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Warren Lodge Care Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 October 2019

About the service

Warren Lodge Care Centre is a care home without nursing. The service supports people requiring care for reasons of age or frailty, some of whom are living with dementia. The service is registered to accommodate up to 55 people. During the inspection there were 19 people living at the service. The service is divided into two units known as the Main House and the Courtyard. The Courtyard is designed specifically to meet the needs of people living with dementia.

People’s experience of using this service and what we found

The registered person and the management team worked to improve and sustain the systems in place to oversee the service and ensure compliance with the fundamental standards. There had been more positive improvements made since the last inspection. We noted to the management team to review some of the audits and action plans to ensure it was fully detailed and consistently robust. Whilst we saw overall improvements, we also needed to be assured these improvements would be embedded and sustained.

We spoke with the management team about ensuring records for people who use the service reflected their care plans and what care and support was provided consistently. The service had highlighted this requirement to staff and, prior to the inspection, had enrolled all senior care staff onto a training for care planning. This training would support the staff completing care plans have training in the current best practice on writing care plans and recording appropriate prevention measures and outcomes. The mental capacity assessment needed consistency in detail when considering certain decisions. Thus, it was discussed with the management team and part of this inspection.

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; the policies and systems in the service supported this practice.

The staff supported the management team more to review and maintain systems and processes to ensure they could assess and monitor the quality of care in a more consistent way. The provider was taking proactive steps as part of the quality assurance process to ensure people were protected against the risks of receiving unsafe and inappropriate care and treatment.

Recruitment processes were in place and robust to ensure as far as possible, that people were protected from staff being employed who were not suitable. The management of medicines was safe. People with specific condition received their prescribed medicines safely and on time. Storage and handling of medicines was managed appropriately. Where risks were identified more prompt action was taken to reduce the risks where possible. Staff recognised and took appropriate action to manage risk in more timely manner.

The registered person reviewed and established a clear process to ensure they maintained clear and consistent records when people had injuries and the Duty of Candour was not applied.

The registered person reviewed and improved the environment to ensure it was more dementia friendly. They also made changes to ensure the principles of the Accessible Information Standard were met. We noted to the management team to ensure they fully completed care plans for end of life care.

People were able to access healthcare professionals such as their GP. Staff were more knowledgeable, confident and proactive to ensure people’s needs and risks were addressed in a consistent and timely way. The service had improved communication and worked better with other health and social care professionals to provide effective care for people. People‘s nutrition and hydration needs were met. Hot beverages, cold drinks and snacks were made available between meals.

Observations and conversations with staff demonstrated they treated people with dignity and respect. Engagement and interaction over meal times were supportive, enabling and caring. We observed people enjoyin

Inspection areas

Safe

Requires improvement

Updated 2 October 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 2 October 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 2 October 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 2 October 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 2 October 2019

The service was not always well-led.

Details are in our well-Led findings below.