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Barnfield Manor Care Home Good

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Inspection report

Date of Inspection: 22 October 2012
Date of Publication: 5 December 2012
Inspection Report published 5 December 2012 PDF | 85.97 KB

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Not met this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 22 October 2012, observed how people were being cared for and talked with carers and / or family members. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People's privacy and dignity were respected and the relatives of people living in the home were being provided with information about their relatives' care and events in the home. However, we found that people living in the home were not consistently being given information and support regarding their care or treatment in a format accessible to them.

Reasons for our judgement

As the majority of people living at Barnfield Manor have dementia, we used our Short Observational Framework for Inspection (SOFI) during our visit. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We observed that over lunchtime people were appropriately supported and encouraged by staff to eat their meals. Staff gave people enough time to eat and did not rush or hurry people with their meals. We saw that people interacted positively with staff, smiling and talking with them whilst waiting for their lunch and also whilst they were eating. People were asked about what they wanted for their lunch and were given options of different meals.

When people did not like or want the meals available, alternatives were provided. We found that the atmosphere throughout lunchtime was relaxed and everyone sat at tables and ate their meals without becoming distressed or anxious.

We saw that people’s personal hygiene needs were being met and people were dressed appropriately in clean clothes. One relative we spoke with told us they were happy that their relative’s privacy and dignity were being respected. Two other relatives we spoke with said they were still having issues with the laundry service with clothes going missing but that the provider seemed to be trying to address this.

We found that since our last inspection in June 2012 information being provided to the relatives of people at Barnfield Manor had improved. We saw that a notice board was now in place in the entrance of the home and that this contained information of events coming up in the home, such as a Halloween party and also weekly menus and information about flu jabs. We also saw copies of letters which the acting manager of the home had sent to relatives asking and encouraging them to come and review their relatives' care plan. Relatives were also asked for information and mementos from people’s lives. We saw that one relative had provided photos and a recipe book; however this was being kept in the persons care file in the nurses’ office which the person did not have access to. We asked the regional manager if these items were being shared with the person and they said that they should be but was unable to show when this had happened.

The provider had held meetings with relatives to discuss work ongoing in the home and we saw that these meetings had also allowed relatives to raise any concerns they had. We were advised that the most recent relatives meeting had been held in September 2012.

We highlighted in our previous visit that there was little suitable information displayed for people, telling them about arrangements to enable them to access the local community, advocacy or relevant support services. We did see that these sorts of information were more consistently being provided for people’s relatives now; however this was still lacking for the people living at Barnfield Manor themselves.