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Archived: Robert Owen Communities - Barnfield Outstanding

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Inspection Summary


Overall summary & rating

Outstanding

Updated 2 April 2016

The inspection took place on 27 November and 2 December 2015 and was unannounced. The home had been previously inspected in November 2013 and had been found compliant with all the outcomes inspected.

Barnfield provides accommodation with personal care for up to 11 people over the age of 18 who have a diagnosis of a learning disability. The home is a farm located on the outskirts of Luppitt; a small village located about six miles from the East Devon town of Honiton. Barnfield Farm is an old thatched and cob house which is home to three people. Eight other people live in two adjacent buildings to the farmhouse, called Shippon and Little Shippon. The home is staffed 24 hours a day. At the time of the inspection, eleven people had lived at the home for a number of years. People had a range of needs and some had communication difficulties associated with their learning disability.

The home had a manager who had been registered in the role with the Care Quality Commission since 2014. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers and nominated individuals, 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 supported in their role by a team leader as well as senior managers in the organisation. Senior managers visited the home from time to time, offering guidance and advice and undertaking quality assurance checks.

The registered manager had a clear vision for the home and the people who lived there. They described how they and the staff were committed to ensuring people were supported to live as independently as possible. Staff described how they “were visitors” who were there to support people in “their home”. Throughout the inspection we saw staff following these principles, treating people with kindness, friendliness and compassion. Staff made sure people had time to decide what they wanted to do and were then supported to do this.

People were happy and excited about what they were doing throughout the two inspection days. People were involved in lots of activities, including helping a person in the village, Christmas shopping, going to a dance session in the local village hall and going out with family. People chatted to staff about these activities, showing real enthusiasm.

People did activities of their choice and were encouraged to try new things. Staff supported people to achieve their ambitions and potential despite their abilities. They undertook activities on their own and in groups. These included college courses, sports, art, hobbies and social events. One person rang the bells at the local church, while another person had chosen to help clean the church every six weeks. Staff had developed two weekly ‘clubs’ in the local village hall as people had wanted to get more involved in cooking and some people had expressed an interest in dancing. Some people went Christmas shopping during the inspection and were clearly delighted with the success of their trip.

People had worked with staff, local musicians and a choir to stage a variety night in the summer of 2015. Tickets for the variety night were sold to family, friends and villagers. A video of the variety night clearly showed how much everyone, both performers and audience enjoyed the event. People from Barnfield had achieved personal ambitions including singing in a girl band and playing a musical instrument in public. Everyone from the home had sung a number of songs with a local choir. The funds raised were used to support improvements in the home including a multi-media room. The registered manager and staff also worked with people to engage with the local community by hosting an annual open day, visiting and contributing to the local weekly market, hiring the vill

Inspection areas

Safe

Good

Updated 2 April 2016

The service was safe.

People were relaxed and happy with staff who ensured they were protected from avoidable harm.

People�s risks had been assessed and plans been put in place to address these risks. People were supported to remain independent both in the home and outside.

There were sufficient staff who had been recruited safely to meet people�s needs.

People had their medicines administered safely. Where people self-medicated, risk assessments had been carried out and staff supported people to do this safely. Staff ensured medicines were received, stored, administered safely. This was documented and audited appropriately. Where errors occurred, actions had taken place to reduce the risk of recurrence.

Effective

Outstanding

Updated 2 April 2016

The service was effective.

Staff were supported through training, supervision and appraisals to be confident working with people. Staff described how they were able to develop new ideas with people on how they could be supported in activities they wanted to do. Staff said managers listened to and responded positively to their ideas.

The registered manager had ensured that people�s capacity to make certain decisions had been assessed and, where necessary, had applied for Deprivation of Liberty Safeguards authorisations.

People were supported to be involved in the preparation and cooking of meals they enjoyed. People�s preferences had been identified by staff which enabled people to have a healthy balanced diet of their choice.

Staff worked with people using a range of communication methods to ensure that people were able to be supported effectively.

Relatives and visiting professionals described staff as knowing people at Barnfield well, working jointly with them to ensure people had effective care.

Caring

Outstanding

Updated 2 April 2016

The service was caring.

Staff had formed positive, caring relationships with people. People said they were happy and demonstrated, throughout the inspection, how much they liked the staff.

Family members described the home as really good, saying the staff went the �extra mile� to give people enjoyment. Relatives said they could visit at any time and were kept in touch about what was going on.

People were able to express their views through regular resident meetings as well as through surveys. These meetings and surveys had been designed to accommodate the different communication skills of people, which made them more inclusive.

People were treated with dignity and respect. People�s right to privacy was recognised by staff.

Responsive

Good

Updated 2 April 2016

The service was responsive.

People were actively involved in care planning and care reviews. People were supported to record things they had done using photos they were proud of. They used these to take part in care reviews with relatives and health and social care professionals.

People�s individuality was respected and staff responded to their needs on an individual basis. People were encouraged to try new activities by staff who were always looking at what the person needed. Staff were able to describe people�s aspirations and wants and how they supported them to meet these.

People�s care plans were personalised and people did activities which they had chosen.

People were put at the centre of their care plans and families were involved where people wished them to be.

Where a person had a concern, issue or complaint this was listened to, investigated and responded to in a reasonable time.

A survey of people living at Barnfield had been undertaken to see what they thought of the service. The registered manager was working with staff to develop a plan of action based on the results.

Well-led

Outstanding

Updated 2 April 2016

The service was well-led

The registered manager and a team leader were proactive in working with people and their families to deliver care according to the aims and objectives of the provider.

The registered manager had developed strong links with the local community which had led to people being involved in attending and organising local events including a concert, an open day and a weekly market.

The registered manager was supported by senior managers who provided supervision as well as quality assurance checks. The registered manager undertook regular audits of the service to ensure it maintained and improved the quality and safety of the care provided.