CQC report explained · a nursing home
What the CQC found at Warren Park Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, visiting and managing outbreaks. The provider also described measures to reduce risks from COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not covered by the targeted inspection.
- Caring?
- Requires improvement
- This area was not covered by the targeted inspection.
- Responsive?
- Requires improvement
- This area was not covered by the targeted inspection.
- Well-led?
- Requires improvement
- This area was not covered by the targeted inspection.
What inspectors found, March 2022
Inspected but not rated; the home had good infection-control arrangements during a COVID-19 outbreak.
This was an announced, targeted inspection on 28 February 2022. Inspectors looked at infection prevention and control, including visiting, PPE, cleaning, testing and how the home managed outbreaks and staffing pressures.
Inspectors found safe visiting arrangements. Visitors were tested, had their temperature checked and wore PPE. People and relatives were supported during isolation, including through calls and activities to reduce loneliness.
The home had organised PPE and cleaning products, and inspectors found it clean. Staff and people living in the home were regularly tested and had received COVID-19 vaccinations.
The service was inspected but not rated. This means the inspection did not give an overall quality rating or a rated judgement for the five areas of care.
Safe visiting
Visitors were tested, had their temperature checked and wore PPE when entering the home.
“The provider had safe visiting arrangements which included all visitors taking a COVID-19 Lateral flow Test, having their temperature checked and wearing personal protective equipment (PPE) when entering the home.” from the report
Support during isolation
People and relatives were helped to understand isolation arrangements. The home also used calls and activities to reduce loneliness during an outbreak.
“This included calls with friends and relatives and dedicated staff spending time with people and supporting them with activities.” from the report
Organised infection control
PPE and cleaning products were well managed, and people were supported by consistent staff in the same areas where possible.
“PPE was well stocked and organised, and cleaning products were stored and used appropriately. The home was clean.” from the report
Testing and vaccination
Staff and people living in the home took part in regular COVID-19 testing, and all had received COVID-19 vaccinations.
“Staff and people living at the home were partaking in regular COVID-19 testing. All staff and people living at the home had received COVID-19 vaccinations.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection-control and visiting arrangements are in place now?
- 02How would you support my relative if there was an outbreak or they had to isolate?
- 03How do you reduce loneliness when people cannot receive normal visits?
- 04What measures are used when COVID-19 or other illness causes staff shortages?
- 05How often are staff and residents tested, and what happens after a positive result?
This was a targeted inspection of infection prevention and control, with questions about staffing pressures; it did not rate the wider quality of care. This explanation was written from the published report of 17 March 2022 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, January 2021
Warren Park Nursing Home is rated Requires Improvement; medicines records and management systems were still not reliable, although the home left special measures after making improvements.
This was an unannounced, focused inspection on 1 and 4 December 2020. Inspectors checked whether the home had acted on problems found at the previous inspection. They reviewed care, medicines, staff and management records, and spoke with people, relatives and staff.
The home had improved, but inspectors still found problems with medicines records and records showing the support people had received. Some medicine administration records were incomplete. Older care records also needed a full review, and some fluid records were inaccurate.
People were supported by enough staff who were described as caring and well trained. The home was clean, infection control arrangements were robust, and risks were generally assessed and managed. Consent arrangements had improved and were rated Good.
The overall rating was Requires Improvement. Safe and Well-led were also Requires Improvement. The home had previously been in Special Measures, but it was no longer rated Inadequate and was removed from Special Measures after this inspection.
Staffing and recruitment
Inspectors found enough staff to support people safely. Recruitment checks were completed before staff started work.
“There were enough staff on duty to ensure people were supported safely.” from the report
Infection control
The home was clean and had suitable infection control arrangements, including supplies of protective equipment and measures relating to COVID-19.
“There were robust infection prevention control procedures (IPC), including those relating to COVID-19, in place.” from the report
Consent and choice
The home had improved its approach to consent. People who lacked capacity were supported in the least restrictive way, and relevant authorisations were in place.
“Systems were in place to ensure people who lacked the capacity to make specific decisions, were supported in the least restrictive way possible.” from the report
Positive management culture
Staff reported that the atmosphere and communication had improved since the new manager started. Staff said they felt more listened to and supported.
“The atmosphere has improved so much with the new manager. Care plans are improved and staff are listened to now.” from the report
Care records not fully reliable
needs fixingNew electronic care plans were better, but some older records had not been fully reviewed. Some records were not detailed enough or contained inaccurate information.
“Some older care records had not been fully reviewed and were not detailed enough and sometimes contained inaccurate information.” from the report
Inaccurate fluid records
needs fixingSome records showed very low fluid intake on particular days, but the manager said staff were still learning the new electronic system.
“However, we found some records were inaccurate and recorded very low levels of fluid intake on some days.” from the report
- 01How do you now check that every medicine administration record is complete?
- 02How are medicine patches recorded, including where each patch has been applied?
- 03How will you make sure medicines given in a different way have clear pharmacist guidance and care plan instructions?
- 04Which older care records still need reviewing, and when will that work be completed?
- 05How do you check that fluid intake records entered into the electronic system are accurate?
This was a focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected, and the previous ratings for questions not looked at were used in calculating the overall rating. This explanation was written from the published report of 16 January 2021 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 Warren Park Nursing Home
5 rated inspections over 5 years: the service has slipped, from Good to Requires improvement.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2021Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- April 2020Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementWell-led: Inadequate
- August 2019Requires improvementstayed Requires improvementSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 January 2011.
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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