Archived: Barton Grange

Updated 16 May 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This inspection took place on 23 March 2017 and was unannounced. It was carried out by one adult social care inspector.

We undertook this inspection to check that improvements to meet legal requirements after our comprehensive inspection on 8 September 2016 had been made. We inspected the service against two of the five questions we ask about services: is the service safe and well led. This is because the service was not meeting some legal requirements.

Before the inspection we reviewed the information we held about the service. We looked at the information we had received from the service including their action plans following the last inspection which detailed the improvements they intended to make.

During our inspection we spoke with the manager, the deputy manager and four staff including the housekeeper.

We looked at the care records of four people using the service. We also looked at the provider’s action plans, audits of the service and the health and safety check records.

Updated 16 May 2017

This inspection took place on 23 March 2017 and was unannounced. It was carried out by one adult social care inspector.

Barton Grange is a residential care home that can support up to 19 older people, some of who are living with dementia, who require accommodation and personal care. Located in spacious grounds, the accommodation is arranged over two floors. During the inspection, there were 14 people living in the home.

There was not a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. There was a manager in post and at the time of the inspection they had been responsible for the service for two weeks. The manager was also responsible for overseeing one of the provider’s other homes in Weston Super Mare.

We carried out an unannounced comprehensive inspection of this service on 8 September 2016. Breaches of legal requirements were found because the service was failing to ensure effective systems were in place to monitor the quality and safety of the service. Care files were not always accurate, complete and up to date record of people's needs.

After the comprehensive inspection, we issued a request to the provider requiring them to provide us with details of the action they would take to improve the service.

We undertook this focused inspection to check the progress they had made. This report only covers our findings in relation to these requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

The environment was still not fully safe and clean. Cleaning schedules were not being followed and records were not kept of when cleaning had taken place. Some health and safety checks were not being completed by staff.

We found some action had been taken to improve people’s care records.

The systems for assessing, monitoring and improving the quality and safety of the service provided was still not fully effective. Some of the action we identified as at our previous inspection in September 2016 had not been taken to improve the safety and cleanliness of the home.

We found repeated breaches in two regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.