Background to this inspection
Updated
27 February 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 06 November 2018 and was conducted by one inspector. It was a comprehensive, unannounced inspection.
Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. This enabled us to ensure we were addressing potential areas of concern at our inspection.
During the inspection visit we spoke or interacted with three people who lived at the home and observed how care and support were delivered in the communal areas. We spoke with the registered manager and two care staff.
We reviewed two people's care plans and daily records to see how their care and treatment was planned and delivered. We looked at other records related to people's care and how the service operated, including three medicine records, one staff recruitment file and the provider's quality assurance audits.
Updated
27 February 2019
At our last inspection in February 2016 we rated the service as outstanding. At this inspection we found the evidence continued to support the rating of outstanding in the Caring domain and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. The rating for the Well Led domain has reduced to ‘Good’ because the provider’s quality assurance processes had not promoted continuous improvement within this home, for example to work towards outstanding in other areas or taken the learning from this home to develop their other services.
This inspection took place on 06 November 2018 and was unannounced.
Barnett Wood Lane - Care Home Learning Disabilities is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Barnett Wood Lane is registered to provide accommodation and personal care for up to six adults who have a learning disability. At the time of our inspection three people lived there. The service is delivered from a two-story house in a residential area.
It is a requirement of the provider's registration that they have a registered manager in post. 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. The registered manager was present during this inspection.
Barnett Wood Lane continues to have a rating of outstanding in the care domains, with an overall good rating across the service.
People continued to be supported by kind and caring staff. Peoples independence was well promoted and supported by the staff team. Staff have worked here for many years, and have built caring relationships with people and enjoy their company. People are provided with the care, support and equipment they need to stay as independent as possible. People were supported to stay safe. Risks to people’s health and safety, including the risk of abuse were identified and well managed. People’s medicines were managed in a safe way, and they received them when needed. The home was kept clean by the staff team, with the help of the people who lived there. Accidents and incidents were reviewed by the registered manager and staff team to minimise the risk of them happening again.
Peoples needs were assessed before they came to the home, to ensure that the staff and environment could meet those needs. There are a sufficient number of staff deployed to meet people’s needs. A robust recruitment and selection process is in place. This ensures prospective new staff have the right skills and are suitable to work with people living in the home.
People have enough to eat and drink. People are involved in menu planning and food shopping, so they have the food they like. People have access to health care professionals when the need arises, as well as for routine check-ups to keep them healthy. Where people lacked the capacity to make specific decisions, the stuff understood and followed the requirements of the Mental Capacity Act 2005. This ensured that decisions made for people in their best interest and any restrictions put into place to keep them safe were done in a lawful way.
Care records were comprehensive and give a detailed description of the person, and their individual needs. Staff provide care and support that responded to these needs. People were supported at the end of their lives to have a dignified and as far as possible pain free death.
There was a robust complaints process in place, however this had not been needed as everyone we spoke with was happy with the service.
The home and staff team continue to be well led. The registered manager leads by example and staff are happy in their roles. However, the provider had not ensured that the service had continuously improved, nor had they taken the opportunity to learn from the what the registered manager and her team had done to achieve an Outstanding rating to develop their other services.