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Archived: Warrens Hall Care Home Good

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All reports

Inspection report

Date of Inspection: 6 December 2012
Date of Publication: 1 January 2013
Inspection Report published 1 January 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We reviewed all the information we have gathered about Warrens Hall Nursing Centre, looked at the personal care or treatment records of people who use the service, carried out a visit on 6 December 2012 and observed how people were being cared for. We checked how people were cared for at each stage of their treatment and care, talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

People experienced care and support that met their needs and protected their rights.

Reasons for our judgement

Staff we spoke with gave a good account of how they maintained people's privacy and dignity. One staff member told us "When we give support with personal care we make sure we cover body parts with a towel to maintain their dignity". Another staff member told us "We always knock people's doors before going into their bedrooms". This meant that staff were aware that it was important to people that their privacy and dignity was respected and maintained and they took action to honour that.

We saw that people wore clothing that was appropriate for their age, gender and the weather. One person told us that they liked to look nice and that staff helped them to achieve that. We saw that one person was wearing a necklace. They said “I like to wear that everyday”. Staff we spoke with told us that they supported people to choose what they wore each day. We saw that people’s hair was individually styled. A hairdresser visited the home every Tuesday so that people could have their hair cut and styled. This meant that staff knew people’s individual wishes and choices concerning their appearance and had supported them to achieve this.

People's care and support had been planned and delivered in a way that had promoted their safety and welfare. Staff told us that there was good communication. They told us that the nurse in charge had a handover between shifts and that this handover information was passed onto other staff. This meant that staff were aware of changes in people’s conditions and any appointments that had been planned.

People living at the home had needs regarding their physical health and cognitive functioning. We looked at a number of care plans and then asked staff what they knew about the risks and needs of each person. Staff gave us a good account of these. This meant that staff knew how each person needed to be cared for which helped to keep them safe and prevented ill health.

We spent time indirectly observing people and their interactions with staff. We saw that staff were kind and caring to the people who lived at the home. We observed that people were comfortable in the presence of staff. They did not hesitate to approach staff if they wanted something.

Staff we spoke with all told us that they enjoyed working at the home and felt that people living at the home were very well cared for. We saw that people were seen by a range of health care professionals as they required. These included the GP, dietician, the hospice at home, the tissue viability team and the optician. This meant that staff had endeavoured to ensure that people's health care was promoted.

Relatives and people living at the home gave us mixed messages about the number of staff being provided to care for and meet people’s needs. Some people told us that they had to wait at times to go to the toilet. Some relatives told us at times (usually if a staff member went off sick) there was a shortage of staff. We spoke to the manager about this who told us that the registered provider had identified that there could be a problem getting cover if staff went off sick. They told us that action had been taken to address this in that four care staff and one activities staff member had been employed. They told us that these staff were undergoing their induction that week and then would be ready for work. We met two of these staff who were very much looking forward to starting their new jobs.

The home employed two staff dedicated to providing activity provision. Records that we looked at and staff we spoke with confirmed that people had been encouraged to take part in a variety of hobbies and interests. People’s daily records confirmed that activity provision was offered. Relatives we spoke with told us that there were usually some structured activities taking place. They told us about the ‘shows’ that have been staged and one to one activities that are offered such as hand massages and chats. This meant that the registered provider knew that activity provision