Barley Manor 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.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (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.

The managers conducted thorough assessments of people’s needs and staff could access these easily via handheld electronic devices. People’s care needs were reviewed monthly or when there was a change to their health and wellbeing.

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. Staff planned and delivered care and support based on current legislation, evidence-based best practice, and what mattered most to the person. People’s needs, preferences, and routines shaped the care they received. The managers used nationally recognised tools to assess people’s needs such as regarding their skin health, and risk of losing weight. This meant that care could be considered and delivered in a way that was appropriate to people living at the home.

People told us staff knew what they were doing when supporting them. One person said,” Staff know my likes and dislikes, what food I like and how I like my shower.” We saw at lunchtime some people were provided with their meals in their rooms supported by staff where needed. Specialist diets and food consistencies (such as thickened fluids, soft foods) were known by staff and recorded in care plans and risk assessments so they could support people safely. In the dining area people were provided with meals and drinks of their choice to meet their nutritional needs.

The provider worked 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. People spoke positively about all the staff and the support they received.

Staff understood the importance of good communication between them and told us they were kept informed of any changes during the daily handover meetings. People’s daily notes completed by staff showed when healthcare professionals had visited to discuss a person’s care so all staff could read about any updates and keep themselves informed of any changes to the person’s care.

The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff supported people to book and attend medical appointments within the local community, including dentists and doctors’ appointments. People’s health needs were assessed and care plans documented how best people should be supported. Staff monitored people’s health conditions and acted if people became unwell. People told us they had access to health care professionals when they needed them.

People spoke positively about their gym sessions led by the registered manager and how they benefited both physically and mentally from them. The registered manager told us about one person who moved into the home for respite after an operation and couldn’t stand up. They attended gym sessions twice a day and were able to walk with a walking stick when they moved back home.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

Staff monitored and recorded health outcomes such as people’s weight, food and drink. There was a detailed process for staff to follow when someone had a fall. However, the records had not always been completed to show that the process had been followed. We fed this back to the registered manager who then held meetings to ensure that all staff were aware of the post falls process and that any actions taken were recorded.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff spoken with told us they had received mental capacity act training. They said they understood the importance of explaining to people, what they were doing on a day-to-day basis in relation to personal care before gaining people’s consent. Care records detailed if people had capacity to make day-to-day decisions or not, and if this was not the case, how to ensure the person was supported.

The managers applied to the local authority when people were at risk of being deprived of their liberty, and these applications were documented and monitored.