Latest Inspection
This is the latest available inspection report for this service, carried out on 25th May 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 Barnfold Cottage.
What the care home does well On our arrival the home was warm, clean, comfortable and fresh smelling. We were madevery welcome and residents appeared content and "at home" saying that they loved living there. We checked the care files for two residents and could see that each person had been fully assessed before they came to live at the home to make sure that their needs could be met. Having identified residents` care needs staff had written detailed care plans, so that it was clear what help each person needed and what their preferences and usual routines were. Residents had seen their GP`s, chiropodists and opticians and one person was being seen by the district nurse. We saw staff helping one resident to move, using equipment appropriately and safely. Residents said staff were "lovely" and we noticed a good rapport between those working at the home and those living there. The complaints procedure was displayed in the home. One resident told us that they had complained about some matters when they were first admitted to the home and the issues had all been resolved. Systems were in place for residents to give feedback about the home. Occasional residents` meetings were held and an annual resident satisfaction survey was carried out. The owners analysed the comments received and used them to continue to improve the service. It was reported that the arrangements for dealing with residents` money were unchanged and residents were encouraged to manage their own money where possible to maintain their independence. What the care home could do better: Entries made in the residents` daily records should be timed as well as dated to ensure accuracy. The owner must fit a suitable metal cupboard to store Controlled drugs. Footplate`s must be fitted to wheelchairs and always be used when transporting a resident. A record of all complaints should be maintained to assist the owner in auditing the satisfaction in the home. Random inspection report
Care homes for older people
Name: Address: Barnfold Cottage 400/402 Blackburn Road Westend Oswaldtwistle Lancashire BB5 4LZ 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: Bernard Tracey Date: 2 5 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Barnfold Cottage 400/402 Blackburn Road Westend Oswaldtwistle Lancashire BB5 4LZ 01254381348 01254381348 diannwebster@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager post vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Diann Judith Webster care home 14 Number of places (if applicable): Under 65 Over 65 0 14 mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 1 0 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Mental disorder, excluding learning disability or dementia - Code MD (maximum places - 1) The maximum number of service users who can be accommodated is: 14 Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Barnfold Cottage is situated on the main road between Oswaldtwistle and Blackburn. There are garden areas on both sides of the building and a tarmac patio area to the rear. There is parking at the rear of the premises and on the road at the front. The home is close to local shops, and on a bus route to the town centres of Blackburn and Accrington. The home provides accommodation in 10 single bedrooms and 2 double bedrooms. There are two communal lounges, a smoking lounge and a dining room. The accommodation and facilities are on two floors that are linked by a stair lift. The weekly fees charged at the time of this inspection were between GBP350 and GBP 406.50 with additional charges for hairdressing, magazines and newspapers. The home had a Statement of Purpose and a Service User Guide providing information about the care provided, the qualifications and experience of the owner and staff and the services residents can expect if they choose to live at the home. Care Homes for Older People Page 3 of 9 What we found:
This random inspection took place on 25th May 2010. Staff at the home did not know this visit was going to take place. At the last key inspection in September 2007 the overall quality rating for this home was judged as good so we did this inspection to satisfy ourselves that nothing had changed and that residents were still happy with the care they were receiving. This short random inspection did not look at all the key National Minimum Standards but focused on the health and personal care and the systems in place for managing complaints and the protection of people living at the home. These are important issues that directly affect the quality of care delivered and whether positive outcomes for residents has been achieved. We observed some care practices and spoke with residents, the manager and other staff that worked at the home. We looked in detail at the care provided to 2 residents, looking at their experience of the home from their admission to the present day. Individual care plans were in place for each person living at the home and were detailed and informative, two of these were examined in detail. The pre admission assessment covered a wide range of needs that included personal care needs, dietary needs and requirements, sight, hearing and mobility needs and social and religious requirements. A separate care plan was written for each area of need identified in the pre admission assessment. There was clear evidence of at least a monthly review of the individual care taking place, with on-going amendments made as required. This helped to make sure that a clear and up to date record was maintained of each residents current strengths and needs so that staff were aware of any changes to the level of support and assistance required. Care plans gave clear instruction in order to guide and direct staff. This enabled staff to provide an individualised service that was delivered in a consistent way. Staff working at the home and the resident spoken with all said that people living at the home always got the medical care and support that they needed when they needed it. Records seen confirmed that residents health care needs are being fully met. There is a good relationship with health and social care professionals in order to maintain residents health and social well-being. An individual record is maintained of all health professional visits for each resident. This ensures that a good record is kept of health care visits and the frequency of need. A resident told us, All staff are really good, when ever you need anything they get it for you. There are systems in place to make sure that medication is administered safely and as prescribed. Only trained members of staff have responsibility for the administration and recording of medication. This helps to keep people living at the home safe and to maintain their optimum level of health. There is a robust medication policy and procedure that staff are expected to adhere to.
Care Homes for Older People Page 4 of 9 The medication administration records of eight people were viewed. These had, in the main, been completed correctly and had a photograph of the person attached, this is good practice and helps prevent mistakes being made. There is specific guidance regarding medication prescribed to be administered when required. This helps to ensure that this type of medication is given in a consistent way. Residents privacy and dignity is well respected at this home. The health and personal care that people receive is based on their individual needs so they receive personal care in the way they prefer and in a way that shows respect for their privacy and dignity. A resident told us I am very happy here. No complaints at all. Policies and procedures are in place that guide staff to ensure residents privacy and dignity is respected at all times. Recent dignity training has been provided for the majority of the staff working at the home. These important topics also form part of the National Vocational Qualification (NVQ) training that has been undertaken by the majority of care staff. The preferred term of address of each resident is identified at the time of admission and always respected. The home has a complaint policy and procedures in place, which includes details that any complaint would be responded to within a maximum of 28 days. From discussion with the responsible individual, it is understood that a record of major complaints is kept but no record of minor concerns is maintained. Since the last Annual Service Review inspection, no complaints have been received either by the home or by the Commission. Staff spoken with were very clear about what they should do if a complaint was made to them. Residents spoken with said they would have no hesitation in speaking with the registered manager or another member of staff if they did have any concerns. They felt very confident that any concerns would be taken seriously and acted upon. One person told us that the home, Barnfold Cottage has a variety of policies and procedures in place for the protection of residents. This includes the adult protection policy and a whistle blowing policy to help protect people living at the home from abuse or discrimination. All staff receive mandatory training regarding protection and abuse that is regularly updated. Care staff also receive guidance in respect of adult protection as part of their National Vocational Qualification training (NVQ). Opportunity is also provided for this topic to be discussed during one to one appraisals and at team meetings. This helps to remind staff of the importance of protecting residents and the responsibility of the staff group in this matter. Since the last inspection there have been no safeguarding issues regarding the home. We found that in general staff were continuing to follow the homes policies and procedures and that the home was running well. What the care home does well:
On our arrival the home was warm, clean, comfortable and fresh smelling. We were made
Care Homes for Older People Page 5 of 9 very welcome and residents appeared content and at home saying that they loved living there. We checked the care files for two residents and could see that each person had been fully assessed before they came to live at the home to make sure that their needs could be met. Having identified residents care needs staff had written detailed care plans, so that it was clear what help each person needed and what their preferences and usual routines were. Residents had seen their GPs, chiropodists and opticians and one person was being seen by the district nurse. We saw staff helping one resident to move, using equipment appropriately and safely. Residents said staff were lovely and we noticed a good rapport between those working at the home and those living there. The complaints procedure was displayed in the home. One resident told us that they had complained about some matters when they were first admitted to the home and the issues had all been resolved. Systems were in place for residents to give feedback about the home. Occasional residents meetings were held and an annual resident satisfaction survey was carried out. The owners analysed the comments received and used them to continue to improve the service. It was reported that the arrangements for dealing with residents money were unchanged and residents were encouraged to manage their own money where possible to maintain their independence. 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 Older People 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 Older People 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 1 2 8 9 Daily entries should be timed as well as dated to ensure the accuracy of the entry The manager must ensure that an appropriate metal cupboard fixed to the wall is available in the medicine room. This will ensure that controlled drugs are safely stored. All complaints should be recorded to enable the owner to carry out a more complete audit if services within the home 3 16 Care Homes for Older People 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 Older People 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 Older People 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!
