Archived: Warrens Hall Care Home

Updated 5 May 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 March 2016 and it was unannounced.

The inspection was carried out by one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed other information that we held about the service, such as notifications that the provider is required to send us by law, of serious incidents,

safeguarding concerns and deaths. We used this information to assist us in the planning of our inspection.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with eight people living at the home, seven relatives, the registered manager, the deputy manager, three members of care staff, the chef, two activities co-ordinators, two administrative staff and a visiting health care professional. We also spoke with representatives from the local authority. We looked at the records of six people, two staff files, training records, complaints and compliments, accidents and incidents recordings, six medication records, and quality audits.

Updated 5 May 2016

This inspection took place on 16 March 2016 and was unannounced.

At our last inspection in January 2014 the provider was meeting all of the regulations that we assessed.

Warrens Hall is registered to provide accommodation for up to 40 older people who require nursing or personal care. On the day of our inspection 40 people lived at the home.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People living in the home told us that they felt safe and that they were supported by staff who knew them well. Staff had been trained to recognise different types of abuse and were confident that if they raised any issues then the appropriate action would be taken.

We found that both the registered manager and the staff group knew the needs of the people living at the home and how to support them.

The provider had a suitable number of staff on duty with the skills, experience and training in order to meet people’s needs. Staff had access to a range of training to provide them with the level of skills and knowledge to deliver care safely and efficiently.

Medicines were stored and secured appropriately. People told us that they received their medicines on time and that staff responded to their needs in a timely manner.

Staff obtained consent from people before they provided care. The registered manager and staff all had an understanding of the Mental Capacity Act (2005) and were able to give a good account of what a Deprivation of Liberties Safeguard (DoLS) meant for people who were subject to them.

People were supported to eat and drink enough to keep them healthy and were offered choices at mealtimes. Staff were aware of people’s individual dietary needs and how to support people to maintain their independence. People were supported to access a variety of healthcare professionals to ensure their health care needs were met and were assisted to see their GP as and when required.

People living at the home and their relatives told us that they felt the staff were very kind and caring. People were supported to main relationships and develop new friendships. Relatives told us they found the registered manager and the staff group very welcoming and approachable.

Staff were aware of people’s likes and dislikes and how people preferred to spend their day and what was important to them. People enjoyed taking part in a number of activities that were planned each week and were asked how they would like to spend their time.

People and their relatives told us that they had not had to raise any formal concerns or complaints but if they did, they knew who to speak to and were confident that they would be dealt with satisfactorily.

People living at the home, their relatives and staff alike, all thought that the home was well-led. They all spoke positively about the registered manager and the staff group.

There were a number of quality audits in place to assist the registered manager in assessing and reviewing the delivery of care in the home.