Background to this inspection
Updated
26 March 2020
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. This was a targeted inspection to check on a specific concern we had received about the safe management of medicines.
Inspection team
This inspection was carried out by a medicines’ inspector from the CQC Medicines Optimisation Team.
Service and service type
The Cyder Barn 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection.
During the inspection.
The arrangements for storing and managing medicines were reviewed.
After the inspection.
We continued to seek clarification from the registered manager to validate evidence found. We looked at the homes medicine policy, people’s capacity assessments and the latest medicines audit.
Updated
26 March 2020
About the service
The Cyder Barn is a residential care home providing personal care to 28 people aged 65 and over at the time of the inspection. The service can support up to 40 people.
People’s experience of using this service and what we found
People received care and support that was safe. People told us they were happy living at the Cyder Barn and that they felt safe. The provider had a robust recruitment programme, which meant all new staff were checked to ensure they were suitable to work with vulnerable people. All staff had received training in recognising potential abuse and how to raise concerns. Medicines were managed safely. Staff were trained in administering medicines and their competency checked regularly.
People received effective care from staff who were well trained and demonstrated a good knowledge of people’s needs, likes and dislikes. People enjoyed a healthy balanced and nutritious diet based on their preferences and health needs. The meal time experience was relaxed and a social event in the home.
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 received care from staff who were kind and caring. Staff always respected people’s privacy and dignity.
Staff encouraged people to be involved in their care planning and reviews. People were supported to express an opinion about the care provided and were involved in the day to day running of the home.
People received responsive care and support which was personalised to their individual needs and wishes and promoted independence. There was clear guidance for staff on how to support people in line with their personal wishes and specific needs. All staff had received training in supporting people to maintain a good dental hygiene routine.
People were supported by a team that was well led. The registered manager demonstrated an open and positive approach to learning and development. Everybody spoken with said they felt the registered manager was open, approachable and they could see them around the home most days. Staff said they felt they were valued and well supported. They told us they felt their ideas were listened to when they had a suggestion about working practices in the home.
There were systems in place to monitor the quality of the service, ensure staff kept up to date with good practice and to seek people’s views. Records showed where short falls were identified action was taken. The provider responded to concerns and complaints in a timely manner and learnt from the issues raised.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 09 June 2017). However, the safe domain was rated requires improvement. At this inspection we found improvements had been made.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.