Warwick House

Updated 5 October 2019

The inspection:

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

Inspection team:

One inspector and an expert by experience carried out the inspection. An expert by experience is a person with personal experience of this type of service.

Service and service type:

Warwick House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: The inspection was unannounced and took place on the 28 August 2019. This meant the provider and the registered manager did not know we would be visiting.

What we did: We reviewed the information we held about the home. This included details about incidents the provider must notify us about, such as notifications about serious incidents.

We assessed the information we require providers to send us at least once annually to give us some key information about the home, what they do well, and improvements they plan to make. We used this information to plan and conduct the inspection.

We spoke with 14 people living in the home and two visiting relatives.

We spoke with the registered manager and five staff that included catering and care staff. We also spoke with a visiting health professional.

We reviewed a range of records. These included three care plans, medicines records, two staff recruitment files, staff training and supervision records. We reviewed records relating to the management of the home. We reviewed how quality assurance checks were completed.

After the inspection, we requested and received feedback from one health professional to gain their views about the service. We have included their feedback in the main body of the report.

Updated 5 October 2019

About the service:

Warwick House is a care home that provides personal care for up to 35 people with complex mental health conditions such as schizophrenia and bipolar illnesses, in an adapted building. At the time of the inspection 29 people were living in the care home.

People’s experience of using this service:

People were supported by staff who had the skills and knowledge to meet their needs safely and effectively. Views of people, relatives and health professionals were valued and used to make improvements to the care and support people received.

People's mental health needs were being met in line with their personal preferences. The service responded promptly when people’s needs changed. The service worked very well with other health professionals to make sure people’s care needs were met.

People made decisions about their care, and when people chose to make unwise decisions, this was respected. Where people did not have capacity to make decisions, legal processes were followed.

Staff felt they were valued and respected by the registered manager who was described as ‘very hands on’ and who sought their involvement to improve and develop the service.

People were supported by staff who were caring, kind and thoughtful, and who took all opportunities to promote independence.

The service was well managed by the registered manager. Quality assurance systems, including audits, feedback from people who used the service, staff and health professionals were all used to make continuous improvements to the quality of the service people received.

Rating at last inspection: The last rating for this service was good (published January 2017).

Why we inspected: This was a planned inspection. The service was rated Good overall. This was based on the findings at this inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.