Barham Court, a small specialist care-at-home service for people with complex brain injuries, received a Good rating across all five key questions at its first CQC inspection in February 2022. The service demonstrated consistently person-centred, safe and well-led care, with outstanding partnership working, specialist staff training, and highly positive feedback from people, relatives, and health professionals.
Strengths
· Highly personalised, bespoke care packages tailored to individuals with complex brain injury needs, involving people and families in care planning and recruitment.
· Strong multi-disciplinary team working with health professionals, neurologists, and specialists, with prompt and effective communication.
· Staff received specialist training including condition-specific education with clinical professionals, competency checks, and regular supervision.
· Medicines managed safely with MARs, monthly audits, and post-incident competency follow-up.
· Consistent staffing teams who knew people well, with relatives describing staff as 'part of our family'.
Quality-Statement breakdown (20)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff; Continuous learning and improving care; Working in partnership with othersGood