Warren Park Nursing Home

Updated 17 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 28 February 2022 and was announced. We gave the service 1 hours' notice of the inspection.

Updated 17 March 2022

About the service

Warren Park Care Home is a residential care home providing nursing and personal care to 34 people at the time of the inspection. The service is registered to support up to 40 people in one adapted building.

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

Improvements had been made since the last inspection. However, some concerns remained regarding the recording of people’s medicines and the support they had been given by staff. Due to these recording issues we could not always be fully assured people had had their needs met. The provider and manager were aware of most of the concerns before our inspection and had put new processes in place to address these. These processes needed more time to embed.

Risks relating to people’s health and wellbeing were appropriately assessed and managed. New care records were much improved from the last inspection, but older care records needed a full review to ensure they were accurate and contained enough information to guide staff to support people safely.

Recruitment systems were robust and safe and there were enough staff to support people’s needs. People were supported by caring and well-trained staff. Feedback from people showed they liked living at Warren Park and they felt safe.

The environment of the home was pleasant and clean throughout. Staff followed appropriate infection and prevention control measures and COVID-19 related guidance. Some parts of the home had been adapted to support people living with dementia.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

A new manager had started since the last inspection. Feedback from staff was positive and they felt improvements had been made in the home. Staff reported the atmosphere and culture of the home was more positive and felt there was more engagement with the new manager.

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 requires improvement (published 8 April 2020) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found some, but not enough improvement had not been made and the provider was still in breach of regulation.

This service has been in Special Measures since 07 April 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Enforcement

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. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

Whilst we found some improvements have taken place, we have identified continued breaches in relation to medicines management and good governance.

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

Why we inspected

This was a planned inspection based on the previous rating.

We carried out an unannounced comprehensive inspection of this service on 18 and 19 February 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, consent and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

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

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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.