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Inspection Summary


Overall summary & rating

Good

Updated 2 November 2018

This inspection took place on 29 August 2018 and was unannounced.

Hill Barn provides, accommodation and personal care for up to 26 people, some who are living with dementia. At the time of this inspection 22 people were living in the home.

Hill Barn 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.

At our last inspection in April 2017, we found two breaches in regulation and rated the service as requires improvement. Not all areas of the building were sufficiently cleaned and this posed an increased risk of infection and some systems and processes to monitor the quality of the service were ineffective. After the comprehensive inspection, the provider wrote and told us what they would do to meet legal requirements in relation to the breaches. At this inspection, we found the service had made improvements under the questions is the service caring, responsive and well-led? The service is now rated as good.

The service had a registered manager. 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 were safeguarded from the risk of harm. There were effective safeguarding procedures in place and staff had received safeguarding training.

There were sufficient numbers of staff deployed to meet people's needs. Safe recruitment practices were followed.

People were supported to eat a healthy and balanced diet to help maintain their wellbeing. People were assisted to access a range of healthcare professionals.

People were asked to consent to their care and support. The service operated within the principles of the Mental Capacity Act 2005 (MCA). Staff felt well supported and received training relevant to their roles.

People were comfortable and relaxed when engaging with staff and managers. Staff were positive about their work and the support provided. People were treated with dignity and respect.

Staff knew people they supported and provided a personalised service in a caring way. Care plans provided information to staff on how to meet people care needs. People were given opportunities to make choices about their daily lives. They were able to choose whether or not to participate in a range of activities within the service and received the support they needed to help them to do this.

The service had an open and inclusive culture and staff were positive about the support they received from staff and the registered manager.

Compliments were received about the service and complaints investigated, responded to and resolved where possible to the complainants’ satisfaction. The registered manager and their staff team worked together with other organisations to ensure people’s well-being.

Quality monitoring systems and processes were in place to help drive continual improvements. An action plan had been developed which recorded where action needed to be taken. Feedback was being sought to capture people views on the overall quality of the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 2 November 2018

The service was safe.

People were safeguarded from the risk of harm. Staff had received safeguarding training.

Sufficient staff were deployed to meet people’s needs in a timely way.

People received their medicines regularly by staff who had been trained and had their competency checked.

Risks were assessed and actions put in place to reduce any identified risks.

There were effective infection control measures in place.

Effective

Good

Updated 2 November 2018

The service was effective.

Staff members received training and supervision to enable them to care for people safely and effectively.

People were asked to consent to their care and the service worked within the principles of the Mental Capacity Act 2005.

People had choice over their meals and were being provided with a specialist diet if required.

People were supported to access the healthcare services they needed.

Caring

Good

Updated 2 November 2018

The service was caring.

People were supported by kind and patient staff who met their individual needs.

People and their relatives were involved in planning their care and staff showed people that they mattered. Visitors were welcomed.

Staff respected people’s privacy and dignity and encouraged people to be as independent as they were able to be.

Responsive

Good

Updated 2 November 2018

The service was responsive.

Records relating to people gave staff sufficient information about people’s individual care and support needs.

Activities were arranged and people benefitted from these by having regular social stimulation.

A complaints procedure was in place and complaints and concerns were investigated and resolved to the complainants’ satisfaction where possible.

End of life care were discussed with people to ensure their wishes were known.

Well-led

Good

Updated 2 November 2018

The service was well-led.

Quality assurance systems were in place which reviewed the quality and safety of people's care.

People were enabled to make suggestions to improve the quality of their care.

Staff were aware of their roles and responsibilities in providing people with the care that they needed.