act 2005.
People’s medicines were safely managed and they had regular access to healthcare professionals. A choice of food and drinks was available to people that reflected people’s nutritional needs and took into account their personal preferences.
People were supported by staff who knew them well. People’s dignity and privacy was respected and staff were kind and caring. Visitors were welcomed and people were supported to maintain positive relationships with others.
The provider had a clear complaints procedure in place. People felt able and had opportunity to express their views on the service and to be listened to.
People knew the manager and found them to be approachable and available in the home. People living and working in the service had the opportunity to say how they felt about the home and the service it provided. Their views were listened to and actions were taken in response. Systems were in place to regularly assess and monitor the quality of the service provided.
This inspection took place on 10 February 2015.
The Barn and Coach is registered to provide accommodation for 15 older people who require personal care. There were 13 people living at the home on the day of our inspection.
The registered provider is also the registered manager of the service and had been registered as the provider of the service in May 2014. 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.
People felt safe living in the service and were cared for by staff who treated them with kindness and respect. People were supported to have as much independence as possible while keeping safe. Recruitment procedures were thorough to ensure staff were suitable to work in a care home setting. There were enough staff available to meet people’s needs and give them support that was caring and personalised. People’s medicines were safely managed and recorded.
People and those acting on their behalf were involved in the planning of their care and support. Assessments had not been completed in line with the Mental Capacity Act 2005 where people may have been unable to make decisions. Current guidance to ensure that people were not deprived of their liberty without authorisation was not being followed. People’s healthcare needs were well managed.
Staff were trained and well supported to undertake their roles. People liked the food and were offered choices and specialist dietary needs were catered for. People were supported and encouraged to eat their meals in a caring and respectful way. People’s dignity and privacy was respected.
Staff approached people in a kind and caring way. People were cared for by familiar staff who knew people’s needs. People were supported to maintain relationships. People were confident to raise concerns with staff or the manager and were sure they would be responded to effectively.
The home was well led and managed to ensure people’s well-being and safety. People regularly saw the manager around the home and felt able to discuss any matters with them. The manager had systems in place to listen to people’s views and to monitor and improve the quality of the service.