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Inspection Summary

Overall summary & rating


Updated 13 October 2018

We carried out a comprehensive inspection of Barnfield on the 26 June and 5 July 2018. The first day of inspection was unannounced; we arranged the second day of inspection before we visited.

Barnfield is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The care home accommodates up to 11 people in a main farmhouse and two adjoining buildings. The home provided accommodation for more than the six people recommended in Registering the Right Support and other best practice guidance. However, in many other respects the service demonstrated the values that underpin the Registering the Right Support ethos. 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. At Barnfield, people were encouraged to do activities of their choice in the home, the village and in the wider community. The registered manager supported them to do this by ensuring they could use both private and public transport and staff were available if they needed to be accompanied.

This was the first inspection of this service since the provider, United Response, had registered it with the CQC in June 2017. The home had previously been registered under another provider, Robert Owen Communities, who had merged with United Response. United Response is a UK wide registered charity that supports adults and young people with learning disabilities, including autism, sensory impairment, and people living with dementia, mental health needs and physical disabilities.

Staff demonstrated the provider's values, to deliver person-centred care that recognised, promoted and respected people as individuals. This approach helped people to fulfil their potential to lead a full and active life in society. The home offered each person a weekly programme of activities which they had helped to choose. Activities were offered both within the home and in the local community which helped support people to maintain and expand their interests. Activities included swimming, participating in art and craft sessions, playing a musical instrument, going to college, working, attending day services in a local town, socialising and attending church. People were supported to have life skills such as cooking, laundry and housework.

There was a positive, open and empowering culture shared by staff and people. Staff were dedicated to helping people realise their goals and ambitions.

People were placed at the centre of their care by staff who were knowledgeable, enthusiastic and positive about providing care which fulfilled people’s ambitions and needs. Staff were very caring, compassionate and passionate about supporting each person to achieve their dreams and ambitions. They recognised each person as an individual and worked with them to develop skills and interests. People were encouraged to do a wide range of activities. These activities helped people have fun and improve skills as well as meet physical, mental and social inclusion needs.

Throughout the inspection we observed numerous interactions where staff showed gentleness, compassion, kindness and respect to people.

The home was a key part of the local village community. It was located a short walk from the centre of the village and some people were able to walk to the village independently. People in the home enjoyed the benefits of village life, as they used the village hall for a weekly lunch and dance club, rang the local church bells and had friends in the village. The home also joined in events run by the village such as an annual scarecrow contest. In turn the local community were very supportive of the home, and villagers regularly attended events such as qu

Inspection areas


Requires improvement

Updated 13 October 2018

The service was not fully safe as not all environmental risks to people had been fully considered.

Risks to people were considered. Action had been taken to reduce the risks while maintaining people�s independence as far as possible.

Systems and processes ensured that people were safeguarded from abuse.

Lessons were learned when things went wrong. These lessons led to improvements to systems.

Medicines were well managed.

There were sufficient staff who were knowledgeable and skilled to meet people�s needs.



Updated 13 October 2018

The service was effective.

Staff had been trained when they first joined the home and continued to receive training to keep their knowledge and skills up to date.

Staff were knowledgeable about people and understood the support they needed.

People were supported to eat healthy food which they enjoyed.

Where people had health needs, staff involved health professionals to ensure these were managed effectively

The staff understood and worked within the requirements of the Mental Capacity Act 2005.



Updated 13 October 2018

The service was very caring.

There was a strong person-centred care ethos at the home which staff demonstrated in how they worked with people.

Staff showed great compassion, sensitivity and care for people.

Staff involved people in decisions about their care as far as possible.

Staff made exceptional use of assistive technology to enable people to be involved in their care planning and reviews.

Staff were very respectful of people�s right to privacy. Staff had developed individual approaches to ensuring each person had the privacy they wanted.

Staff said the provider and registered manager showed the same caring attitude to how they treated staff.



Updated 13 October 2018

The service was exceptionally responsive.

People received care which was very personalised and helped them achieve their goals and ambitions.

People were supported to get involved in a wide range of activities which they had chosen. Each person was supported to do activities inside and outside the home on an individual basis.

The care supported people to maintain good physical and mental health.

Care plans were reviewed and changed when people�s risks, needs or preferences altered.

There were extremely thorough processes in place to manage and support people when they moved into or out of the home

There was a complaints policy and procedure. No complaints had been received since the previous inspection.



Updated 13 October 2018

The service was well-led by a registered manager who led a team of staff who worked well together to provide high quality care and support

There were quality assurance and safety checks and audits carried out.

Where improvements were needed, action was taken to address these in a timely manner.