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The Warren Residential Lodge Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 6 October 2018

The inspection took place on 21 and 24 August 2018 and was unannounced.

The Warren Residential Lodge is a 'care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Warren Residential Lodge is registered to provide accommodation for up to 31 people, including people living with dementia care needs. At the time of our inspection, there were 29 people living at the service. The service was arranged over one level, which was divided into different ‘zones’. Five bedrooms had en-suite facilities and there were four communal bathrooms in addition to three toilets. There were two lounges, one dining room and a garden area that people could easily access.

There was a registered manager at the service. 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.

The home was last inspected in July 2017 when it was rated as ‘Requires Improvement’ overall with a breach of Regulation 17 of the Health and Social Care Act 2008 relating to Good Governance. At this inspection we found that appropriate actions had been taken and therefore the service was no longer in breach of this regulation.

People felt safe living at The Warren Residential Lodge. Staff knew how to keep people safe and how to identify, prevent and report abuse. They engaged appropriately with the local safeguarding authority.

Individual and environmental risks to people were managed effectively. Risk assessments identified risks to people and provided clear guidance to staff on how risks should be managed and mitigated.

There were appropriate arrangements in place for the safe handling, storage and disposal of medicines.

Recruitment procedures were in place to ensure that suitable staff were employed by the service.

People received care and support from staff who were suitably qualified, skilled and knowledgeable to carry out their roles effectively.

New staff completed a comprehensive induction programme and all staff were suitably supported in their roles.

People praised the standard of care delivered and the quality of the meals. Dietary needs were met and people received appropriate support to eat and drink. People were supported to access healthcare services when needed and to attend hospital appointments.

People were cared for with kindness and compassion. Staff interacted with them in a positive way. They spoke about people warmly and demonstrated a detailed knowledge of them as individuals.

People were cared for with dignity and respect and were treated in a kind and caring way by staff. Staff know people well, encouraged people to remain as independent as possible and involved them in decisions about their care.

Staff protected people's privacy and responded promptly when people's needs or preferences changed. They involved people in the care planning process and kept family members up to date with any changes to their relative's needs.

People received personalised care and support that met their needs. Care plans provided staff with detailed information about how they should support people in an individualised way.

People had the opportunity to access to a range of suitable activities. There was an appropriate complaints procedure in place and people knew how to make a complaint.

People and their families felt the home was run well. The provider was actively involved in running the service and there was a clear management structure in place.

Staff were happy in their work and felt supported by the provider and the manager.

There was an open and transparent culture in the home. Relative

Inspection areas

Safe

Good

Updated 6 October 2018

The service was safe.

Appropriate recruitment procedures were in place.

There were enough staff to meet people�s needs and arrangements were in place to ensure that a suitable skill mix of staff was available for each shift.

People felt safe and staff knew how to identify, report and prevent abuse.

Individual and environmental risks had been identified and were managed safely.

Medicines were managed and administered safely. They were ordered, stored and disposed of correctly.

Procedures were in place to protect people from the risk of infection.

Effective

Good

Updated 6 October 2018

The service was effective.

Staff were skilled, knowledgeable and competent to carry out their roles.

New staff received a robust induction period before they worked independently with people and staff felt supported in their role.

People were supported to eat a variety of suitable meals and were encouraged to drink often.

Staff followed legislation designed to protect people rights in line with The Mental Capacity Act 2005.

People had access to healthcare services and professionals if they needed them.

Caring

Good

Updated 6 October 2018

The service was caring.

Staff developed caring and positive relationships with people and treated them with dignity and respect.

Staff understood the importance of respecting people's privacy.

Staff respected people's independence and encouraged people to do things for themselves.

Staff supported people to meet their cultural and religious needs.

Responsive

Good

Updated 6 October 2018

The service was responsive.

People received care and support in line with their personal preferences. Care files contained detailed information to enable staff to provide care and support in a personalised way.

Care and support was planned in partnership with people, their families and healthcare professionals where appropriate.

Staff responded promptly when people's needs or preferences changed.

Staff were kept up to date on people's changing needs.

Most people received appropriate mental and physical stimulation and had access to activities they enjoyed.

The provider had arrangements in place to deal with complaints.

Well-led

Good

Updated 6 October 2018

The service was well-led.

People were happy living at The Warren Residential Lodge and felt the service was well-led.

The provider was engaged in running the service and there was a positive and open culture.

Staff were organised, motivated and worked well as a team. They felt fully supported and valued by the registered manager.

There were robust auditing processes in place. The quality of the service was monitored and appropriate actions were taken when required.