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Archived: Barley View Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 December 2019

About the service

Barley View is a residential care home providing personal and nursing care for up to eight people in one adapted building and is one of four services on the Bilsthorpe site owned and run by Lifeways. On the day of our inspection there were three people using the service.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. 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.

People’s experience of using this service and what we found

People living at the service were not always safe, as safeguarding concerns were not effectively reported, monitored or analysed in a timely way. This had resulted in lessons not being learnt following incidents occurring.

People were not always supported by enough staff, and staff did not always know people well enough. Staff had not always received up to date training to support people in a suitable way.

The service did not always consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service did not fully reflect the principles and values of Registering the Right Support for the following reasons, there was a lack of choice and control; people had not been supported to undertake social activities of their choice on a regular basis; staff did not always support people in the least restrictive way.

Peoples medicines, nutritional needs and healthcare needs were managed. People were protected from the risk of infection. Staff supporting people maintained their privacy and dignity.

Risks to people’s safety were assessed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good, published (8 March 2019).

Why we inspected

The inspection was prompted in part due to concerns received about staffing, safeguarding issues, lack of activities and the management of all Lifeways services at this location. A decision was made for us to inspect and examine those risks.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Barley View on our website at www.cqc.org.uk

We have identified breaches in relation to management of safeguarding issues and governance of the service at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 24 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 24 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 December 2019

The service was not always well led.

Details are in our well led findings below.