20 September 2022
During a routine inspection
About the service
Barron Winnicott Home is a residential care home providing personal care without nursing for up to nine people. At the time of the inspection seven people were living at the home. All people at the home were Deaf and/or deafblind. They also have a range of complex needs including mental health, dementia, learning disabilities and/or autism.
People’s experience of using this service and what we found
Right Support:
People were supported by staff who knew them well and had assessed individual risks. However, improvements were required around fire safety and unauthorised people’s entry to the home. The management were proactive at ensuring people received support from enough staff to keep them safe.
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. People were encouraged towards independence as much as they could be.
Right Care:
People’s care was centred around their individual needs and wishes. Their dignity and privacy were protected except for the storage of their records. Activities were personalised and people were seen to be supported to be as independent as possible.
Staff were clear about protecting people’s human rights and when this was compromised worked with other health and social care specialists.
Right Culture:
People were supported by a management who led by example and created a positive culture at the home. Managers were regularly working in the home on shift. The provider led a culture of learning.
Further work around embedding the Deaf culture and community could be explored as relatives explained it was limited to the site and in the past.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 30 June 2021 and this is the first inspection under this provider. The last rating for the service under the previous provider was good, published on 20 March 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
We have found evidence that the provider needs to make improvements. Please see the safe and well led key questions. You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to fire safety and access to unauthorised people at this inspection. Please see the action we have told the provider to take at the end of this report.
We have also made a recommendation around staff recruitment.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.