Barn Rise
Wembley, HA9
Residential
Rated 17 months agoReport explained
CQC report explained · a residential care home, run by Voyage
Falcons Rest and Poachers Cottage
Falcons Rest, Bryngwyn, Wormelow, HR2 8EQ
Goodpublished 9 September 2023, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People's health and safety risks were assessed and staff had clear guidance. Inspectors found some windows did not meet safety regulations and said immediate action was taken to fit restrictors and address wardrobe safety.
- Effective?
- Good
- Care plans reflected people's health, communication, autism and sensory needs. Staff were trained, supported people with food and healthcare, and worked within the Mental Capacity Act.
- Caring?
- Good
- People received kind and compassionate care. Staff respected privacy, dignity, equality and personal choices, while encouraging people to be as independent as possible.
- Responsive?
- Good
- Support was personalised and included communication plans, activities and contact with family. One relative wanted their family member to have more opportunities to go out and take part in activities.
- Well-led?
- Good
- Inspectors found stronger leadership, clearer communication and systems to monitor quality and learn from incidents. This rating improved from Requires Improvement at the previous inspection.
The latest report, explained
What inspectors found, September 2023
Rated Good; inspectors found personalised, kind care, with some improvements needed around safety checks, activities and choice.
Inspectors visited on 19 and 20 July 2023. The first day was unannounced and the second was announced. They spoke with people living at the home, relatives and staff, observed care, and checked care, medicine, recruitment and quality records.
The home was rated Good overall. Safe, Effective, Caring, Responsive and Well-led were all rated Good. Inspectors found people were safe, treated with dignity, supported to make choices and helped to take part in activities and maintain relationships.
The inspection was partly prompted by concerns about staff practices. Inspectors found no evidence that people were at risk of harm from this concern. They did find some safety issues with windows and wardrobes, and some people could benefit from more one-to-one support and greater involvement in food choices.
What inspectors praised
Personalised support
Care and support were built around people's needs, wishes, strengths and communication styles. Staff were said to know people well.
“People received personalised care and support built around their needs and wishes.” from the report
Kind and respectful care
Inspectors found staff treated people with compassion, protected their dignity and supported their independence.
“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
Clear communication support
People had individual communication plans, and staff understood how each person communicated and what they might be trying to express.
“People had individual communication plans that detailed effective and preferred methods of communication, including the approach to use for different situations.” from the report
Improved leadership
The home had systems to monitor quality, respond to concerns and learn from incidents. Staff said communication and involvement had improved.
“There were systems in place to monitor the quality of the service and identify areas of improvement.” from the report
What inspectors were concerned about
Safety checks
needs fixingSome windows were not compliant with safety regulations. The home took immediate action to fit restrictors and address the risk from wardrobes not being secured to walls.
“We found some windows were not compliant with safety regulations.” from the report
Limited one-to-one time
minorStaff said people would benefit from more one-to-one staffing hours so they could do more activities and visits without sharing a staff member.
“Staff told us people would benefit more if they were able to get more 1:1 staffing hours support for people.” from the report
Choice of meals
minorSome people in Falcons Rest said they did not have input into food choices. Staff had suggestions for improving people's involvement, and meetings recorded some menu suggestions.
“However, in Falcons Rest, some people told us they did not have an input into food choices.” from the report
Family information
minorMost relatives said they were kept informed, but one relative wanted more information.
“However, 1 relative told us, "A bit more information would be good.” from the report
Questions to ask them, based on this report
- 01How many one-to-one staffing hours would my relative receive, and how would you support their preferred activities and outings?
- 02How are people in Falcons Rest now involved in choosing meals and suggesting changes to the menu?
- 03Have all wardrobes been secured to walls, and how are window restrictors and other safety checks monitored?
- 04How will you keep families informed about changes in their relative's care and about incidents or concerns?
- 05What changes were made after the previous Requires Improvement rating for Well-led?
This inspection assessed all five key questions and infection prevention and control, using observations, discussions and selected records rather than every person's records. This explanation was written from the published report of 9 September 2023 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.
The story over the years
Every inspection of Falcons Rest and Poachers Cottage
5 rated inspections over 7 years: the service has held its Good rating throughout.
- September 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Falcons Rest and Poachers Cottage →
- June 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Registered with the Care Quality Commission on 1 July 2014.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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