CQC report explained · a nursing home
What the CQC found at Barton Cottage
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including visiting, social distancing, admissions, protective equipment, testing, hygiene and outbreak arrangements.
- Effective?
- Outstanding
- This inspection did not assess or rate the effective question.
- Caring?
- Good
- This inspection did not assess or rate the caring question.
- Responsive?
- Good
- This inspection did not assess or rate the responsive question.
- Well-led?
- Good
- This inspection did not assess or rate the well-led question.
What inspectors found, January 2021
Barton Cottage was inspected but not rated; inspectors found good infection-control arrangements during the coronavirus response.
This was an announced, targeted inspection on 17 December 2020. Inspectors checked infection prevention and control arrangements because of coronavirus outbreaks in care homes.
The home could accommodate up to 12 people and six people were staying there. Inspectors found good practice in visiting arrangements, social distancing, staff checks, hand hygiene, training and the use of personal protective equipment.
The home was marked “Inspected but not rated”. This means the inspection checked infection control but did not give a quality rating for the home.
Careful visiting arrangements
Visitors were booked and screened before arrival. Masks, temperature checks and different visiting options were in place.
“A visiting protocol included a booking system and pre-screening health questionnaire.” from the report
Staff infection-control training
Staff were trained in infection control and protective equipment, and managers checked their competence.
“Staff were trained in infection control and Personal Protective Equipment (PPE) and their competency checked by management.” from the report
Hand hygiene and distancing
The home used hand-hygiene checks, reminders and changes to shared areas to support infection control and social distancing.
“Hand hygiene spot checks were carried out and prominent signage provided important key messages and reminders to staff and visitors.” from the report
Inspectors raised no specific concerns in this report.
- 01How does the current visiting protocol work, including booking, screening and indoor visits?
- 02How are staff and residents currently tested for infections?
- 03How do you check that staff use personal protective equipment safely and correctly?
- 04How are new admissions assessed and managed to reduce infection risks?
- 05What has changed since the targeted inspection on 17 December 2020?
This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 14 January 2021 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, February 2018
Barton Cottage was rated Good overall, with Outstanding Effective care; inspectors found safe, kind and joined-up support, with improvement since the last inspection.
This was an unannounced comprehensive inspection on 18 January 2018. One inspector and an expert by experience visited. They spoke with people, relatives, staff and health professionals, and checked care records, staff files, rotas and quality checks.
The home provided short stays for 12 people, including rehabilitation, intermediate, palliative and respite care. Inspectors found people were safe, medicines were managed properly, staffing was sufficient, and staff were kind and respectful. Care plans reflected people's needs and people were supported with rehabilitation, activities, food, family relationships and end-of-life care.
The home was rated Good overall. Safe, Caring, Responsive and Well-led were Good. Effective was rated Outstanding, improving from Good at the previous inspection because of strong partnership working, staff development, support for independence and improvements to the premises.
Joined-up healthcare
Staff worked with a wide range of health professionals to assess and meet people's needs. This included support for complex health conditions, rehabilitation and symptom control.
“The provider worked in partnership with other healthcare services to provide a holistic approach to assessing, planning and delivering people's care and support.” from the report
Effective rehabilitation
People were involved in setting goals and planning their discharge. Staff worked with therapists to help people regain independence and return home.
“Staff worked collaboratively with therapists to ensure the planning for people's discharge home began right from admission.” from the report
Skilled staff
Staff received regular training, supervision and support to develop their knowledge. The home also used new equipment and approaches to improve people's independence and comfort.
“There was an induction programme in place and any staff who were new to care completed the Care Certificate.” from the report
Respectful care
People were supported to make choices and remain as independent as possible. Inspectors found that privacy and dignity were respected.
“People's right to privacy and dignity was always respected.” from the report
Good oversight
The registered manager and provider used audits, incident reviews and action plans to monitor quality and address shortfalls.
“There were clear and effective governance arrangements at the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you set and review my relative's rehabilitation goals and discharge plan?
- 02How will you manage my relative's specific health needs, and which health professionals would be involved?
- 03How do you decide whether staffing levels need to be increased when people's needs change?
- 04How would you support my relative's food preferences, appetite, dietary needs and cultural or religious requirements?
- 05How would you involve us in planning end-of-life care and keep us informed of changes?
This was an unannounced comprehensive inspection covering all five key questions, and the premises and care provided were both considered. This explanation was written from the published report of 21 February 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 Barton Cottage
2 rated inspections over 2 years: the service has held its Good rating throughout.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2018Goodstayed GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 17 December 2010.
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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