Barty House Nursing Home

Updated 19 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 7 and 12 December 2018 and was unannounced on the first day. The inspection team consisted of one inspector, a nurse specialist advisor and an expert by experience. An expert by experience is a person who has personal experience of using this type of service.

Before our inspection we reviewed the information available to us about this home. The registered manager had completed a Provider Information Return (PIR). The PIR is a form that we ask providers to complete at least once annually to give us some key information about the service, what the service does well and improvements they plan to make. We looked at the previous inspection report and notifications which had been submitted to us. A notification is information about important events which the provider is required to tell us about by law. We took this into account when we inspected the service and made the judgements in this report.

During the inspection we spoke to 10 people who lived in the service. We spoke with three relatives or friends of people living in the service. We spoke with 10 staff which included, the registered manager, deputy manager, clinical lead, the operations manager, a nurse, team leader, two care staff and two members of the wellbeing team. We observed care and activities that were provided in communal areas and looked at the care records for seven of the people who lived in the service. We looked at records that related to how the service was managed including staffing, training and quality assurance.

Updated 19 January 2019

This inspection took place on 7 and 12 December 2018 and was unannounced on the first day.

Barty House Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Barty House Nursing Home is registered to provide accommodation and personal or nursing care for up to 58 older people. Accommodation is provided over two floors and is wheelchair accessible with a passenger lift between floors. There are well maintained gardens and off-road parking. There were 51 people living at the service when we inspected.

At our last comprehensive inspection on 14 April 2016 we rated the service good. The Safe key question had been rated as ‘Requires Improvement’ as a breach of regulation 12 (1) (g) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Medicine records had not been maintained to make sure people had received their medicines as prescribed. A follow up responsive inspection took place on 23 June 2017 to check whether the breach of regulation had been met. This inspection showed that improvements had been made and the safe key question was rated as ‘Good’.

At this inspection on 7 and 12 December 2018 we found the evidence continued to support the rating of good, with the Responsive key question improving to ‘Outstanding’. There was no evidence or information from our inspection and ongoing monitoring that demonstrated any risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good overall with the Responsive domain improving to Outstanding.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission 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.

People received an individualised service that increased their self-worth and well-being. There was an innovative approach to supporting people to live a happy and fulfilled life. People’s dreams and aspirations were encouraged and fulfilled. People were supported to follow their likes and interests with a wide range of social activities within the service and out in the local community. People played an active role in their local community hosting events throughout the year.

People received person centred end of life care that encompassed their wishes and offered support to loved ones. People were treated with dignity and compassion at all times. The care team worked alongside health care professionals to ensure people could remain at Barty House and have a comfortable and pain free death.

Care plans were comprehensive and detailed the person’s wants and needs from their support. People’s care and nursing needs were assessed with them prior to receiving a service and these were kept under continuous review. People’s specific health care needs were met with the support from health care professionals.

People were treated with kindness and compassion. Staff understood the importance of promoting and respecting people’s privacy and dignity. People were encouraged and empowered to remain as independent as possible.

People received a service that promoted their safety whilst promoting their rights and choices. Potential risks had been mitigated. People were protected from the risk of infection with appropriate control measures. The environment and equipment had been maintained to promote people’s safety.

People received safe care from enough care and nursing staff. Nurses and care staff had been trained to meet people’s needs including their specialist needs. Staff received regular support and guidance from the management team.

People were supported to maintain their nutrition and hydration. The kitchen team ensured people had access to a variety of food choices. People that required additional support with their meals were catered for and supported in a safe way.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People were given the opportunity to raise and concerns or make suggestions about the service they received. These were listened to and acted on.

Systems were in place to monitor and improve the quality of the service.

Further information is in the detailed findings below.