CQC report explained · a nursing home
What the CQC found at Warrengate Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, August 2020
Warrengate Nursing Home was inspected but not rated; inspectors were assured about its infection prevention and control during the coronavirus pandemic.
Inspectors visited the home on 12 August 2020. This was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.
They were assured that the home managed visitors, shielding, social distancing, admissions, personal protective equipment, testing, hygiene and infection outbreaks appropriately. They also found an up-to-date infection control policy.
The provider had an external infection prevention and control lead, infection control champions and an isolation area ready for people who might test positive for Covid-19. The service was inspected but not rated, so this report does not give an overall quality rating.
External infection control support
The provider arranged specialist infection prevention and control leadership across its four services. It also appointed infection control champions at each service and worked to improve staff knowledge and skills.
“The provider had arranged for an external infection prevention and control lead to work across the group of four services including Warrengate.” from the report
Isolation planning
The home had prepared an area for people who might test positive for Covid-19. There was also a plan to increase the size of this area if needed.
“There was an area ready to be used as an isolation zone for any people who may test positive for Covid-19.” from the report
Support for staff at higher risk
Individual risk assessments were in place for staff who might be more vulnerable to Covid-19. When local cases were high, staff were offered nearby accommodation to reduce public transport use.
“When Covid-19 cases were high in the area staff had been offered accommodation by the provider near to the service to avoid them needing to use public transport.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection in August 2020?
- 02How do you now manage visits, testing and admissions when there is an infection risk?
- 03Is the isolation area still available, and how would it be enlarged if needed?
- 04How do you assess and support staff who may be at increased risk from Covid-19 or other infections?
- 05How do you make sure staff use PPE safely and follow current hygiene procedures?
This was a targeted inspection of infection prevention and control measures during the coronavirus pandemic; the service was inspected but not rated and other areas of care were not assessed. This explanation was written from the published report of 20 August 2020 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, August 2019
Warrengate Nursing Home was rated Good; inspectors found safe, kind and well-organised care, with some improvements needed to the layout and decoration.
Inspectors visited on 12 and 13 August 2019. The first day was unannounced. They spoke with people living in the home, relatives, staff and a healthcare professional. They also checked care records, medicines records, staff files and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable risk plans and good infection control. People received support with food, healthcare, activities and communication.
People were treated with kindness, dignity and respect. Care plans were personal and regularly updated. Complaints were investigated, end of life wishes were recorded, and the manager used audits and feedback to make improvements.
Safe staffing and risk planning
Inspectors found enough staff to keep people safe. Risk plans were clear, regularly reviewed and shared through handover meetings.
“People continued to be protected from avoidable harm as the manager had developed robust and succinct risk management plans, to keep people safe.” from the report
Kind and respectful care
Staff knew people well and supported their choices, dignity and independence. Inspectors saw positive interactions throughout the visit.
“Throughout the inspection we observed positive interactions between staff and people.” from the report
Personalised care
Care plans described people's health, emotional, medical and physical needs and preferences. They were reviewed when people's needs changed.
“Care plans were person centred and gave staff a clear understanding of people's health, emotional, medical and physical needs and preferences.” from the report
Good management oversight
The manager used audits and feedback to identify issues and make changes. Staff and healthcare professionals described the leadership positively.
“The manager carried out regular audits of the service to drive improvement within the service.” from the report
Communal layout
needs fixingThe layout of the main lounge made it harder for people to communicate during lunch. The home said this was being addressed through planned building work.
“We identified that lunch time in the main lounge was rather stilted and that people didn't seem to be able to communicate with others easily, due to the lay out of the room.” from the report
Refurbishment needed
minorInspectors found that the home needed refurbishment. Work to update the decoration and make the home more suitable for people with dementia was due to start shortly after the inspection.
“At the time of the inspection, we identified the service was in need of refurbishment.” from the report
Activities could improve
minorActivities were available and an activities coordinator had been employed, but staff said there was still room to improve the programme.
“But, there is room for improvement and we have some ideas.” from the report
- 01What work has been completed to improve the main lounge layout since the inspection?
- 02What refurbishment has been completed, and how has the home been made more dementia friendly?
- 03How are activities matched to each resident's interests, abilities and cultural needs?
- 04How are families told about weight loss or other changes in a resident's health?
- 05How are care plans reviewed when a resident's needs change?
This was a planned inspection covering all five key questions, and all five ratings remained Good from the previous inspection in 2016. This explanation was written from the published report of 30 August 2019 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 Warrengate Nursing Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- August 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 18 November 2010.
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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