19 Barkla Close

Updated 30 September 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 by two inspectors.

Service and service type

19 Barkla Close 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. 19 Barkla Close 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 27 July 2022 and ended on 1 August 2022. We visited the location’s service on 27 July 2022.

What we did before the inspection

We looked at information we held about the service when we planned the inspection. We sought feedback from Nottingham City's Adult Safeguarding and Quality Assurance Team and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used all of this information to plan our inspection.

During the inspection

We were able to speak with three relatives of people who used the service about their experience of the care provided. We spoke with five members of staff including two care workers, the care team leader and the registered manager.

We reviewed a range of records. This included three people's care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including staff training information, policies and procedures were reviewed.

Updated 30 September 2022

About the service

19 Barkla Close is a respite care home providing accommodation for persons who require nursing or personal care for up to three people. The service provides respite care for 30 people throughout the year. The house is single story with shared lounge areas, bathroom and an accessible garden. The service provides support to adults with learning disabilities or autistic spectrum disorder. At the time of our inspection there were two people using the service. During the pandemic the provider made the decision to reduce the number of people staying to improve infection prevention and control measures.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

Based on our review of safe, effective, caring, responsive and well-led the service was able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture.

Right Support: Staff supported people with their medicines in a way which promoted their independence and achieved the best possible health outcome. Medicines were managed safely. As people were only at 19 Barkla Close for short stays the rooms were not personalised, but the house was homely, and people could bring items from home with them. Staff enabled people to participate in daily living tasks and promoted their independence. The service had enough appropriately skilled staff to meet people's needs and keep them safe.

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

Right Care: People's care, treatment and support plans reflected their range of needs and this promoted their individuality, wellbeing and enjoyment of life. People received kind and compassionate care. Staff protected and respected people's privacy and dignity. Staff understood and responded to people’s individual needs. Staff received training and support to provide care effectively. People were provided with meals and drinks to maintain their wellbeing. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. People could take part in activities of their choosing in the home or in the wider community and pursue their own interests.

Right Culture: People were empowered and their families were comfortable with them staying at 19 Barkla Close because of the ethos, values, attitudes and behaviours of the management and staff. The stable management and staff team supported people to receive consistent care from staff who knew them well. This meant people received compassionate and empowering care which was tailored to their needs.

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

This service was registered with us on 24 April 2019 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 19 Barkla Close on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.