Barnham Manor

Updated 12 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used information the provider sent us in the Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed notifications sent to CQC about important events at the service and information sent to us from other stakeholders for example the local authority and members of the public.

What we did during the inspection

We spoke with four people who used the service and six relatives, the registered manager, a healthcare professional and five members of care staff. We pathway tracked the care of five people. Pathway tracking is where we check that the care detailed in individual plans matches the experience of the person receiving care. We completed observations in communal areas. Where people were unable to answer direct questions, we observed their engagement in daily tasks. We reviewed records including accident and incident logs, quality assurance records, compliments and complaints, policies and procedures and three staff recruitment records.

What we did after the inspection

We spoke with a health and social care professional to gain their views of the service provided. Their feedback has been used within this report.

Updated 12 September 2019

About the service

Barnham Manor is a care home providing personal and nursing care to 33 people aged 65 and over at the time of the inspection. The home is registered to support up to 33 people. People at the home were living with a range of physical health conditions and dementia. The home had a large communal lounge and dining area, all bedrooms had en-suite bathrooms and the home was set in well-maintained grounds.

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

The provider and registered manager had significantly improved the care people received since the last inspection. They had acted on feedback and put actions in place to embed these improvements. Risks to people had been fully assessed and detailed risk assessments were now in place in the event of an emergency. Accidents and incidents were now analysed and learnt from which had improved people’s safety. People’s care was delivered in a personalised way, we observed people be offered choices and their decisions respected by staff. There was a consistent approach to engaging people in the running of the home and people told us they felt listened to.

People told us they felt safe. Staff understood risks to people and these were well managed. People’s medicines were managed safely by trained nursing staff. The home was very clean and well maintained. There were suitable staffing levels to meet people’s needs. A relative told us, “The response to calls for help is quick.”

People’s health and nutritional needs were met. One person told us, “The food’s wonderful, the chef is excellent, I can have what I want.” Staff were knowledgeable and well trained. 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. The home had been adapted in line with people’s needs and the environment was well-maintained.

People received kind and compassionate care from staff who knew them well. A relative told us, “Staff care very much for all residents. Communication is excellent, and they will answer any queries I have.” People were supported to make decisions about their care and their views were respected. People’s independence was promoted, and their privacy and dignity respected. People were supported to maintain relationships that were important to them.

People had access to a range of activities that met their interests. People were given information in a way they could understand, and staff understood people’s individual communication needs. People received compassionate end of life care.

The home was well-led. People, their relatives and staff spoke positively of the registered manager and provider. A relative told us, “Both manager and (owner) encourage staff to provide the best care possible.” There were robust quality assurance processes in place to drive improvements to the care people received. Staff and the registered manager worked well with other professionals to meet people’s needs.

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 requires improvement (published 20 September 2018) and there were three breaches of regulation. 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

This was a planned inspection based on the previous rating.

Follow up

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