Archived: The Barn

The Barn is a residential care home providing personal care for up to six people with a learning disability and autistic people. The service provides short-term stays for people (respite). At the time of the inspection one person was using the service.

People stay in single bedrooms and there are shared areas including the kitchen, lounge and garden areas.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

There were systems to keep people safe from avoidable harm or abuse. Risks were appropriately identified and assessed and there were enough staff to ensure people had the level of support they needed to keep them safe.

Medicines were managed safely, and people received their medicines in line with their prescription.

There were detailed assessments of people’s needs before people started with the service.

Staff understood people’s own communication needs and were able to support people’s wishes and choices.

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.

Relatives told us their family members were supported by staff who were kind and caring. They told us that staff understood the needs of their loved ones and always ensured people were treated with dignity and respect.

The registered manager had established systems of governance and oversight of the service. They carried out regular audits and checks to monitor and review the quality of the care and support.

Where needed the registered manager and staff worked with external health and social care professionals to ensure that people’s care and support needs continued to be met.

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right support

The model of care promoted people's choice, control and independence. The environment was spacious and homely and was designed to allow easy access for people regardless of need.

Right care

Care is person-centred and promotes people's dignity, privacy and human rights. People were supported by staff who knew them well and understood their needs.

Right culture

Care and support was provided in line with least restrictive practices and staff had a positive person- centred approach.

The provider and registered manager worked hard to instil a culture of care in which staff truly valued and promoted people’s individuality, protected their rights and enabled them to develop and flourish.

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

Rating at last inspection

This service was registered with us on 25 July 2019 and this is the first inspection.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care, right culture. This was a planned inspection for this newly registered service.

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.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.