Background to this inspection
Updated
25 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Barclay Gardens is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection-
We spoke with 12 people who used the service and four relatives about their experience of the care provided. We spoke with 10 members of staff including care staff, the deputy manager, administrator and the registered manager. We also spoke with two visiting healthcare professionals.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and training. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
25 October 2019
About the service
Barclay Gardens is a residential care home providing personal care to 37 people at the time of the inspection, some of whom have dementia. The service can support up to 40 older people and younger people.
The care home’s premises are purpose built and consist of four individual units, which are all connected. People have access to a lounge, dining room and kitchenette on each unit. All rooms have ensuite facilities and there are additional specialist bathing facilities on each unit.
People’s experience of using this service and what we found
People and relatives described the service as exceptional. Health professionals praised the outstanding working relationship they had with staff and managers at the home. The registered manager worked collaboratively and efficiently with healthcare professionals to implement new healthcare initiatives. These had considerably improved outcomes for people in terms of their health. People’s holistic needs were met effectively through community services.
Staff received training to enable them to provide safe and effective care to people. This training had a focus on the values of the service, equality and diversity and respecting human rights. Staff undertook dignity pledges as a commitment to provide care which was respectful.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Systems and processes were in place to help keep people safe and risks associated with their care needs had been assessed. People were supported by staff who had been recruited safely. Medicines were managed safely. The service was clean and staff practice helped to reduce the risk of cross infection.
People were cared for by staff who were kind and considerate. People were involved in decisions about their care and support needs. Staff respected people's privacy and dignity and encouraged their independence.
People had positive relationships with staff and had personalised care delivered. Staff understood people’s personalities and their preferences. There were opportunities for people to participate in various activities of their choice. There were arrangements in place for people to raise concerns about the service. People were involved in discussions to identify their wishes for their end-of-life care.
People lived in a care home which had a positive culture. Staff and managers were committed to providing care which centred around the person. Staff were supported in their roles and people and relatives had confidence in the service. The quality of the service and staff practice was monitored and improvements made as required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 7 October 2016)
Why we inspected
This was a planned inspection based on the previous rating.