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Archived: Robert Owen Communities - Barnfield Outstanding

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Reports


Inspection carried out on 27 November 2015

During a routine inspection

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 carried out on 21 November 2013

During a routine inspection

We carried out this inspection as part of our planned schedule of inspections. At the time of our inspection there were eleven people living at the home. We spoke with four members of staff, two people who lived at the home and the manager. We listened to a handover period between staff shifts. We looked through care records and records pertaining to recruitment of staff and general maintenance records of the home.

One person said �I like living here, I like my bedroom I go shopping and do exercise�s and I see my friends� they also told us �today I am going gardening I like doing everything in the garden�

We looked at personal care and treatment records of four people who lived there. We found that people's care was well planned and people were involved in making decisions about their lives and how they wanted to live. People told us they felt safe and they liked the staff

We looked through the building and some people showed us their bedrooms they were individual and had many personal possessions in their rooms. The people who lived there clearly liked their own bedrooms and felt safe there.

Staff were supported to develop plans of care that were person centred and specific to their individual needs and there was an ethos of respect though out the home. Staff we asked understood the mental capacity act and how it protected people�s rights when helping people to make decisions. We found people's care was managed and delivered to ensure risks to their health safety and welfare were reduced.

We found there was a good staff selection process and relevant checks had been carried out before staff started work.

Inspection carried out on 25 March 2013

During a routine inspection

We spoke with three people who use the service at Barnfield Farm. They told us that they have a lot of choice about what they did during the day, what they ate and how they decorated their rooms. We saw people�s current monthly plans which were all different and reflected their interests and preferences. We found that people�s needs, wishes and preferences are placed at the centre of planning and delivery of care and support.

We were told that people participated in "residents meetings" and wider representation within the Robert Owen Communities. We found that people�s views were taken into account in the running of the service.

During our visit we saw that people were treated with dignity and respect and people�s independence was encouraged.

We saw two video presentations of people who lived at Barnfield Farm giving their views about various aspects of their lives. We found that plans of care, treatment and support are implemented flexibly, and regularly reviewed.

We found that people using the service were protected from abuse as they were supported by a staff team with appropriate knowledge and training on safeguarding adults.

We found that staff received ongoing training and supervision which provided them with the skills and knowledge to meet the needs of the people they were supporting.

We found that there were systems for assessing and monitoring the quality of service provision.

Reports under our old system of regulation (including those from before CQC was created)