CQC report explained · a residential care home
What the CQC found at Barnfold Cottage Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, PPE, testing, visiting arrangements and managing outbreaks. They found that visiting professionals were not being checked for COVID-19 vaccination, although managers said this would be addressed.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Barnfold Cottage Residential Home was inspected but not rated; infection controls were good, but visiting professionals were not all checked for COVID-19 vaccination.
The CQC carried out an announced, targeted inspection on 11 February 2022. It looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
Inspectors found clear infection control guidance, safe visiting arrangements, appropriate use of PPE, testing and vaccination arrangements, and a clean environment. Relatives said they felt safe visiting.
There was one shortfall. The home was not making sure visiting professionals were vaccinated against COVID-19, although managers accepted this and said they would address it without delay.
The home was inspected but not rated. This does not give an overall judgement of the quality of care or ratings for all five areas.
Infection control guidance
The home had policies and information to guide staff on infection control, COVID-19 and visiting arrangements.
“There were policies, procedures and a range of information available, which provided staff with clear guidance about good infection control practices” from the report
Clean environment and PPE
Inspectors found the home clean and hygienic, with PPE stations fully stocked and staff using PPE correctly.
“The environment was clean and hygienic throughout and fully stocked Personal Protective Equipment (PPE) stations were provided in the entrance hall and on both floors of the home.” from the report
Safe visiting arrangements
Visitors booked appointments, showed negative COVID-19 tests, wore masks and used hand sanitiser. A relative said staff had done well to keep people safe.
“Family members we spoke with confirmed they felt safe whilst visiting their relatives.” from the report
Testing and vaccination
The report says people living at the home and employees had received two COVID-19 vaccinations and booster doses, and staff had infection control training.
“All employees and service users had received both COVID-19 vaccinations and their booster doses.” from the report
Visiting professionals
needs fixingThe home was not checking that visiting professionals were vaccinated against COVID-19, as required at the time. Managers said they were unaware of this requirement and would address it without delay.
“However, the service was not ensuring visiting professionals were vaccinated against COVID-19.” from the report
- 01How do you now check the vaccination or exemption status of visiting professionals?
- 02What action was taken after inspectors found that visiting professionals were not being checked for COVID-19 vaccination?
- 03How often are PPE supplies, cleaning schedules and infection control procedures checked?
- 04How are COVID-19 testing, isolation and visiting arrangements managed now?
- 05What are the current ratings for Effective, Caring, Responsive and Well-led, since this inspection did not assess them?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not rate the other areas of care. This explanation was written from the published report of 24 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2018
Barnfold Cottage Residential Home was rated Good overall, with kind care and improved safety systems, but some follow-up work was still needed.
Inspectors made an unannounced, comprehensive inspection visit on 4 and 5 July 2018. They spoke with people living at the home, relatives, staff, the manager and the provider. They reviewed care records, staff checks, medicines, complaints, safety records and quality audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found improvements since the previous inspection in medicines, infection control, risk management, mental capacity processes and quality checks.
People and relatives said staff were kind, respectful and available when needed. Inspectors found that care was personalised, staff understood people's needs, healthcare and nutrition were supported, and people were offered choices and activities.
Some issues were identified and dealt with during or shortly after the inspection. These included a broken internal door keypad, an overdue legionella risk assessment, out-of-date moving and handling training, areas needing redecoration, and incomplete information about some equality and communication needs.
Improvements since the previous inspection
The home had addressed the five areas of regulatory concern found in April 2017. Inspectors found that the regulations reviewed at this inspection were being met.
“At this inspection we found that improvements had been made and the provider was meeting all regulations reviewed.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw staff supporting people patiently, respectfully and in a way that protected privacy and dignity.
“People told us the staff who supported them were kind and caring and respected their right to privacy and dignity.” from the report
Personalised support
Care records included people's needs, risks, likes and dislikes. Staff knew people's routines and supported their choices and independence.
“Each care file was personalised and contained information about what people were able to do for themselves” from the report
Good oversight
The manager used audits, meetings and feedback to monitor the home. Inspectors found evidence that action was taken when shortfalls or suggestions were identified.
“We found the audits completed were effective in ensuring that appropriate levels of quality and safety were being maintained at the service.” from the report
Healthcare and nutrition
People received support with meals, drinks and healthcare. The home made referrals to relevant community health professionals when needed.
“People were supported appropriately with their healthcare, nutrition and hydration needs.” from the report
Safety keypad
seriousThe coded keypad inside the front door was not working. This could have allowed people who were not safe to leave unsupervised to get out, although it was fixed on the inspection day.
“This meant that people could potentially leave the home if the front door had been left unlocked.” from the report
Moving and handling training
needs fixingStaff had not updated their practical moving and handling training since 2014. Training was arranged for 14 August 2018 after inspectors raised this.
“We noted that staff had not updated their moving and handling practical training since 2014.” from the report
Building upkeep
minorSome areas of the home looked in need of redecoration and updating. The provider said a programme of redecoration was planned.
“We found that the home looked in need of redecoration and updating in places.” from the report
Incomplete personal information
needs fixingCare records did not include people's ethnic origin, gender or sexual orientation. Inspectors said this could make it harder to ensure individual needs were met and discrimination was prevented.
“However, their ethnic origin, gender and sexual orientation were not recorded.” from the report
Communication standard
needs fixingThe report said not all parts of the Accessible Information Standard were being met. People's communication needs were assessed, and the manager said the standard would be implemented after the inspection.
“We found that although not all aspects of the Standard were being met, people's communication needs had been assessed and documented” from the report
- 01Has all staff completed and kept up to date their practical moving and handling training?
- 02Has the planned redecoration and updating of the home been completed?
- 03How are people's ethnic origin, gender and sexual orientation recorded and used to meet their individual needs?
- 04How is the Accessible Information Standard being applied to people's communication needs?
- 05What checks are now in place to make sure the front door keypad and other safety equipment remain working?
This was a comprehensive inspection covering all five CQC questions, including care, the premises and how the home was managed. This explanation was written from the published report of 10 August 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Barnfold Cottage Residential Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Barnfold Cottage Residential Home →
- August 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Barnfold Cottage Residential Home →
- May 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 5 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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