Barden House

Updated 15 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Barden House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Barden House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there were 2 registered managers in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since it was registered. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection

During the inspection

We spoke with four people who lived in the home and observed how staff interacted with people. We also spoke with one of the registered managers and two members of staff. We looked around the accommodation.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at one staff file in relation to recruitment and at the staff training matrix. We also reviewed records relating to the safety and management of the service. We contacted one person’s relative and four staff to gather their views.

Updated 15 November 2022

Barden House is a residential care home providing accommodation and personal care to up to 10 people. The home is a large, domestic style property, which has been adapted to meet people’s needs. The service provides support to people who have mental health needs. At the time of our inspection there were 9 people using the service.

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

People were safe and protected from abuse and avoidable harm. Risks to people’s safety had been identified and managed. People were supported with positive risk taking to promote their quality of life. People received the support they needed because there were enough staff. The staff had time to spend with people. People received their medicines safely and as they needed. The registered managers had systems to learn lessons from incidents to ensure people remained safe.

People received good care because staff were trained and skilled. People enjoyed a balanced diet and staff supported them to make healthy eating choices. The registered managers and staff worked with appropriate services to ensure people received the healthcare support they needed. People’s rights were protected because the registered managers and staff understood their responsibilities under the Mental Capacity Act 2005. 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 treated in a kind and caring way. Staff knew people well and were patient and gave people their time. Staff gave people choices about their support and respected the decisions they made. Staff respected people’s privacy and dignity and supported people to gain greater independence.

People received person-centred care that met their needs and took account of their wishes. People were supported to maintain relationships which were important to them. People enjoyed a range of activities which enhanced their quality of life. People and their relatives knew how they could complain about the service. The registered managers had links with appropriate services which would support people at the end of life.

The registered managers had developed a positive and enabling person-centred culture. People told us they would recommend the home. The provider included people in decisions about making improvements to their rooms and the shared accommodation. People received care that met their needs because the registered managers worked cooperatively with other services to plan and provide their care.

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 27 August 2021 and this is the first inspection.

The service was previously registered under a different provider. The last rating for the service under the previous provider was good, published on 3 September 2020.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.