Warmley Court provides accommodation and personal care for up to 10 people with an acquired brain injury. At the time of our inspection 10 people were using the serviceThis inspection took place on 11 October 2017. The inspection was unannounced, this meant the staff and provider did not know we would be visiting.
At the last inspection in May 2015 the service was rated ‘Good’.
At this inspection we found that overall the service remained ‘Good’.
There was no registered manager in post. 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. Since our last inspection a registered manager had been appointed and left their position. The provider had appointed a new manager who was in the process of applying to the Commission to register as manager.
The quality auditing systems had not identified one occasion where the medicine administration records had not been fully completed. This had not been identified by staff administering medicines on subsequent days or, by the auditing systems operated by the manager.
People shared some frustration with us regarding the accommodation. They felt repairs and maintenance of the building was not always carried out in a timely manner. They also told us they had identified alterations to increase their independence with the provider but had not been informed of when these would be completed.
There was enough staff to safely provide care and support to people. Checks were carried out on staff before they started work with people to assess their suitability to care for vulnerable people. Staff understood their role and responsibilities to keep people safe from harm. Individual risks were assessed and plans put in place to keep people safe.
Staff received regular supervision and the training needed to meet people’s needs. The service complied with the requirements of the Mental Capacity Act 2005 (MCA). Arrangements were made for people to see a GP and other healthcare professionals when they needed to do so. People had access to the food and drink they chose when they wanted it.
People were cared for and supported by staff that understood their needs and knew them well. Staff treated people with dignity and respect and were sensitive to their needs regarding equality, diversity and their human rights. The care and support people received was individualised. They were offered a range of activities both at the service and in the local community.
There was a clear management structure in place. The manager and other senior staff were well liked and respected by people and staff. The vision, values and culture of the service were understood by all staff. During our inspection we noted the complimentary skills, knowledge and experience of the management team and, were assured by this in addition to their passion and commitment to work towards providing high quality person centred care.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
You can see what action we told the provider to take at the back of the full version of the report.