CQC report explained · a residential care home
What the CQC found at Warmley Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Medicines were managed safely, staff understood safeguarding and whistleblowing, and there were enough suitably competent staff to keep people safe.
- Effective?
- Good
- This area was not assessed during this focused inspection.
- Caring?
- Good
- This area was not assessed during this focused inspection, although inspectors observed kind, caring and respectful staff interactions.
- Responsive?
- Good
- This area was not assessed during this focused inspection.
- Well-led?
- Good
- The quality-checking system had become effective. It identified shortfalls and led to action, while staff meetings, handovers and management arrangements supported communication.
What inspectors found, June 2018
Warmley Court was rated Good; inspectors found safe care and improved checks, after an earlier medicines-recording shortfall.
This was an unannounced focused inspection. One inspector checked whether the home had improved its safety and management systems after the previous inspection found a legal requirement was not being met.
Inspectors found that medicines were stored, recorded, given and disposed of safely. Staff had suitable training, knew how to respond to errors and supported people to understand their medicines. Staff also knew how to recognise and report abuse, and there were enough suitably trained staff to keep people safe.
The home had improved its quality checks. Audits now picked up shortfalls, including medicines-recording problems, and action was taken promptly. The overall rating was Good, with Safe rated Good and Well-led rated Good. Effective, Caring and Responsive were not assessed during this inspection.
Safe medicines support
Inspectors found that medicines were handled safely and that staff were trained to manage them. People were supported to understand their medicines and, where they wished, to manage them themselves.
“All medicines were stored, documented, administered and disposed of in accordance with current guidance and legislation.” from the report
Kind staff
People told inspectors that staff were caring. The inspector also saw staff treating people kindly, respectfully and with warmth.
“We also saw that the staff we met were kind caring and respectful towards everyone who lived at the home.” from the report
Improved quality checks
The home had reviewed its auditing system. It was now able to find problems and prompt action was taken to address them.
“The quality checking system to monitor medicines management had been fully reviewed and updated.” from the report
Previous medicines-recording shortfall
needs fixingAt the earlier inspection, the quality system had not found a medicines-recording problem that could have put someone at risk. Inspectors said this had been addressed by the focused inspection.
“It had not identified a medicines recording shortfall that could have put a person at risk.” from the report
- 01How do you currently check medicines records, and what happens if a recording problem is found?
- 02How will you support my relative to manage their medicines if they want to do so?
- 03How do staff recognise and report possible abuse or other safeguarding concerns?
- 04How do you make sure there are enough suitably trained staff for my relative's support needs?
- 05How are families told about accidents, incidents or changes in their relative's care?
This was an unannounced focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not assessed during this visit. This explanation was written from the published report of 29 June 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2017
Rated Good overall, but well-led Requires Improvement because medicine records were not fully checked and the home breached Regulation 17.
This was an unannounced comprehensive inspection. The report gives the inspection visit dates as 11 and 12 October 2017. Inspectors spoke with people, a relative, staff and health and social care professionals. They also checked care records, staff files, training, rotas and management records.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough staff, suitable safety checks, trained staff and detailed care plans. People were treated with kindness and respect, supported to make choices and offered activities based on their interests.
The home was rated Requires Improvement for Well-led. An audit failed to identify that one medicine administration record had not been signed, and staff had not noticed or followed this up. The home also had no registered manager at the time, although a new manager was applying to register.
The home remained Good overall, as it was at the May 2015 inspection. However, the provider was in breach of Regulation 17 because its systems had not effectively identified and assessed risks to people's health, safety and welfare.
People felt safe
People and others told inspectors they felt safe. Staff understood safeguarding and how to report concerns.
“People told us they felt safe.” from the report
Enough trained staff
Staffing levels met the home's assessment of need. Staff had relevant training, regular supervision and checks before starting work.
“People were supported by sufficient staff to meet their needs.” from the report
Kind and respectful care
Inspectors saw calm, sensitive interactions. Staff knew people well and respected their privacy, dignity and individual preferences.
“We saw people were treated in a kind, caring and respectful way by staff.” from the report
Personalised support
Care plans reflected people's histories, interests, preferences and goals. Staff supported people to build independence and maintain relationships.
“The service provided to people was flexible and responded to people's individual needs and preferences.” from the report
Supportive management team
The manager, deputy and senior staff were described as approachable and worked together with a shared vision.
“They were mutually supportive with a clear shared vision and complementary skills and abilities.” from the report
Medicine records were not fully checked
seriousOne medicine administration record had not been signed. It was not possible to confirm from the record whether the medicine had been offered as prescribed, and this was not picked up promptly.
“As a result it was not possible to be sure the person had been offered their medicines as prescribed.” from the report
Quality checks were not effective enough
seriousThe home's audits did not identify the missed medicine signature or the lack of follow-up. This led to a breach of Regulation 17.
“Regular audits of the safety and quality of the service were carried out. However these had failed to identify staff not having signed a person's medicine administration record” from the report
Delays with repairs and improvements
needs fixingPeople said repairs and maintenance were not always completed promptly. They had also not been told when agreed changes to support their independence would be finished.
“They felt repairs and maintenance of the building was not always carried out in a timely manner.” from the report
No registered manager at the inspection
needs fixingThere was no registered manager in post. A new manager had been appointed and was applying to register with the CQC.
“There was no registered manager in post.” from the report
- 01What action have you taken to make sure every medicine administration record is checked and any missed signature is followed up immediately?
- 02What is the current status of the manager's CQC registration?
- 03Have the repairs and building changes identified by residents been completed, and how do you keep people informed about progress?
- 04What extra activities are now available inside the home?
- 05What did you report back to the CQC about the Regulation 17 breach, and what changes were made afterwards?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 18 November 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Warmley Court
3 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Goodstayed GoodSafe: GoodWell-led: Requires improvement
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2012
Registered with the Care Quality Commission on 30 January 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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39 live-in carers within about an hour of South Gloucestershire
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Most charge £1,020 to £1,280 a week. 32 can care for a couple. 11 years' experience on average.
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