Warberries Nursing Home

Inspectors saw warm interactions. People said staff were caring and respectful, and their privacy, dignity and independence were promoted.

“People were well supported, and their privacy, dignity and independence was promoted.” from the report

Rotas showed that the home's assessed staffing levels were met. Inspectors saw high numbers of staff, and most people and families said help was available.

“The provider ensured there were sufficient numbers of suitable staff.” from the report

People and families were asked for their views, and the home added an activity coordinator after people asked for more activities.

“Changes were made as a result of issues raised at residents meetings.” from the report

The home was no longer in breach of regulations covering dignity, safeguarding, staff training, confidentiality, incident monitoring and notifications to CQC.

“At this inspection, we found that although some improvements had been made, and they were no longer in breach of regulation 10 or 18” from the report

The home sought advice from health and social care professionals and inspectors found a positive and open culture.

“The provider worked in partnership with others.” from the report

Care records did not always show that staff followed professional advice or completed important monitoring. This included risks linked to tube feeding, diabetes, choking, nutrition and catheters.

“Risks to people were not always monitored and managed in a safe way, particularly risks associated with people's specific health needs.” from the report

Inspectors found discrepancies in medicine stock levels, including for an antipsychotic medicine. The home could not always show that medicines were being managed safely.

“We found discrepancies in medicine stock levels, including for an anti-psychotic medication, which put people at risk of harm.” from the report

Some care plans lacked enough detail for staff to respond consistently. Records also sometimes gave conflicting instructions about modified food and drink, increasing the risk of choking.

“Risk assessments were in place for people at risk of choking. However, records were sometimes contradictory about the level of modified diet required.” from the report

The home's governance systems did not reliably identify problems in care records, medicines, care plans or the updating of professional advice.

“Although there had been improvements since our last inspection, the provider's systems did not always effectively monitor the quality of care provided to drive improvements.” from the report

Most relatives said they were involved and kept informed, but two relatives said they had not been asked about their family member's care plan.

“However, 2 relatives told us they had not been asked about their family member's care plan.” from the report