Background to this inspection
Updated
8 November 2017
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 26 September 2017 and was unannounced. The inspection team consisted of an inspector.
Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We also reviewed other information we held about the service, which included notifications they had sent us. A notification is information about important events which the provider is required to send us by law. We also contacted the commissioners of the service and Healthwatch Derby to obtain their views about the care provided by the service. This information was used to help us to plan our inspection.
People using the service were not able to fully express their views about their care. During the inspection we spoke with three relatives, a maintenance person, the cook, a kitchen assistant, two care assistants, a team leader and the registered manager. We looked at the relevant parts of the care records of four people who used the service, three staff files and other records relating to the management of the service.
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.