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We are carrying out checks at Warberries Nursing Home. We will publish a report when our check is complete.

Inspection Summary


Overall summary & rating

Good

Updated 19 May 2016

Warberries Nursing Home provides nursing, care and accommodation to up to 49 older people who may also be living with dementia. On the day of inspection there were 30 people living at the service.

This unannounced inspection took place on 29, 30 March and 28 April 2016. The service was last inspected on 19 and 20 November 2014 when it was rated overall as ‘Requires improvement’. This was because people were not involved in identifying their needs and how they wanted to be supported. People’s preferences were not sought and activities did not reflect people’s interests and hobbies. Also, although there were good quality assurance systems in place, not enough time had passed for some of these changes to be fully embedded into practice. At this inspection in March and April 2016 we found that improvements had been made.

There were two managers registered in respect of the service. However, the registered provider had notified us that neither now works at the service. A new manager had been appointed and had submitted an application to register as 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’s needs were met in a safe and timely way as there were enough staff available. There was a relaxed and unhurried atmosphere in the home which indicated there were enough staff on duty.

Staff ensured people received care and support that was responsive to their needs. People’s care plans contained details of how people’s needs were to be met and were reviewed regularly.

People’s privacy and dignity was respected and all personal care was provided in private. People’s needs were met by kind and caring staff. People told us how kind and caring staff were to them and how much they enjoyed living at Warberries. One person said “I love it, utterly adore it”. Staff asked people for their consent before they provided personal care. Staff spoke about people in a respectful, confidential and friendly manner. People were assisted with care tasks in gentle and caring ways.

People and their relatives could be involved in making decisions about their care if they chose. Care plans were reviewed regularly and updated as people’s needs and wishes changed. Daily records showed that people’s needs were being met. For example there were details of when specific health care needs were attended to.

Staff received training that helped them meet people’s needs. Training included topics such as moving and transferring, safeguarding people, infection control and dementia care. One staff member told us all the training had ‘boosted’ the way they felt about their job.

People were supported to maintain a healthy balanced diet. People told us the food was good and one person told us they were fed too well and always seemed to be going to a meal.

There were effective systems in place to manage people's medicines. People’s rooms had been fitted with lockable medicine storage cupboards and their individual medicines were stored in these. People had access to healthcare professionals such as GPs as and when required.

People who were able to, told us they felt safe at the home. People were protected from the risks of abuse as staff knew how to recognise and report abuse. Thorough recruitment procedures ensured the risks of employing unsuitable staff were minimised.

People’s human rights were upheld because staff displayed a good understanding of the principles of the Mental Capacity Act 2005 and the associated Deprivation of Liberty Safeguards (DoLS).

The manager was very open and approachable. Staff told us “[the manager] is lovely, you can go to them at any time”. People were confident that if they raised concerns they would be dealt with efficiently. There were effective quality assurance systems in place. An external person had independently audited the service to support its future development and improvement. The service had recently signed up to the Social Care Commitment. This is a Department of Health initiative to provide high quality care throughout the adult social care sector.

Inspection areas

Safe

Good

Updated 19 May 2016

The service was safe.

People’s needs were met in a safe and timely way as there were enough staff available.

There were effective systems in place to manage people's medicines.

People were protected from the risks of abuse as staff knew how to recognise and report abuse.

Thorough recruitment procedures ensured the risks of employing unsuitable staff were minimised.

Effective

Good

Updated 19 May 2016

The service was effective.

Staff received training that helped them meet people’s needs.

People were supported to maintain a healthy balanced diet.

People were asked for their consent before staff provided personal care.

People’s human rights were upheld because staff displayed a good understanding of the principles of the Mental Capacity Act 2005 and the associated Deprivation of Liberty Safeguards (DoLS).

Caring

Good

Updated 19 May 2016

The service was caring.

People’s needs were met by kind and caring staff.

Staff ensured people’s privacy and dignity was respected and all personal care was provided in private.

People and their relatives could be involved in making decisions about their care if they chose.

Responsive

Good

Updated 19 May 2016

The service was responsive.

Staff ensured people received care and support that was responsive to their needs.

People’s care plans contained details of how people’s needs were to be met and were reviewed regularly.

People were confident that if they raised concerns they would be dealt with.

There were regular activities available for people to participate in.

Well-led

Good

Updated 19 May 2016

The service was well led.

The manager was very open and approachable.

There were effective quality assurance systems in place to monitor care and plan on-going improvements.