Barton House Nursing Home

Updated 4 April 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was carried out by one inspector.

Service and service type: Barton House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 took place on 22 March 2019 and was unannounced.

What we did: Before the inspection, we reviewed the information we held about the service. We considered the Provider Information Return (PIR). This is a form that asks the provider to give us some key information about a service, what the service does well and improvements they plan to make. We looked at notifications. Notifications tell us about important events that have occurred at the service, which the provider is required to send to us by law such as safeguarding concerns, deaths and serious injuries. We asked the Local authority for feedback about the service. We used this information to formulate our inspection plan.

During the inspection, we spoke with three people, three relatives, three members of staff, the cook, the registered manager and the provider.

We looked at two care records and four supplementary care records. We reviewed the ways in which medicines were stored and managed and we looked at the records relating to the safety and quality of the service such as audits, complaint sand logs of accidents and incidents.

Updated 4 April 2019

About the service: Barton House is registered to provide care with nursing to 15 people with mental health conditions including people with dementia and complex behaviours. At the time of our inspection, there were 14 people using the service.

People’s experience of using this service:

•Staff had received safeguarding training and knew how to keep people safe protecting them from harm or abuse.

•People’s risks to safety and well-being were assessed, recorded and reviewed to reduce the risk of avoidable harm occurring.

•Medicines were managed safely.

•Staff were suitably skilled to meet people’s needs.

•Assessments and care plans were person-centred.

•People received enough food and drink to meet their dietary requirements.

•People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

•People told us that they enjoyed living at Barton House and that they were cared for by staff who treated them with kindness.

•Staff supported people to maintain their independence.

•Complaints were dealt with in a timely way and in line with the service’s policy.

•There were mechanisms in place to monitor the quality and safety of the service.

The service met the characteristics of Good in all areas; more information is in the full report

Rating at last inspection: At the last inspection, the service was rated as Good (Report published 25 June 2016)

Why we inspected: This was a planned inspection based on the date and the rating of the last inspection.

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

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