You are here

Archived: Barton Brook Care Home Good

The provider of this service changed - see new profile

Reports


Inspection carried out on 6 April 2016

During an inspection to make sure that the improvements required had been made

We undertook this unannounced inspection of Barton Brook Nursing and Residential Home on Wednesday 6 April 2016.

There was a registered manager in post. A registered manager is a person who has registered with the CQC 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.

At our previous inspection in August 2014, June 2015 and December 2015, we found the home had failed to ensure people received their medication safely. At each of these inspections, there had been a breach of Regulation 12 Health and Social Care Act 2008 (Regulated Activities) Regulation 2014, in relation to safe care and treatment. Following our last inspection in December 2015, the home wrote to us telling us what action they would take to ensure people received their medication safely and any changes they intended to make.

During this inspection, we found appropriate systems were now in place with regards to the safe administration of medication. However, we could not improve the rating for ‘safe’ from requires improvement at this time, because to do so requires evidence of consistent good practice over time. We also only looked at aspects relating to the breach of regulations, rather than looking at the whole question relating to ‘safe.’ We will review this during our next planned comprehensive inspection of the home.

Inspection carried out on 21 December 2015

During a routine inspection

Barton Brook Nursing and Residential Home provides nursing, personal care and accommodation for up to 120 older people. The home is owned by BUPA Care Homes. Accommodation is provided in four single storey units with each unit housing up to 30 people. There is a large car park available at the front of the building.

This unannounced inspection was carried out on 21 December 2015 and was unannounced. We carried out this inspection to check if improvements had been made following our previous two inspections in August 2014 and June 2015, where the service was found to in breach of regulation with regards to the safe management of medication. Since then, the provider sent us an action plan, detailing any improvements they had made to help keep people safe. This inspection was a 'Focused' inspection and as such, we only looked at how medication was handled, so did not conduct a full comprehensive inspection against the other key questions.

During this inspection we still had concerns with how people received their medication. We looked at how medicines were managed and administered in three of the four houses (Moss, Brindley and Irwell). We found medicines were not administered in a timely way in Irwell House so people were not protected from harm.

Inspection carried out on 10 June 2015

During an inspection to make sure that the improvements required had been made

We carried out an unannounced comprehensive inspection of this service on 12 August 2014. During that inspection we found one breach of Regulations under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 in relation to the safe management of medicines. After that inspection, the provider wrote to us to tell us what action they had taken to meet legal requirements in relation to the breach of regulation.

As part of this focused inspection we checked to see that improvements had been implemented by the service in order to meet legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Barton Brook Nursing and Residential Home on our website at www.cqc.org.uk.

This inspection was undertaken on 10 June 2015 and was unannounced. We found the provider was still not managing people’s medication safely.

Barton Brook Nursing and Residential Home provides nursing, personal care and accommodation for up to 120 older people. The home is owned by BUPA Care Homes. Accommodation is provided in four single storey units with each unit housing up to 30 people. The units go by the names of Monton, Moss, Brindley and Irwell. There is a large car park available at the front of the building.

At our last inspection we found that the registered person had not protected people from the risks associated with the safe administration of medication. This was a breach of Regulation 13 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, which related to safe administration of medicines.

During this inspection we found that medication was still not being handled safely. These issues related to how medicines were signed for, storage of controlled drugs, records for creams and the accuracy of medication audits completed within the home.

Inspection carried out on 12 August 2014

During a routine inspection

We inspected Barton Brook Nursing and Residential Home on 12 August 2014. This was an unannounced inspection which meant the staff and provider did not know we would be visiting.

Barton Brook Nursing and Residential Home provides nursing and personal care for a maximum of 120 people, some of whom were living with a dementia related condition. The home had four units, which consisted of two general nursing units (Brindley and Irwell), a residential care unit (Monton) and a dementia unit (Moss). At the time of our visit the home was fully occupied with the exception of two vacant beds in the Brindley Unit.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 in relation to the management of medicines. You can see what action we told the provider to take at the back of the full version of the report.

Although we saw systems were in place to safeguard people who lived at the home, we found people were not safe because medication was not handled safely in the Irwell unit. These issues related to the ordering, storage, administration and recording of medication for certain people. This placed people who lived at the home at risk.

During our visit we saw staff had developed a good relationship with the people in their care. People and their relatives spoke very positively about the service and told us they felt safe and well cared for. One person told us, “It’s very good here. The staff are excellent. The unit manager is impressive. I’m treated very well”.

The registered manager assessed staffing levels to ensure there were enough staff to meet the needs of people who lived at the home. We observed staff made time for people whenever required and patiently explained things to people so they didn’t feel rushed.

We found people were involved in decisions about their care and were supported to make choices as part of their daily life. People had a detailed care plan, which covered their support needs and personal wishes. We saw plans had been reviewed and updated at regular intervals. This meant staff had up to date information about people’s needs and wishes. Records of peoples care showed there was a personalised approach to care delivery and that people were treated as individuals.

Each unit at the home was led by a ‘House Manager’ or lead nurse and their work was overseen by the registered manager. Staff spoke positively about their work and confirmed they were supported by the registered manager. Staff received regular training to make sure they had the skills and knowledge to meet people’s needs.

The management team used a variety of methods to assess and monitor the quality of the service. These included satisfaction surveys, ‘residents meetings’ and care plan reviews.

Inspection carried out on 28 January 2014

During a routine inspection

There were four units at Barton Brook Residential and Nursing Home. Irwell and Brindley (Nursing), Moss (Dementia) and Monton (Residential). We spent time on each of these units and spoke with people who used the service and relatives, observed care being provided and looked at care plan documentation. Each unit was led by a House Manager or Nurse.

Overall, we saw good standards of care provided. People were nicely groomed, their nails were trimmed and some ladies nails were polished. People told us they received a weekly bath and could request to have one more frequently. One person said to us; �We can choose when we go to bed and when we get up. Breakfast is flexible aswell there is no rush�.

We found appropriate systems in place for the safe management of medicines. Staff had access to current medication policies.

We undertook a tour of the premises to ensure they were clean, well maintained a safe. We observed a toilet on Monton unit to be dirty, with urine on the floor. We discussed this with the manager who raised the issue with the House Manager.

We found there were adequate staffing levels on each unit. We observed staff were able to deliver care in a timely manner, and were not rushed in their approach. A relative said to us; "I think I would like more staff here. But they do the best with what they have and people do not go without".

During our inspection we found there were appropriate systems in place to monitor the quality of service provision.

Inspection carried out on 9 January 2013

During a routine inspection

On the day of our inspection the home accommodated 112 people and we spoke with 16 in order to seek their views and experiences about the service that they received. We also spoke with several members of staff during the inspection aswell as a small number of relatives who had visited during the day. Throughout the course of the day we spent time across all four units including Moss (Residential Dementia), Monton (Residential), Irwell and Brindley House (Nursing Units).

People living in Barton Brook told us that they felt supported and well cared for and that care workers understood their needs and how to meet them. People also told us that they had been able to provide consent to their care and treatment and we saw that the home had relevant procedures in place for obtaining consent from people who did not have the capacity to make their own decisions.

We received a mixed response from people who used the service about the quality of food at the home. Some comments included �Although the menu is rotated, the food is starting to get a bit repetitive� and �Sometimes I find it very stodgy�. One person, who spent a lot of time in bed told us that their food had been cold on two occasions recently. We addressed this with the manager who acknowledged this and agreed to look into the matter.

Inspection carried out on 31 August 2011

During a routine inspection

People living in Barton Brook told us that they felt supported and well cared for and that care workers understood their needs and how to meet them. We were told that things that were important to people such as their rights to privacy, dignity and respect was maintained by the staff working in the home and any concerns or worries would be listened to and addressed quickly and appropriately. People appeared comfortable in their surroundings and told us that they were happy living in Barton Brook and with the overall standard of service received.

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