Warren Court

Inspectors found enough staff on shift and found that staff had suitable training, induction and experience.

“The provider always had sufficient numbers of staff on shift to support people's care needs effectively.” from the report

The home worked with GPs, the pharmacy and other health professionals. People were supported to attend appointments and receive healthcare.

“The provider worked with other agencies to provide consistent, effective, and timely care.” from the report

People said they were happy with the food. The kitchen was clean and had a five-star food hygiene rating.

“People were supported to eat and drink enough to maintain a balanced diet.” from the report

Inspectors found systems for managing medicines, including regular audits and cooperation with the pharmacy and GP.

“The provider had measures in place to ensure that medicines were managed and administered safely.” from the report

People, relatives and staff said they could speak to managers and raise concerns. Staff described the managers as approachable and supportive.

“Staff said they felt respected and supported by the registered manager.” from the report

A person used a toilet in view of the reception area, and toilet doors did not have locks at the time of inspection. Locks were fitted after the inspection, but this was a breach.

“The provider had not ensured people's privacy was always maintained.” from the report

Medical advice was not always sought promptly after a fall. Inspectors also found that records did not always explain what action had been taken or what had been learned.

“Medical advice was not always promptly sought after people had a fall.” from the report

Care plans did not always include people's preferred routines, food choices, goals, aspirations or equality needs. The manager said this information would be gathered and added.

“People's care plans did not always have information about people's life choices, like choice of food or preferred daily routine, or goals and aspirations.” from the report

Some people who received care in bed did not leave their rooms. Inspectors found their social contact was mainly with care workers, health professionals and occasional family visitors.

“The only social contact these people had was with health professionals and care workers delivering care or when family members occasionally visited.” from the report

People gave both positive and negative feedback about staff attitudes. One concern involved a care worker holding people's wrists rather tightly, which was raised with the manager.

“We received mixed feedback about the caring attitude of care workers.” from the report

The home's monitoring systems had not found or dealt with several of the problems identified by inspectors. This was a breach of good governance.

“The lack of effective quality assurance mechanisms put people at risk of not receiving good quality care.” from the report