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Pamela Barnett Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 17 July 2019

About the service:

Pamela Barnett is a residential care service. The service provides care and support for up to sixteen people who have learning disabilities and physical disability. The home is a large detached building situated on a village style development together with other similar care homes run by the provider. There are four self-contained flats and at the time of the inspection fifteen people were living in the home.

People’s experience of using this service:

One relative told us, “All staff are very loving and knows the residents very well and do their best to keep them comfortable and happy.”

Risk assessments were not always reviewed and amended on a regularly basis. This was raised with the registered manager during the inspection process.

We recommend that the service consider current legislation related to the employment of people and act to update their practice accordingly.

The quality assurance processes in place were not always effective in identifying areas for improvement.

The provider used a person-centred approach to care.

Medicines management had effective governance systems in place to ensure that there were minimal medicines errors. Where people were prescribed 'as required' (PRN) medication, the service had protocols and guidance in place to ensure staff knew when to administer PRN medicine.

People were kept safe from risk of harm in the event of an emergency as individual personal emergency plans were in place and correct.

We found that there were numerous activities on offer to people living in the home. People were supported to take part in social and recreational pursuits.

We observed some caring interactions between staff and people that they supported. All staff knew the people they supported well.

Staff were trained in protecting people from abuse. Staff knew how to report abuse and were knowledgeable about safeguarding and identifying the signs of abuse.

Staff were provided with personal protective equipment and understood the importance of infection control

Relatives confirmed that they were involved in the development of people's care needs.

Most people who live at Pamela Barnett were nonverbal. Due to this we did not gain feedback from people.

Rating at last inspection:

The service was inspected in October 2016 (report published November 2016) and was rated good.

Why we inspected:

This was a planned announced inspection based on the rating at the last inspection. This was announced due to the complex people that live at the service.

Follow up: We will continue to monitor all information we receive about this service. This informs our ongoing assessment of their risk profile and ensures we are able to schedule the next inspection accordingly.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 17 July 2019

The service was not safe

Details are in our Safe findings below.



Updated 17 July 2019

The service was effective

Details are in our Effective findings below.



Updated 17 July 2019

The service was caring

Details are in our Caring findings below.



Updated 17 July 2019

The service was responsive

Details are in our Responsive findings below


Requires improvement

Updated 17 July 2019

The service was not always well-led

Details are in our Well-Led findings below.