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Care Services

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Barrow Hall Care Centre, Barrow Upon Humber.

Barrow Hall Care Centre in Barrow Upon Humber is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, mental health conditions and substance misuse problems. The last inspection date here was 18th September 2019

Barrow Hall Care Centre is managed by St Philips Care Limited who are also responsible for 19 other locations

Contact Details:

    Address:
      Barrow Hall Care Centre
      Wold Road
      Barrow Upon Humber
      DN19 7DQ
      United Kingdom
    Telephone:
      01469531281
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Requires Improvement
Caring: Good
Responsive: Requires Improvement
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-09-18
    Last Published 2018-09-22

Local Authority:

    North Lincolnshire

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

2nd August 2018 - During a routine inspection pdf icon

The inspection took place on 2 and 3 August 2018, it was unannounced on the first day and announced on the second.

At the last inspection of this service in June 2017 we rated it as requires improvement in safe and well-led, which meant the quality rating of the service was requires improvement overall. We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations, Regulation 18 Staffing. The provider had failed to ensure staff were deployed to provide assessed support that people required. This had not been found or addressed by the quality monitoring of the service,which meant there was a need for improvement with governance. At this inspection we found improvements had been made to meet the requirement, but that more improvement was needed with governance in respect of records.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions safe and well-led to at least good. At this inspection we found there were enough staff to meet people’s needs. Records were produced to help to monitor people’s one to one support and staffing levels were constantly reviewed by the management team.

The provider was not taking any new admissions to the service. The provider, management team and staff were working with North Lincolnshire Council and health care professionals to improve all aspects of the service.

Barrow Hall Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Barrow Hall nursing home provides personal and nursing care for up to 37 people with a mental health need. Barrow Hall consists of the main house for up to 25 people. It is a listed building and retains many of its period features. In addition to the main house there is 'The Mews' which consists of ten individual apartments each with a sitting area, bedroom, kitchenette and bathroom. There is further accommodation in The Lodge for two people. It is set in extensive grounds situated in the village of Barrow.

The service has a registered manager in place. 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.

Staff had undertook a lot of training in the last few months to improve their skills. The effectiveness of this training was still being assessed and the management team continued to look at training in other subjects to enhance the staff's skills. The majority of appraisals had not been undertaken but were scheduled for August 2018.

Some people’s care records were still being reviewed and re-evaluated. Computerised care records were being created for everyone living at the service to enable staff to monitor people’s care more effectively. Further work was required to ensure people's records reflected their full and current needs. Shortfalls in care records and medicine ordering was corrected during the inspection. Staff were undertaking training to make sure they used appropriate words in people’s care records.

We received mixed feedback about the staff's skills and knowledge. There were concerns people may not be receiving the care and support they required. This information was shared with the regional manager so that corrective action could be taken, if necessary.

The registered manager, regional manager, staff and provider had worked hard to improve the service over the last few months. They were open and transparent and were willing to work with the local authority and other professionals to improve the service. Qual

22nd June 2017 - During a routine inspection pdf icon

This inspection took place on 22 June 2017 and was unannounced.

At the last comprehensive inspection in 24 February 2016 the registered provider met the requirements of the regulations of the Health and Social Care Act 2008 (Regulated Activities) 2014. The service was rated as good in all domains. During this inspection the overall rating of the service became requires improvement.

Barrow Hall nursing home provides personal and nursing care for up to 37 people with a mental health need. Barrow Hall consists of the main house for up to 25 people. It is a listed building and retains many of its period features. People have access to two large lounges and a dining room as well as communal toilets and bathrooms. In addition to the main house there is ‘The Mews’ which consists of ten individual apartments each with a sitting area, bedroom, kitchenette and bathroom. There is further accommodation in The Lodge for two people with bedrooms, lounges and communal kitchen. The home is set in extensive grounds situated in the village of Barrow. There is easy access to local shops and facilities. A choice of single and shared accommodation is available.

At the time of the inspection visit thirty three people lived at the home.

The service was in the process of changing managers. The current registered manager was retiring from the home and the deputy manager was applying to become registered with CQC. The new manager was an experienced member of staff who had been part of the management team for some time. This reduced the impact of the change on people who used the service.

People told us staff were friendly and helpful and they felt safe at Barrow Hall. Procedures were in place and risk assessments completed to reduce the risks of abuse or unsafe care.

We looked at how the home was staffed. We saw two people had been assessed as needing one to one staffing for individual support. This was included in the general staffing rather than specifically for the individual. Therefore people may not have been always getting the hours allocated to them.

People said there were enough staff to provide practical care but not always enough staff to support them in activities, particularly activities in the community. People told us they were disappointed when they did not happen. Staff spoken with said some days they were understaffed and rushed and unable to spend ‘quality time’ with people.

This was breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 because the provider had failed to ensure staff were deployed to provide assessed staffing support.

We found systems and procedures were not always operated effectively to ensure appropriate staffing levels and compliance with the regulations.

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

Staff managed medicines safely. People told us they felt staff gave them their medicines correctly and when they needed them. We saw they were given as prescribed and stored and disposed of correctly.

We looked at the recruitment of three recently appointed members of staff. We found appropriate checks had been undertaken before they had commenced their employment. This reduced the risk of appointing unsuitable staff.

Staff had been trained and had the skills and knowledge to provide support to people they cared for. They received regular support and supervision from senior staff.

People were positive about the meals and told us the meals were usually good and there was always choices of food.

Records were available confirming the environment and equipment used complied with statutory requirements and was safe to use. Most areas of the home were clean and staff used gloves and aprons when providing personal care and at mealtimes.

We observed staff providing support

4th October 2013 - During an inspection to make sure that the improvements required had been made pdf icon

On our inspection of 4 October 2013 we found that improvements had been made to the cleanliness of the environment and some refurbishment made to areas of the service.

During our inspection we looked at the additional outcome of nutrition after a person who used the service told us 'we can't have seconds any more'.When we spoke with the manager and staff we found that a new supplier for food had been arranged by the provider and the current food budget did not allow for additional portions of food to be purchased and prepared.

We also found that the current budget and purchase order system did not support people who used the service, with the opportunity to purchase and prepare their own food.

4th June 2013 - During a routine inspection pdf icon

We found that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

The deputy manager confirmed they would complete an assessment if people's capacity to make informed decisions was in doubt and a best interest meeting would be held.

People told us that they were aware they had a plan of care which they felt very much involved in. Comments included ”We all communicate well, we help each other out.” and “We all get on well together; the staff are good to us.”

People were happy with the care they received and told us they saw a range of health professionals for advice and treatment. Comments included, "I see my GP when I need to or ask to.”

We saw that people who used the service had free access to the grounds and the building and that there were positive interactions between them and staff.

We found that staff helped to make sure health and social care was coordinated when provided by a range of professionals.

During a tour of the building we found the environment was in need of further repair and refurbishment. Areas of the building were also found to be in need of a deep clean.

We found that all staff employed in the service had had all the required employment checks prior to starting work in the home.

Appropriate records were maintained of the care people who used the service received and for the running of the service.

11th July 2012 - During a routine inspection pdf icon

We used a number of different methods to help us understand the experiences of people who used the service including observing care practices. Some people who used the service had complex needs and were not able to verbally communicate their views and experiences to us.

People said they liked the home and there were plenty of activities and entertainment available to keep them occupied. One person told us about a recent holiday that they had been on and outings which they particularly enjoyed to different venues including Hull fair, Dignity day and the recent jubilee celebrations.

Some people told us that they preferred to engage in more individual activities with the activity coordinator, rather than engage in group activities.

People told us that they could see their GP when required. Comments included ,”The staff are lovely”, “ They are really nice and kind to us”,” You can always talk to them and get what you need or reassurance”,” We are treated very well.”

People who used the service told us that staff listened to them and helped them to make choices about the support that was provided and commented, " I can come and go as I please, I just need to tell someone that I am leaving the building", " Staff help me to stay in contact with my family" and " You can’t fault it, it is a really nice place.”

We spoke with people who used the service who told us they were asked their views about the home and that they could make suggestions. People told us they felt able to make complaints and said they would speak with the manager if necessary sort out any problems for them.

1st January 1970 - During a routine inspection pdf icon

We carried out this unannounced 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 registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Barrow Hall is a Grade 1 listed building and retains many of its period features. The home is set in extensive grounds in the village of Barrow, providing easy access to local shops and facilities. Barrow Hall offers personal and nursing care for up to 37 people with mental health needs. The service is owned by St Phillips Care Limited, which is a large national organisation. A choice of

single and shared accommodation is available.

We previously visited the service on 28 and 31 of July 2014. We found the registered provided did not meet the regulations that we assessed in respect of infection control. Following the inspection the registered provider sent us an action plan telling us about the improvements they were going to make. At this inspection we found that appropriate action had been taken to make the identified improvements.

We found the service had been cleaned effectively and all areas with the exception of the smoking lounge to be odour free. New work schedules were in place which showed the daily cleaning routines and deep clean schedules. These were seen to be signed and commented on by staff as work was completed.

Improvements had been made to the environment including the refurbishment of bathrooms and shower rooms and the provision of new sluices on each floor of the service. A step had been removed and replaced with a slope to support easier access to those people with mobility problems. The clinical room had been extended to provide a separate clinical room and work area.

The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager registered with the Care Quality Commission (CQC); they had been registered since 9 December 2010. 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.

People who used the service told us they thought the staff were caring and would be able to answer their questions and help them if needed. They told us they felt staff treated them with respect, never spoke down to them and spoke in a calm manner. All of the interactions we observed supported this statement.

We found people who used the service were provided with a balanced diet. People told us they enjoyed the food and the choices available. At our last inspection staff told us the budget was tight and they fund raised to provide ‘extras’ for example birthday cakes. At this inspection we found the budget had been increased.

Staff involved people in choices about their daily living and treated them with kindness and respect. With the exception of two people, everyone looked well-presented and cared for.

People who used the service were seen to have the opportunity to engage in a variety of activities both within the service and the local community.

We found the home was meeting the requirements of the Deprivation of Liberties Safeguards (DoLS). These safeguards provide a legal framework to ensure that people are only deprived of their liberty when there is no other way to care for them or safely provide treatment.

Staff we spoke with had a good understanding of the Mental Capacity Act 2005 and knew how to ensure the rights of people who lacked capacity to make decisions for themselves were respected.

People had their health and social care needs assessed and plans of care were developed to guide staff in how to support people. The plans of care were individualised to include preferences, likes and dislikes. People who used the service received additional care and treatment from health based professionals in the community.

Medicines were stored, administered and disposed of safely. Training records showed the staff had received training in the safe handling and administration of medicines.

People lived in a safe environment. Staff knew how to protect people from abuse and equipment used in the service was checked and maintained. Staff made sure risk assessments were carried out and took steps to minimise risks without taking away people’s rights to make decisions.

Staff received regular supervision and had access to a range of training. Where people’s needs changed additional training was provided to staff to support them to meet their changing needs People told us there were enough staff on duty to give them the support they needed and our observations confirmed this.

 

 

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