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Inspection Summary


Overall summary & rating

Good

Updated 25 January 2019

The inspection took place on 14 December 2018 and was unannounced. The inspection continued on 17 December 2018 and was announced.

Barley Close 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 is registered to provide accommodation for persons who require nursing or personal care. It is registered for up to 10 people with learning disabilities and autism. At the time of our inspection there were eight people living in the home.

At our last inspection we rated the service outstanding. At this inspection we found the evidence supported a rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

The care service at Barley Close has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a registered manager in post. 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.

Staff understood their responsibilities to safeguard people and knew how to raise concerns both internally or externally if required. There was a safeguarding policy and procedures in place to protect people from abuse or harm. There were enough staff to keep people safe and meet people’s individual needs. Staff had a good understanding of people’s individual risks and how to manage them positively without being unduly restrictive. There were processes in place to ensure safe recruitment of staff to reduce the risks to people living at the home.

People were supported by staff with the skills and knowledge to meet their individual needs. There were processes in place to ensure staff had a robust induction to the service. Staff competency was monitored on an ongoing basis through observation, appraisal, and supervision. Staff received mandatory and bespoke training that enabled them to meet people’s complex needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff understood the principles of the Mental Capacity Act 2005 (MCA 2005) and how it applied to the people there. This provided protection for people who do not have capacity to make decisions for themselves.

Staff interacted with people in an extremely kind, inclusive and caring way. There was a relaxed and happy atmosphere at the home with staff observed consistently giving their time and responding to people in a patient and timely way. People’s right to privacy and dignity was respected at all times.

People were encouraged and supported to maintain relationships with relatives and actively participate in the community. Staff demonstrated a good understanding of the people living there. People’s support needs were identified, assessed and documented in personalised care plans.

People’s care needs were monitored and regularly reviewed. The provider had established good relationships with health and social care professionals and relatives who were consulted and involved. Relatives felt listened to and involved in their loved one’s lives.

People’s desire for independence and meaningful activity was met through a varied range of activities tailored to their abilities and tastes. This supported them to lead full an

Inspection areas

Safe

Good

Updated 25 January 2019

The service remains Good.

Effective

Good

Updated 25 January 2019

The service remains Good.

Caring

Good

Updated 25 January 2019

The service has deteriorated to Good.

Responsive

Good

Updated 25 January 2019

The service has deteriorated to Good.

Well-led

Good

Updated 25 January 2019

The service has deteriorated to Good.