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Inspection Summary


Overall summary & rating

Good

Updated 19 December 2017

Barnes Lodge 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. Barnes Lodge accommodates 101 people across three separate units, each of which has separate adapted facilities. The service specialises in providing care to people living with dementia. The service opened in September 2016 and at the time of the inspection there were 45 people living at Barnes Lodge across two floors of the service with the third floor not yet occupied.

This inspection site visit took place on 1 and 3 November 2017 and was unannounced. The inspection was carried out by two inspectors and an 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.

There was not a manager in post who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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. The registered manager had left the service the week before the inspection. An interim manager had been appointed and had begun working in the service. We were notified following the inspection that the interim manager had been successful in their application for the role and we received an application for them to be registered for the service with the commission.

At the last inspection on 3 March 2017 we asked the provider to take action to make improvements to safe care and treatment, consent, staffing, personalised care and good governance and this action has been completed.

People were safeguarded from harm and abuse. The registered provider worked proactively with the local safeguarding team to respond to allegations of abuse. They ensured that lessons were learned when things went wrong. Staff knew what action they needed to take to reduce risks and to provide safe care and support. The premises were well maintained and equipment had been checked regularly to ensure it was suitable and safe. The registered provider ensured that the risk of infection in the service was assessed and managed.

People received safe support to manage their medicines. People were supported to stay healthy and staff enabled them to access healthcare professionals as needed. People had a balanced diet and enough to eat and drink.

There were sufficient numbers of skilled and competent staff working in the service to meet people’s needs. The registered provider ensured that staff were safe and suitable to work with people. Staff received appropriate training and support and were enabled to develop their knowledge and skills through qualifications. Staff had positive relationships with the people they cared for.

People were treated with dignity and respect. Their right to privacy was upheld. People were provided with sensitive support at the end of their life that ensured they were comfortable and pain free.

The premises were suitable and comfortable and met people’s needs.

The registered provider ensured that care was planned in line with best practice guidance. They worked effectively with partner agencies to deliver safe and effective care. 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 had choice and control over their lives. Their care was flexible and person centred. Staff understood people’s rights to make their own decisions and followed the principles of the Mental Capacity Act 2005. People were involved in developing their care plans and making decisions about the

Inspection areas

Safe

Good

Updated 19 December 2017

The service was safe.

People were safeguarded from abuse and harm. Risks to their safety and welfare were assessed to keep them safe and respect their freedom. The registered provider ensured that lessons were learned from investigations so that improvements could be made.

There were enough suitable staff to meet people’s needs. Staff were recruited to the service following safe procedures to ensure they were suitable.

The registered provider ensured that people were supported to manage their medicines safely.

People were protected against the risk of infection.

Effective

Good

Updated 19 December 2017

The service was effective.

People’s care was based on an assessed of their needs and delivered in line with legislation and evidence based guidance. Consent was sought before care was provided. Where people were unable to make their own decision staff followed the principles of the Mental Capacity Act to ensure their rights were upheld.

Staff had the knowledge and skills required to deliver effective care. They worked effectively with other areas of the organisation and with other professionals to ensure people’s needs were met.

People were supported to eat and drink enough to meet their needs. They were provided with support and guidance to enable them to live healthy lives.

People benefitted from appropriate design and adaptions to the premises to meet their needs and promote their independence.

Caring

Good

Updated 19 December 2017

The service was caring.

People were treated with kindness and respect. Staff knew people well and supported them to make decisions about their care and support.

People’s rights in relation to their privacy and dignity were upheld by staff and were promoted through the culture of the service.

Responsive

Good

Updated 19 December 2017

The service was responsive to people’s individual needs.

People received personalised care that reflected their needs and preferences. Staff were responsive to their needs and requests.

People knew how to raise concerns and complaints and could be confident they would be listened to.

People are provided with sensitive and effective care at the end of their life to ensure they are comfortable and pain free.

Well-led

Good

Updated 19 December 2017

The service was well-led.

The service had a clear vision and person centred culture that is understood and adopted by all staff. The newly appointed manager demonstrated clear and directive leadership to ensure that the service delivered on the values of the organisation.

There was an effective governance system in operation to monitor the quality and safety of care delivery. The registered provider supported the manager of the service ensuring they responded to risks and adhered to regulatory requirements. The registered provider made regular checks to ensure that improvements made were sustained.

The registered provider worked effectively with stakeholders including people and their families, staff and other agencies to ensure the ongoing improvement of the service.