26 October 2022
During an inspection looking at part of the service
Barnfield Manor Care Home is a residential care home providing personal and nursing care to up to 39 people. The service provides support to adults of all ages and people living with dementia. At the time of our inspection there were 15 people using the service.
Barnfield Manor Care Home accommodates people in one purpose-built building across 2 floors. The home has several communal areas and an accessible garden with outdoor seating.
People’s experience of using this service and what we found
Medicines were not always effectively managed. There were inconsistencies in the recording of medicines administered and the ordering system was not effective as still prescribed medicines were being disposed of creating unnecessary and costly waste.
The management team had a medicines action plan in place to make improvements in this area, however the areas identified required implementing and embedding to evidence sustained good practice
People were protected from the risk of abuse, safeguarding incidents had been correctly reported, recorded and investigated. Risks which affected people's daily lives, in relation to their mobility, skin integrity and weight were documented and known by staff.
We received mixed opinions from staff and relatives about the staffing level, we raised this with the provider who told us at busy times support was available from the management team, the provider also told us of the of their plans to make the manager more accessible.
Systems and processes were not always effective in monitoring and mitigating medicine risks in a timely and sustained way.
The provider had made improvements in the recording and managerial oversight of accidents and incidents and health and safety. The service had an improvement plan in place which was regularly reviewed and updated. People’s care plans had been reviewed and updated following our previous inspection. We found these contained person centred information on people’s preferences and choices.
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 18 February 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 carried out an unannounced focused inspection of this service on 29 September 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements.
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.
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 remained requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Barnfield Manor Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.