Latest Inspection
This is the latest available inspection report for this service, carried out on 17th June 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Barnby Gate Care Home.
What the care home does well People living in this home receive sensitive, person centred, individual and detailed assessments. People are encouraged and supported to make choices about what theywish to do and contribute to the running of the home through the weekly resident`s meetings. They live in comfortable, safe accommodation accommodation. The staff help and encourage the people to gain skills whilst, at the same time, making sure that they are safe. The people are encouraged to try a range of courses, which help them gain independence and confidence. There are plenty of leisure activities and outings for them to enjoy. They are also offered choices about what they wish to do and to make decisions about how they spend their lives. They are encouraged and supported to have control over their lives. The people like the way the home is run, and enjoy staying at the home. People living in the home are cared for and supported by a caring, educated and skilled team of staff. They are lead by an experienced manager who has extensive knowledge about the needs of people with a learning disability. There is a comprehensive programme of education and training provided for staff, which ensures that staff know how to care and support the people who live at the home. The staff feel valued by the management and feel part of a team to improve, to help and support the people living in the home. What the care home could do better: Nottinghamshire County Council have very well established systems in place to monitor quality and seeking the views of the people. Regular detailed annual questionnaires are sent out to obtain their views of the service. Where improvements are required they are either planned or being addressed by the County Council or the manager and staff within the home. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Barnby Gate Care Home 97A - 97B Barnby Gate Newark Nottinghamshire NG24 1QZ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Tobias Payne Date: 1 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Barnby Gate Care Home 97A - 97B Barnby Gate Newark Nottinghamshire NG24 1QZ 01636708856 Telephone number: Fax number: Email address: Provider web address: dawn.heywood@nottscc.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Patricia Dawn Heywood Type of registration: Number of places registered: Conditions of registration: Category(ies) : Nottinghamshire County Council care home 12 Number of places (if applicable): Under 65 Over 65 3 learning disability Conditions of registration: 9 Nottinghamshire County Council is registered to provide accommodation and personal care to people at Barnby Gate Care Home, 97A - 97B Barnby Gate, Newark, Nottinghamshire, NG24 1QZ, whose primary care needs fall within the following numbers and category: Learning Disability (LD) - 9: Learning Disability over the age of 65 years (LD(E) - 3. Date of last inspection Brief description of the care home Barnby Gate is a care home close to the centre of the market town of Newark, through which flows the River Trent. It is run by Nottinghamshire County Council, Adult Social Care and Health Department. The property is owned and maintained by New Leaf. The home is within easy walking distance of public transport and shops. There are plenty of leisure facilities in the town. These include pubs, restaurants, cafes, a bingo
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home hall, bowling alley, theatre cum cinema, two disco halls, a leisure centre with swimming pool, and gyms. It is a very historic area, with a castle, museums and many activities at these venues. There is a large Showground where regular events are held. The home is registered to provide accommodation and personal care for up to twelve adults with a learning disability. The home consists of two properties, one a two storey house and the other a bungalow, each housing up to six people, all in single bedrooms. Some of the people, who are in their later years, are mostly housed in the bungalow unit. There is an attractive, tranquil, secluded and safe garden to the rear of the home and car parking for the homes people carrier and the staffs cars. The fees at the time of the inspection visit was £415 each week. Where people require one to one attention, this incurs an additonal charge of £15 each hour. Information about the home including the statement of purpose, service users guide and a copy of our last key inspection report can be obtained from the manager. This information can be made available on request in large print, symbols and other languages. The last key inspection took place on the 11/4/2007. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
Where we or us is used in this report it refers to the Care Quality Commission. This was an unannounced visit which formed a random inspection visit over 3 hours and took into account previous information held by us including the previous inspection report, their service history and records of any incidents that we had been notified over the past year. During this visit we talked to some of the people to obtain their views about whether they felt their needs were being met and about their quality of life. We spoke to 3 staff and a nursing student who was on placement in the home as part of her training to learn their views about how they felt their training and development needs were being met. We also spoke with the manager to learn of any changes which have taken place and if there were any risks to the people living in the home. We also observed how staff interacted with the people during our inspection visit. Feedback was given about the continued positive outcomes at the end of the visit to the manager. An (AQAA) Annual quality assurance assessment was completed by the manager and sent to us before we made our inspection visit. This is a self assessment document completed by the manager of the care home. It sets out evidence from the provider to demonstrate that they are meeting the Care Home Regulations. The information was very clear, up to date and detailed. We were told that over the last year they have involved the people living in the home more in the recruitment of staff and have a representative on the self advocacy group. They have offered person centred plans to those who had previously declined and ensure that those with plans are active and updated. They have continued to make care plans more person centred. They told us they enable and support people to travel on public transport and using their own minibus. The manager told us that they have a system where more experienced staff mentor newer staff members. This enables people who live in the home to have continuity of care. The manager told us that the people living in the house had been on holiday to Bridlington, Skegness and Centre Parcs and they had booked holidays for the other people. They have had new carpets and flooring provided in the lounge and dining room in the house and have decorated 2 bedrooms in the bungalows. They continue to inform people and their families about what is going on by producing a quarterly newsletter and have a wide range of activities including themed nights where the people can dress up and try food from different countries. On the day of our visit 3 of the people were attending a day centre close by to the home. Other people were in their rooms, in the lounge areas or in the conservatory. We saw that staff continued to have knowledge and skills to care and support the people living in the home. We spoke with 3 staff who told us, when I first came here I received a thorough induction which prepared and gave me the skills and knowledge to care and support these people, since coming here my outlook on life has changed, I feel that I have achieved something when I go home at the end of the day, the training and support is very thorough, we get a lot of training and support and we work well as a team and
Care Homes for Adults (18-65 years) Page 4 of 9 the manager is very supportive, helpful and approachable. We saw during our visit all staff working with one another and the relaxing atmosphere throughout the home. We also spoke with a nursing student on placement who commented, I have found this to be a very useful experience and staff have been very helpful and supportive during my placement. We saw the home was well maintained, relaxing, clean, odour free and an attractive place to work and live in. There were comfortable seating areas throughout the home. The surrounding garden areas were attractive with flower borders and hanging baskets and patio umbrellas near the barbecue. We saw throughout our visit that the people were being treated in a dignified manner, staff spoke to them in a kind and caring way that was appropriate to the individual. They showed their knowledge about the needs of each person and how the person should be supported and cared for. The manager told us that all staff gave medication but before this occurred each person had been trained and she then assessed them before they were considered safe to give out medication. Each person was reassessed each year and an audit was carried out each month. We saw the last pharmacy inspection on the 4/2/2010 which was very thorough with no concerns. The manager told us that they continue to ensure that the health needs of the people can be met and have established very close professional relationships with local doctors, dentists and chiropody and other professionals. We saw that over the past year we and the home had received no complaints. We had been made aware of 2 safeguarding adults referrals made by the home and all were investigated by Nottinghamshire County Council with no concerns. During our visit no person had any concerns about the care and support offered or about the home. Staff we spoke with told that us they were correctly recruited with a check by the Criminal Records Bureau and a supported comprehensive induction. We saw that staff had continued to receive a lot of training over the last year. This had included, moving and handling, fire safety, safeguarding adults, epilepsy, health and safety, first aid, mental capacity and deprivation of liberty, dementia awareness and management of actual potential aggression. In addition 90 of staff had obtained a qualification in care to national vocational qualifications standards level 2. In addition, 40 of staff had either achieved or were studying for NVQ level 3. All staff we spoke with told us they received regular one to one supervision and there were monthly minuted meetings. We saw that monthly monitoring visits took place and reports of these visits were available with action plans where there were any concerns. Nottinghamshire County Council have very well established systems in place to monitor quality and seeking the views of the people. Regular detailed annual questionnaires are sent out to obtain their views of the service. There were regular meetings with the people and a regular newsletter. There were also regular monthly audits of medication and care. What the care home does well:
People living in this home receive sensitive, person centred, individual and detailed assessments. People are encouraged and supported to make choices about what they
Care Homes for Adults (18-65 years) Page 5 of 9 wish to do and contribute to the running of the home through the weekly residents meetings. They live in comfortable, safe accommodation accommodation. The staff help and encourage the people to gain skills whilst, at the same time, making sure that they are safe. The people are encouraged to try a range of courses, which help them gain independence and confidence. There are plenty of leisure activities and outings for them to enjoy. They are also offered choices about what they wish to do and to make decisions about how they spend their lives. They are encouraged and supported to have control over their lives. The people like the way the home is run, and enjoy staying at the home. People living in the home are cared for and supported by a caring, educated and skilled team of staff. They are lead by an experienced manager who has extensive knowledge about the needs of people with a learning disability. There is a comprehensive programme of education and training provided for staff, which ensures that staff know how to care and support the people who live at the home. The staff feel valued by the management and feel part of a team to improve, to help and support the people living in the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
