Archived: Barnes Court Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

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 shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.

The provider had a clear vision and values, which included dignity, quality, ambition, caring, inclusive and integrity. The manager led by example and had a strong presence in the service. They were proactive in developing the culture of the service, ensuring all staff had aligned values.

The provider had inclusive leaders who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience to lead effectively. They did so with integrity, openness and honesty.

The manager was knowledgeable about issues and priorities for the service. They understood their responsibilities and were supported by an extensive provider team with expertise in a range of areas. Relatives told us they had seen improvements throughout the service since the new manager had been in post.

The provider fostered a positive culture where people felt they could speak up, and their voice would be heard.

Staff had access to whistleblowing information and were able to raise concerns in team meetings or supervisions. Quality assurance checks included gathering feedback from staff.

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.

The provider valued diversity and people from a range of cultures worked within the service. The manager promoted a fair and inclusive environment. The manager told us they had acted when bullying amongst the care team had been discovered.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

The provider had a range of systems to monitor the quality and safety of the service. These supported the manager to identify and address shortfalls or improvements. The issues we found during our inspection had been identified by their quality assurance systems and action plans had been created to address each matter. We noted some audits had outstanding actions but following a discussion the provider immediately completed these tasks.

There were robust plans in place for business continuity in case of emergency or IT issues that disrupted the service.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement.

The service worked well with external healthcare professionals and these working relationships helped to achieve positive outcomes for people. People were encouraged to take part in social activities. Records showed people engaged in a range of activities in the local community.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research.

The service had an open culture which promoted inclusivity, reflection and learning. The manager had a good understanding of how to make improvements happen. The provider recognised where improvements were needed, and action plans were in place to achieve this. Whilst we identified shortfalls during this inspection, the provider was responsive to our findings and acted immediately.