Barnfield Manor Care Home

This inspection was carried out in response to information of concern received.

The provider was in breach of legal regulation relating to staffing at the service.

Staff were not deployed effectively, for example we observed staff were rushed during mealtimes. Systems to calculate staffing levels did not consider factors such as falls risk, or layout of the building impacting on response time, staff feeling stretched and increased the risk of harm.

Recording of care interventions, such as fluid monitoring were not always completed to show people had received care in line with their assessed needs. Analysis of behaviour related incidents was not always accurately completed. Some care plans and risk assessments did not contain sufficient guidance to support people’s identified risks safely. During our inspection we observed some infection, prevention and control (IPC) and environmental risks, including overflowing bins and presence of malodours. A range of audits and checks were in place, however effective action to address identified risk was not always taken.

Falls were managed safely, and a root cause analysis was completed and learning was shared to mitigate ongoing risks. People were protected from the risk of abuse as staff knew how to recognise, and report concerns about abuse. The provider was updating the environment and décor with people living at the service to ensure it met their needs and preferences. Care plans and risk assessments were in the process of being updated and reviewed with people and their families. The provider managed medicines safely.

A new manager in post was committed to driving improvement, and was working through a clear service improvement plan. Staff felt supported and fed back that Barnfield Manor Care Home was an inclusive workplace. The provider was working in partnership with a range of stakeholders to address quality issues, and improve outcomes for people.