Working at Barn Rise

Gaps in health records like stool charts, fluid intake and choking risks, plus medication errors, mean safety checks aren't reliable.

We also identified gaps in stool monitoring charts, food intake and sleep records... gaps in fluid monitoring records for a person subjected to a strict fluid intake... Choking screening tools for people were not always updated... We saw 1 instance where a protocol for when required (“PRN”) medicines did not match the prescribed dose.

Staff say workloads aren't shared evenly and there aren't always enough for night shifts or community outings.

staff we spoke with felt workload was not evenly shared... Staff told us there were not always enough staff during shifts to cover hospital appointments and to support people to access the community. Some staff expressed the need for night duty to be reviewed, they told us there was insufficient staff during these hours.

No real variety in activities or menus, so the role is mostly routine personal care.

there was a lack of evidence to show a variety of person centered activities being offered at the service... we reviewed the menus over a four-week period, the same menu is repeatedly offered each week, limiting variety and options.