This inspection took place on 20 December 2016.

The Barn and Coach is registered to provide accommodation for 15 older people who require personal care. People may also have needs associated with dementia. There were 15 people living at the service on the day of our inspection.

A registered manager was in post who was also the registered provider of the service. 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.

Improvements were needed so that staff received training or updates in core areas in a timely way. Staff had attended training on safeguarding people and were knowledgeable about identifying abuse and how to report it. Recruitment procedures were thorough. Staff understood and complied with the requirements of the Mental Capacity Act 2005.

People’s medicines were safely managed and they had regular access to healthcare professionals. A choice of food and drinks was available to people that reflected people’s nutritional needs and took into account their personal preferences.

People were supported by staff who knew them well. People’s dignity and privacy was respected and staff were kind and caring. Visitors were welcomed and people were supported to maintain positive relationships with others.

The provider had a clear complaints procedure in place. People felt able and had opportunity to express their views on the service and to be listened to.

People knew the manager and found them to be approachable and available in the home. People living and working in the service had the opportunity to say how they felt about the home and the service it provided. Their views were listened to and actions were taken in response. Systems were in place to regularly assess and monitor the quality of the service provided.

This inspection took place on 10 February 2015.

The Barn and Coach is registered to provide accommodation for 15 older people who require personal care. There were 13 people living at the home on the day of our inspection.

The registered provider is also the registered manager of the service and had been registered as the provider of the service in May 2014. 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 felt safe living in the service and were cared for by staff who treated them with kindness and respect. People were supported to have as much independence as possible while keeping safe. Recruitment procedures were thorough to ensure staff were suitable to work in a care home setting. There were enough staff available to meet people’s needs and give them support that was caring and personalised. People’s medicines were safely managed and recorded.

People and those acting on their behalf were involved in the planning of their care and support. Assessments had not been completed in line with the Mental Capacity Act 2005 where people may have been unable to make decisions. Current guidance to ensure that people were not deprived of their liberty without authorisation was not being followed. People’s healthcare needs were well managed.

Staff were trained and well supported to undertake their roles. People liked the food and were offered choices and specialist dietary needs were catered for. People were supported and encouraged to eat their meals in a caring and respectful way. People’s dignity and privacy was respected.

Staff approached people in a kind and caring way. People were cared for by familiar staff who knew people’s needs. People were supported to maintain relationships. People were confident to raise concerns with staff or the manager and were sure they would be responded to effectively.

The home was well led and managed to ensure people’s well-being and safety. People regularly saw the manager around the home and felt able to discuss any matters with them. The manager had systems in place to listen to people’s views and to monitor and improve the quality of the service.