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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 get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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 did not consistently experience care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

Whilst we did not review all aspects of this outcome area, during our inspection of the home we identified some concerns about the care, treatment and support people were receiving not meeting their individual needs.

We looked at the medication and records about medication for people living at Barnfield Manor. We found that when people were unable to swallow medication orally this was not highlighted on their medication sheets. This meant that people were at risk of choking as they may have been given medication in tablet form. This was particularly important when temporary 'agency' staff were on duty. They might not be familiar with the needs of people living at Barnfield Manor and would be unaware of people's ability to swallow medication. The staff we spoke with during our visit were unable to tell us how tablets, which were to be taken by mouth, were given under these circumstances. This showed that care and treatment was not always planned and delivered in a way that ensured people's safety and welfare.

This was also a concern in other aspects of personal care provided at Barnfield Manor. One person living at the home, who was able to tell us about the care they received, explained that sometimes temporary staff did not have enough information or understanding about the care they required.