Barrowhill Hall is a residential care home providing personal and nursing care to up to 74 people. The service provides support to people living with dementia, mental health concerns, sensory impairments and younger adults. At the time of our inspection there were 69 people using the service.
People’s experience of using this service and what we found
Governance systems had improved since the last inspection. However, many of the systems in place were newly implemented and needed time to ensure they would monitor risks effectively. These will be reviewed in the next inspection.
Lessons had been learnt since the last inspection. The provider improved risk monitoring and reporting systems. Visiting professionals told us the provider was working in partnership with them to address skin integrity concerns, review medicines and support people at risk of falls. Accident and incident forms were investigated by the management team to analyse patterns and seek support from health and social care professionals. Lessons learnt were shared with the staff team.
Medicines were managed safely by suitably trained staff and people were offered and received pain relief medication. Staff used personal protective equipment (PPE) effectively and attended infection prevention control training.
Staff were recruited safely and received regular supervision and training, including safeguarding training. Staff used personal protective equipment (PPE) effectively and attended infection prevention control training.
Relatives, staff and visiting professionals told us the service had improved. They told us they felt the culture was person centred and the care was provided by a competent and compassionate staff team and led by a confident and inclusive manager.
Staff told us they felt supported by the newly appointed manager and attended regular meetings. Relatives told us they felt included in the service and felt confident to raise concerns.
The provider and staff worked in partnership with other health and social care agencies to deliver good outcomes for people and ensure their needs were met and reviewed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 12 September 2022)
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this inspection to check whether the warning notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met regarding the safe management of the home and to check they had followed their action plan to ensure they now met legal requirements.
In addition, we received concerns in relation to a high number of people experiencing a fall. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
We have found evidence that the provider needs to continue to implement their improvements over time. Please see the well led sections of this full report.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Barrowhill Hall on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.