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Inspection Summary


Overall summary & rating

Good

Updated 8 November 2017

This inspection took place on 26 September 2017 and was unannounced.

Warwick House was last inspected in August 2015 and was rated Good. At this inspection, the service remained Good.

The provider is registered to provide accommodation in the service for up to 22 older people and 5 people with a learning disability.

The service is divided into two units. Warwick House offers short term care for older adults whilst Bonsall View offers short term care for younger people with profound multiple complex learning disabilities and autism.

The part of the home used to provide care for older people was not being used at the time of our inspection. The part of the home used to provide respite care for people with a learning disability, Bonsall View, was being used at the time of our inspection. There were three people using this service at the time of our inspection.

A registered manager was in post and was available throughout the inspection. 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.

Staff knew how to keep people safe and understood their duty to protect people from the risk of abuse. Risks were managed so that people were protected from avoidable harm.

Sufficient staff were on duty to meet people’s needs and staff were recruited through safe recruitment practices. Medicines were managed safely.

Staff received induction, supervision and appraisal. Training figures could be improved, though staff felt that they received sufficient training and plans were in place to address this issue. Capacity issues were being considered by staff and further work was being completed in this area, specifically, around Deprivation of Liberty Safeguards (DoLS) in conjunction with advice provided by the local authority.

People received sufficient to eat and drink and external professionals were involved in people’s care as appropriate.

Staff were kind and knew people well. People and their relatives were involved in decisions about their care. Advocacy information was available.

People received care that respected their privacy and dignity and promoted their independence.

People received personalised care that was responsive to their needs. Care records contained sufficient information to support staff to meet people’s individual needs. A complaints process was in place and staff knew how to respond to complaints.

People and their relatives were involved or had opportunities to be involved in the development of the service. Staff told us they would be confident raising concerns with the management team and that appropriate action would be taken.

The registered manager and provider were meeting their regulatory responsibilities. There were effective systems in place to monitor and improve the quality of the service provided.

Inspection areas

Safe

Good

Updated 8 November 2017

The service remains Good.

Effective

Good

Updated 8 November 2017

The service remains Good.

Caring

Good

Updated 8 November 2017

The service remains Good.

Responsive

Good

Updated 8 November 2017

The service remains Good.

Well-led

Good

Updated 8 November 2017

The service remains Good.