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Inspection Summary


Overall summary & rating

Good

Updated 15 August 2018

This inspection took place on 10 July 2018 and was unannounced. This was the first rating inspection of this service under the new provider, HC-One Oval Limited.

Warrens Hall 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.

Warrens Hall accommodates 40 people in one adapted building.

There was a registered manager. 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.

People were supported by staff who had received training in how to recognise for signs of abuse and were aware of their responsibilities to report and act on any concerns they may have. Staff were aware of the risks to the people they supported and how to manage those risks. People were supported to received their medicines as prescribed by their doctor.

Systems were in place to ensure people were supported by a group of staff who had been safely recruited. Staff benefitted from an induction that prepared them for their role and training was provided to ensure staff were equipped with the necessary skills and knowledge to meet people’s needs.

Staff were aware of people’s dietary needs and preferences and people were supported to maintain a healthy diet. People were supported to maintain good health and were provided with access to a variety of healthcare services. People had access to plenty of fluids during the hot weather.

Staff obtained people’s consent prior to offering support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were described as kind and caring and were happy with the care they received. Staff treated people with dignity and respect and supported people to make decisions regarding how they spent their day. Staff made time to acknowledge people and pass the time of day. People were encouraged and supported where possible, to retain their independence.

People were involved in the development and review of their care plans and their views were respected. Staff knew people well and what was important to them. Families felt welcomed into the home and efforts were made to support and maintain relationships. There was a system in place to record and respond to any complaints received and people were confident if they did raise concerns, they would be listened to.

The registered manager and new provider had worked hard to ensure the transfer of ownership had gone smoothly resulting in people speaking positively about this. The registered manager was well respected and staff felt supported and listened to. There were a number of audits in place to assess the quality of the service and drive improvement. People’s views were also sought and taken on board and where concerns arose action was taken.

The provider had notified us about events that they were required to by law.

Inspection areas

Safe

Good

Updated 15 August 2018

The service was safe.

People were supported by sufficient numbers of safely recruited staff. People felt safe and staff were aware of the risks to them and how to manage those risks. People were supported to take their medicines as prescribed. Where accidents and incidents took place, lessons were learnt and action taken.

Effective

Good

Updated 15 August 2018

The service was effective.

Staff received an induction and training that equipped them for their role. People were supported to maintain a healthy diet and had access to a variety of healthcare services to meet their needs. Staff obtained people’s consent prior to offering support.

Caring

Good

Updated 15 August 2018

The service was caring.

People were supported by staff who were kind and caring and treated them with dignity and respect. People were supported to make choices regarding their daily living and encouraged to retain their independence, where possible.

Responsive

Good

Updated 15 August 2018

The service was responsive.

People contributed to the planning of their care. Staff were aware of people’s likes and dislikes and how they wished to spend their days. People were encouraged to participate in activities they enjoyed. There was a system in place to report and act on any complaints received.

Well-led

Good

Updated 15 August 2018

The service was well led.

People were complimentary of the registered manager and commented positively on the smooth transition to the new provider. Staff felt supported and listened to and worked well together as a team. Efforts were made to obtain people’s feedback on the service received and there were a number of audits in place to assess the quality of the service provided.