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Warberries Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 April 2021

About the service

Warberries Nursing Home (“Warberries”) was a residential care home providing personal and nursing care to 30 people aged 65 and over at the time of the inspection. The service can support up to 49 people.

Warberries is an adapted older building with a newer extension. People live across three floors. One section, referred to as “the unit”, specialises in providing care to people living with dementia.

People’s experience of using this service and what we found

This inspection highlighted the service carried out some tasks well, but there were also concerns about people’s safety and how the service was being governed. People were positive about the care they received however, feedback from families and staff was mixed.

The registered manager and provider had ensured some systems of oversight were in place to review the service, identify issues and ensure these were addressed. However, some additional audits were needed for example in relation to falls and disposal of some waste. Staff told us they had identified concerns and made suggestions to improve the service and people’s care, these were not always responded to.

People living with dementia were not always safe from the actions of other people living alongside them. Some people found it difficult to communicate their needs and concerns. The provider had arranged some training for staff, but this had not been delivered due to the pandemic. Staff would benefit from training around different ways of communicating with people. In the months following the inspection, the registered manager has provided evidence to show what actions, alongside other professionals, has been taken to support people be safer in each other’s company.

People were at risk of harm from poor medicines systems and processes.

People’s health needs and associated risks were not always identified, assessed and mitigated. Where records of risks were in place, some of these had not been updated in line with the provider’s required programme or when adverse events, such as a fall, took place.

In general, good practice was being followed in respect of infection control and the home had not experienced an outbreak of Covid 19. Further improvements would enhance the good practice observed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Good (the last report was published 12 December 2018). This has now deteriorated to Requires improvement. This is based on the findings at this inspection.

Why we inspected

We received concerns in relation to the management of medicines, the safety of people living with dementia, falls and the clinical management in the service.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Warberries Nursing Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe care and treatment and, in respect of leadership and governance.

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will

Inspection areas

Safe

Requires improvement

Updated 16 April 2021

The service was not always safe.

Effective

Good

Updated 16 April 2021

Caring

Good

Updated 16 April 2021

Responsive

Good

Updated 16 April 2021

Well-led

Requires improvement

Updated 16 April 2021

The service was not always well-led.