Archived: The Warren Care Home

Updated 10 August 2017

This comprehensive inspection took place on 8 July 2017. The inspection was unannounced and carried out by one adult social care inspector.

The provider had been requested by the Care Quality Commission (CQC) to complete a Provider Information Return (PIR) prior to the inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR together with other the information we held about the home. This included previous inspection reports and notifications sent to us. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing any potential areas of concern.

We met and observed the majority of the people who lived at the service and received feedback from seven people who were able to tell us about their experiences. Not everyone was able to verbally share with us their experiences of life at the home. This was because of their dementia/ complex needs. We therefore used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with seven visitors to ask their views about the service.

We spoke to eight staff, including the registered provider, deputy manager, senior care worker, care workers, the cook and domestic staff.

We reviewed information about people’s care and how the service was managed. These included four people’s care records and three people’s medicine records, along with other records relating to the management of the service. These included staff training, support and three employment records, quality assurance audits and minutes of residents and team meetings. We also contacted health and social care professionals and commissioners of the service for their views. We received a response from two health and social care professionals.

Updated 10 August 2017

The Warren is a care home with nursing for up to 27 older people. Most people living at the service have nursing needs and or living with dementia. Some bedrooms are located on the ground floor and some on the first floor with a passenger lift to access these.

At the last inspection published in October 2015, the service was rated Good.

This unannounced inspection took place on 8 July where we found the service remained good in all domains which were previously rated good. The effective domain went form requires improvement to good following this inspection.

Why the service was rated as good.

People said they were well cared for by staff who understood their needs and wishes and treated them with kindness and respect. One person said “We are very well treated. The food is lovely and staff could not be nicer.”

Staff were well trained and supported to do their job effectively. The management team valued staffs’ experience and ideas and encouraged on-going learning through national diplomas in care as well as updates on key areas of health and safety.

People benefitted from an environment which was clean, homely and had the right equipment to keep them safe and well.

The staff provided care and support which was responsive to people’s individual needs. This included ensuring their emotional and social needs were being met. People said they enjoyed a variety of activities and outings which helped them stay part of the local community.

People knew how to make any concerns known and were confident their views would be listened to and actioned. Visitors and family were made welcome and believed their views and suggestions were valued. One relative said “They could not have done more to help us spent time with our relative, nothing has been too much trouble.”

The service was well led by a registered manager and provider who shared the same values and encouraged a culture of openness and transparency. Staff felt they worked well as a team and all worked within an ethos of encouraging people to be as independent as possible within a homely and loving environment.