CQC report explained · a nursing home
What the CQC found at Barty House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2019
Rated Good overall, with Outstanding responsive care and strong support for people's individual lives and wishes.
This was a comprehensive inspection on 7 and 12 December 2018. The first day was unannounced. Inspectors spoke with people, relatives, staff and health professionals. They observed care and activities and checked care records, staffing, training and quality checks.
The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Inspectors found enough trained staff, safe medicines practice, detailed care plans, kind care and systems to monitor quality.
Responsive care was rated Outstanding. Inspectors found that staff went beyond basic care to support people's interests, achievements, community links and end of life wishes. The previous problem with medicine records had been resolved by the 2017 follow-up inspection.
Individual interests
Staff supported people to pursue hobbies, learn new skills and achieve personal goals. Activities included baking, gardening, poetry, dancing and learning Spanish.
“Staff went the extra mile to promote people's past interests and promote their sense of achievement and well-being.” from the report
Community involvement
People were supported to take part in local community life and activities with children and schools. Inspectors found this helped people live as full a life as possible.
“People were supported to live as full a life as possible and be part of their local community.” from the report
End of life care
The home worked with hospice and community palliative care services to support comfortable, dignified and pain-free deaths. Staff also offered practical and emotional support to relatives.
“People received person centred end of life care that enabled them to have a comfortable, dignified and pain-free death.” from the report
Safe staffing and medicines
Inspectors found enough nursing and care staff, with staffing levels adjusted when people's needs changed. Medicines were given by trained nurses and records were accurate.
“People received their medicines in a safe way, from nurses that had been trained and had their competency assessed.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you match activities and support to my relative's interests, past life and personal goals?
- 02How would you support my relative to stay involved with family, friends and the local community?
- 03How are care plans reviewed when my relative's health, communication or care needs change?
- 04How would you support my relative's end of life wishes, and what links do you have with hospice and palliative care services?
- 05How do you adjust staffing when residents' needs change, and how would you explain this to families?
This was a comprehensive inspection covering all five key questions, with the first inspection day unannounced. This explanation was written from the published report of 19 January 2019 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, July 2017
Rated Good; inspectors found that earlier medicines-record problems had been fixed and that care was safe.
This was an unannounced, focused inspection on 23 June 2017. It checked whether improvements promised after the previous inspection had been made. The inspection looked only at safety.
The previous inspection found gaps in medicines records, which was a breach of Regulation 12. At this inspection, inspectors found no identifiable gaps. Nurses were recording medicines accurately, using both electronic and handwritten records.
Inspectors also found trained staff, enough staff on duty, suitable safety checks, personalised risk assessments and effective safeguarding arrangements. The home was rated Good for safety. The other areas of care were not assessed in this inspection.
Medicines records improved
The home had corrected the earlier problem with gaps in medicines records. Inspectors found nurses recording medicines accurately and no identifiable gaps in the records they checked.
“At this inspection improvements had been made and the service was no longer in breach of the regulation.” from the report
Safe moving and handling
Staff had received training and understood people's individual moving and handling needs. Inspectors observed good practice while staff assisted people.
“We observed staff assisting people throughout the service and witnessed good moving and handling practices.” from the report
Enough staff available
People told inspectors there were enough staff. Inspectors saw staff respond to call bells promptly.
“We observed staff responding to call bells in a timely manner.” from the report
Personalised risk planning
Risk assessments covered issues such as falls, choking, eating and drinking, bed rails and moving and handling. They were reviewed and adjusted when people's needs changed.
“Risk assessments were personalised and provided staff with guidance on how to reduce the risk.” from the report
Safeguarding
Staff had safeguarding training and could explain the different types of abuse and how to report concerns. The manager kept a record of investigations.
“People were protected against the potential risk of abuse as staff had received safeguarding training and could identify the types of abuse and how to appropriately react.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the electronic and handwritten medicines records checked to make sure there are no gaps?
- 02How are 'when required' medicines monitored, including the reason for giving them and the time between doses?
- 03How is the dependency tool used to decide staffing levels, and what happens when people's needs increase?
- 04How often are people's risk assessments reviewed, and how quickly are they changed after a fall or other change in need?
- 05What action would staff take if they suspected abuse, and who would they report it to?
This was a focused inspection of Safe only; the other four question ratings were not assessed in this visit and the inspection was checking improvements after the previous comprehensive inspection. This explanation was written from the published report of 21 July 2017 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 Barty House Nursing Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- July 2017Goodstayed GoodSafe: Good
- June 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 10 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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39 live-in carers within about an hour of Kent
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.