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CQC report explained · a residential care home, run by Bondcare

The New Barn

Goldstone, Cheswardyne, Market Drayton, TF9 2NA

Goodpublished 21 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Staffing, recruitment, risk management, infection control and medicines were generally safe, although inspectors found a recording error in the controlled drug book.
Effective?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Caring?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Well-led?
Requires improvement
Management was committed to improving the home, but quality monitoring was not always effective. Inspectors found inaccurate or incomplete records, an out-of-date statement of purpose and delayed notifications to CQC.
The latest report, explained

What inspectors found, December 2023

Rated Good overall; inspectors found safe care and positive relationships, but management and record keeping required improvement.

This was an unannounced focused inspection on 03 and 07 November 2023. One inspector spoke with people, relatives and staff, observed care, and checked care plans, medicines, recruitment files and management records.

The home was rated Good overall and Safe remained Good. Inspectors found enough safely recruited staff, safe medicine support, clean surroundings, suitable safeguarding arrangements and support for people to make choices and become more independent.

Well-led changed from Good to Requires Improvement. Inspectors found errors and gaps in records, including care plans, daily notes and a controlled drug count. They recommended better monitoring of records. The home acted during the inspection to update its statement of purpose and submit delayed notifications.

What inspectors praised

  • Enough suitable staff

    Inspectors found sufficient staff to support people both in the home and in the community. Recruitment checks were in place.

    “People were supported by sufficient numbers of staff who had been safely recruited and understood how to recognise and report abuse.” from the report

  • Safe medicines support

    People received medicines as prescribed. Staff had clear guidance for medicines given when needed, although one recording error was found.

    “People received their medicine as prescribed and staff had access to guidance to support them in delivering the right care to people.” from the report

  • Choice and independence

    Staff supported people to make choices and encouraged positive risk taking. Inspectors saw that restrictions had been removed and people were being helped to do more for themselves.

    “People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests” from the report

  • Positive relationships

    People interacted well with staff and with one another. Relatives said they were kept informed and made welcome when visiting.

    “People interacted well with the staff team and those who wished to keep themselves to themselves were respected.” from the report
What inspectors were concerned about

  • Inaccurate records

    needs fixing

    Inspectors found that daily records did not always accurately describe what people had eaten or how they had been feeling. They recommended a review of record monitoring.

    “We found entries in daily records were not always accurate.” from the report

  • Care plans not always updated

    needs fixing

    One person's care plan said their weight should be checked monthly, but this was not happening because of equipment problems. The plan had been reviewed without reflecting the change.

    “We found some inconsistencies in people's care plans. For example, 1 person's care plan recommended their weight was to be monitored monthly, but this was not happening due to equipment issues.” from the report

  • Medicine recording error

    minor

    The controlled drug count did not match the written record, although the correct amount of medicine was present. This was a recording problem rather than a missing medicine.

    “We did identify a miscount in the control drugs book. However, we found the correct amount of medicine was present. This was a recording error.” from the report

  • Delayed notifications

    needs fixing

    A small number of notifications about authorised deprivation of liberty applications had been delayed. The provider submitted them during the first day of the inspection.

    “We also found the providers statement of purpose needed updating to reflect the current management team and small number of notifications to CQC for authorised DoLs applications had been delayed.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to check that daily records accurately describe meals, feelings and any distress?
  2. 02How will you make sure care plans are updated when equipment or a person's needs change?
  3. 03What checks are now in place to prevent errors in the controlled drug book?
  4. 04How do you make sure notifications about authorised deprivation of liberty applications are sent to CQC on time?
  5. 05What new activities or use of the home's space are being developed for people who do not often leave the building?

This was a focused inspection of Safe and Well-led only; the Effective, Caring and Responsive ratings were carried forward from the previous inspection published in 2017. This explanation was written from the published report of 21 December 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 The New Barn

2 rated inspections over 6 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at The New Barn →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. April 2021Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  4. December 2017Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2016

    Registered with the Care Quality Commission on 8 December 2016.

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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