Hill Barn Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People had detailed individualised risk assessments and care plans in place. Discrepancies between information recorded on people’s care plans and their daily care notes which were identified at our last inspection in May and June 2026 had been rectified.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. We viewed daily notes which were more person centred and included more details compared with our previous inspection. Improvements were noted in the recording of people’s repositioning records. A new form for reviewing daily care notes had been implemented.

The provider continued to work well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Daily care records included visits from occupational therapists and the Speech and Language Team (SALT).

The provider continued to support people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. We observed that people were offered a choice of meals, and one person was observed admiring a cucumber they had grown in the garden.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. The service used clinical tools such as weight logs, bowel monitoring, food and fluid charts, repositioning records and behavioural monitoring charts. The service had systems in place to review these monitoring records and had introduced new monitoring forms of daily notes to identify recording concerns. Where concerns had been identified prompt actions had been taken.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We found that the service had made significant improvements regarding mental capacity assessments and consent since our last inspection. Mental capacity assessments had been completed for decisions relating to corresponded to what was recorded on consent forms. Mental capacity assessments had been reviewed and included details of discussions that had taken place and people’s responses.

Some consent forms had been reviewed, and this was an on-going process.

Where required, people had Deprivation of Liberty Safeguards (DoLs) in place or applied for.