Barley Manor Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This is the first assessment for this newly registered service. This key question has been rated good. This meant people were safe and protected from avoidable harm.

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 had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. People and their relatives had opportunities to feedback their views about the service and quality of the care they received.

Systems, including weekly clinical meetings and daily meetings with managers and heads of departments ensured that any concerns were discussed and appropriate action taken in a timely manner. However, the accident and incident monthly monitoring had not always been completed consistently. The registered manager responded to our feedback immediately. They made the necessary changes during this assessment to ensure they had oversight of any issues and could identify any trends and take any necessary action.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

The registered manager and staff team worked with professionals and partner agencies to ensure there was continuity of care for people. The registered manager visited people before they moved into the home to complete an assessment to ensure staff could meet their needs.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately. People told us they felt safe at Barley Manor Care Home. One person said, “I absolutely feel safe here. The night staff check up on you.”

Staff had been trained and understood their responsibilities to keep people safe. Staff told us they knew how to raise concerns, and they were confident managers would deal with these concerns appropriately. There was a safeguarding and whistleblowing policy that gave staff clear guidance to follow in the event they needed to refer any concerns to the local authority. Referrals had been made to the local safeguarding team appropriately.

People were protected from non-authorised restrictions to their liberty. Staff had a clear understanding of the legal requirements if any restrictions were placed on people.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Risks to people had been managed well and care plans were in place to help ensure staff had good understanding and knowledge of how to keep people safe.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The environment was clean, and a routine maintenance programme was in place. Staff raised concerns directly with the maintenance team or manager so these could be addressed quickly to resolve any issues.

People’s rooms were personalised to suit their tastes, needs and preferences.

We reviewed records of checks carried out to ensure the premises were safe. This included electrical and fire safety checks. Regular checks of equipment were carried out. Personal evacuation plans were in place. These had been regularly reviewed to reflect people’s support needs in the event of needing to evacuate the building in an emergency.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

There were arrangements in place to ensure staff completed induction training, kept up to date with mandatory training and staff received supervision from their line manager.

During our assessment, staff attended to people in a timely manner. Staff did not appear rushed and took their time with people.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. The service was visibly clean, and domestic staff were on shift daily to help ensure an infection free environment. Cleaning checks were in place to help monitor the cleanliness and staff wore personal protective equipment (PPE) appropriately.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened. People received their prescribed medication when they needed it, from staff who were confident in managing medication. Training had been provided to ensure staff had the appropriate knowledge and skills. Processes were in place for the ordering and safe storage of medication. We identified that not all protocols contained sufficient information for “when needed” medication such as pain relief. The registered manager ensured that these were updated immediately with the required information.