Archived: Warmley House Care Home

Updated 3 March 2022

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.

This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 10 February 2022 and was announced.

Updated 3 March 2022

About the service

Warmley Nursing Home is registered to provide personal and nursing care for up to 58 people. Some people may have a diagnosis of dementia. At the time of the inspection there were 23 people living in the home. The home was divided into three areas to support people with dementia, nursing needs and residential care.

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

There had been significant improvements following the inspection of April 2019. We saw promising, positive leadership with the newly appointed manager who had been in post for seven months. Positive feedback was received by everyone and indicated an overall feeling of improved accountability, continuity of workflow, a smoother running of the service and good quality outcomes for people. Comments we received included, “The staff are superb, they are all so helpful, thoughtful and caring”, “Warmley House has exceeded other homes based on first impressions. Staff have been courteous, knowledgeable and helpful and I feel that we are important to them”, “ I cannot fault this care home, they have gone over and above”, “My impression is that there is an all-round cohesion with everyone working there” and “I must say with the work and effort I exert at work, I am proud each shift. It feels rewarding when efforts are appreciated”.

People received a service that was safe. The registered manager and staff understood their role and responsibilities to keep people safe from harm. People were supported to take risks, promote their independence and follow their interests. Risks were assessed and plans put in place to keep people safe. There were enough staff to safely provide care and support to people. Checks were carried out on staff before they started work to assess their suitability to support vulnerable people. Medicines were well managed, and people received their medicines as prescribed.

The service was effective in meeting people’s needs. Staff received regular supervision and training required to meet people’s needs. Arrangements were made for people to see a GP and other healthcare professionals when they needed to do so. People were supported to enjoy a healthy, nutritious, balanced diet whilst promoting and respecting choice. 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.

During a brief tour of the home we were introduced to people who welcomed us. People were relaxed, comfortable and confident in their home. The feedback we received from people, relatives and staff was positive throughout. Staff had a good awareness of individuals' needs and treated people in a warm and respectful manner. They were knowledgeable about people's lives before they started using the service. Every effort was made to enhance this knowledge so that their life experiences remained meaningful. People were supported to maintain their personal interests and hobbies. It was evident that a person-centred approach to care had improved following our previous inspection.

The service was responsive to people’s needs. Staff monitored and responded to changes in people’s needs. They were offered a range of activities. Everyone was encouraged to make their views known and the service responded by making changes.

People benefitted from a service that was well led. The operations management team, registered manager, deputy and staff team maintained a focus on seeking to improve the service people received. Quality assurance systems were in place and based upon regular, scheduled audits which identified any action required to make improvements. This meant the quality of service people received was monitored on a regular basis and, where shortfalls were identified they were acted upon.

Rating at last inspection and update:

The last rating for this service was requires improvement (published in April 2019) and there were multiple breaches of regulation. The provider completed an action plan after the inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Follow up

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

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