Updated 29 December 2022
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out an 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
Barely Brook is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Barley Brook is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. The current manager had been in post for five months and was in the process of applying to register.
Notice of inspection
We gave a short amount of notice of the inspection to promote safety and to ensure the manager and/or a representative from the provider would be present to support the inspection. Inspection activity started on the afternoon of 15 November 2022 and finished on 28 November 2022 by which time we had received and reviewed evidence provided after our visits to the home. We visited Barley Brook on 16 and 21 November 2022.
What we did before the inspection
Prior to the inspection we reviewed information and evidence we already held about the home, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the home. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. We also asked for feedback from the local authority and other professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 6 people and 3 relatives about their experiences of the care and support provided. We also spoke with 7 staff members, which included the manager, deputy manager, care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included 4 people’s care records and accompanying documentation, such as risk assessments and supplementary charts. We looked at medicines and associated records for 5 different people. We also looked at other records relating to the management of the home and care provided to people living there, including safety records, audit and governance information.
After the inspection
We reviewed information which had been emailed to us, including staff rotas, staff training records and audit and governance documents.