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Inspection Summary

Overall summary & rating


Updated 12 September 2019

About the service

Barnham Manor is a care home providing personal and nursing care to 33 people aged 65 and over at the time of the inspection. The home is registered to support up to 33 people. People at the home were living with a range of physical health conditions and dementia. The home had a large communal lounge and dining area, all bedrooms had en-suite bathrooms and the home was set in well-maintained grounds.

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

The provider and registered manager had significantly improved the care people received since the last inspection. They had acted on feedback and put actions in place to embed these improvements. Risks to people had been fully assessed and detailed risk assessments were now in place in the event of an emergency. Accidents and incidents were now analysed and learnt from which had improved people’s safety. People’s care was delivered in a personalised way, we observed people be offered choices and their decisions respected by staff. There was a consistent approach to engaging people in the running of the home and people told us they felt listened to.

People told us they felt safe. Staff understood risks to people and these were well managed. People’s medicines were managed safely by trained nursing staff. The home was very clean and well maintained. There were suitable staffing levels to meet people’s needs. A relative told us, “The response to calls for help is quick.”

People’s health and nutritional needs were met. One person told us, “The food’s wonderful, the chef is excellent, I can have what I want.” Staff were knowledgeable and well trained. 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 home had been adapted in line with people’s needs and the environment was well-maintained.

People received kind and compassionate care from staff who knew them well. A relative told us, “Staff care very much for all residents. Communication is excellent, and they will answer any queries I have.” People were supported to make decisions about their care and their views were respected. People’s independence was promoted, and their privacy and dignity respected. People were supported to maintain relationships that were important to them.

People had access to a range of activities that met their interests. People were given information in a way they could understand, and staff understood people’s individual communication needs. People received compassionate end of life care.

The home was well-led. People, their relatives and staff spoke positively of the registered manager and provider. A relative told us, “Both manager and (owner) encourage staff to provide the best care possible.” There were robust quality assurance processes in place to drive improvements to the care people received. Staff and the registered manager worked well with other professionals to meet people’s needs.

For more details, please see the full report which is on the CQC website at

Rating at last inspection The last rating for this service was requires improvement (published 20 September 2018) and there were three breaches of regulation. 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

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection pr

Inspection areas



Updated 12 September 2019

The service was safe.

Details are in our safe findings below.



Updated 12 September 2019

The service was effective.

Details are in our effective findings below.



Updated 12 September 2019

The service was caring.

Details are in our caring findings below.



Updated 12 September 2019

The service was responsive.

Details are in our responsive findings below.



Updated 12 September 2019

The service was well-led.

Details are in our well-Led findings below.