CQC report explained · a residential care home
What the CQC found at Warwick House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, staffing levels were sufficient, medicines records were accurate and staff had safeguarding training. A new information sheet for missing-person reports was still being introduced.
- Effective?
- Good
- Staff had relevant training and support, and care plans reflected people's needs and preferences. The home worked closely with GPs, mental health professionals and other health services.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff knew people well, encouraged independence and involved people in decisions about their care.
- Responsive?
- Good
- Care was personalised and people were offered activities, outings and one-to-one support. The home responded to complaints and was developing a record to discuss people's future care wishes.
- Well-led?
- Good
- The home was well managed, with regular audits, meetings and feedback from people, relatives, staff and health professionals. Staff described the manager as approachable and supportive.
What inspectors found, October 2019
Rated Good; inspectors found safe, kind and personalised care, with some planned improvements still being developed.
This was an unannounced, planned inspection on 28 August 2019. One inspector and an expert by experience spoke with 14 people, two relatives, staff and health professionals. They also checked care plans, medicines records, recruitment, training and management records.
The home supported 29 people, from a possible 35, with complex mental health conditions. Inspectors found that people were safe, treated with kindness and involved in decisions about their care. Staff understood people's needs and worked well with health professionals.
The home had Good ratings in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published in January 2017. The report says the service would continue to be monitored through the normal re-inspection programme.
Risk management
Risks linked to people's physical and mental health, behaviour, smoking and going missing were assessed and reviewed. There were also checks for fire, gas, electrical safety and legionella.
“People received a safe service because risks to their health and safety were fully considered.” from the report
Skilled staff
Staff completed induction, regular supervision and training. Inspectors found that staff could explain how they would keep people safe and support their needs.
“Staff spoke knowledgably and confidently about situations and circumstances where they may need to keep themselves and others safe.” from the report
Respect and independence
People were treated with dignity and were encouraged to make choices and do as much as possible for themselves. Their privacy and personal routines were respected.
“Throughout our inspection, we saw that people were treated with good humour, dignity and compassion.” from the report
Personalised activities
People could choose from group activities, outings and one-to-one support. Staff offered alternatives when people did not want to join group activities.
“Where people were reluctant to join in group activities, this was discussed with them.” from the report
Strong partnership working
The home worked with a range of health professionals and acted on their advice. Inspectors found that staff noticed changes in people's health and responded to them.
“They know people really well and recognise when there are changes or if people are deteriorating.” from the report
Future care wishes
minorNo one was receiving end of life care during the inspection. The home was still introducing a record to help discuss people's wishes for future care.
“They were introducing a 'wishes and preferences for my future care' record, which they planned to introduce and then discuss with individually with people.” from the report
Decision-making records
minorThe home understood people's rights to make their own decisions, but a new record setting out important decisions and people's involvement was still being introduced.
“The registered manager was in the process of introducing a 'decision making agreement' record.” from the report
Missing-person information
minorThe home had individual missing-person protocols. It was also developing a front information sheet to give the police more useful descriptions when needed.
“To improve the quality of information given by staff, the registered manager was in the process of introducing a 'front information sheet.'” from the report
- 01How far has the 'wishes and preferences for my future care' record been introduced, and how will you involve my relative?
- 02Has the decision-making agreement record been completed for people who need support with decisions?
- 03Has the front information sheet for missing-person reports been introduced and tested?
- 04How will you support my relative to keep their independence while managing risks linked to their mental health?
- 05How will you arrange a medicines review if my relative feels their medicines need changing?
This was an unannounced comprehensive inspection that assessed all five CQC questions and set the overall rating; the previous overall rating was Good, published in January 2017. This explanation was written from the published report of 5 October 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.
What inspectors found, January 2017
Warwick House was rated Good; inspectors found safe, kind and personalised care with effective management systems.
Inspectors visited unannounced on 13 December 2016. They observed care, spoke with nine people, staff and a relative, and checked care plans, staff files, medicines records and other management records.
People said they felt safe, well cared for and listened to. Inspectors found enough staff, safe medicines management, suitable training, good support with food and health needs, respectful relationships and activities that people could choose to join.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous inspection in November 2013 had found no concerns.
People felt safe
People told inspectors they felt safe and there were enough staff available to support them. Staff understood safeguarding procedures and risks were assessed.
“People told us they considered themselves to be safe living at Warwick House, the care was good and the environment was safe and suitable for their individual needs.” from the report
Medicines were managed safely
Inspectors found medicines were stored, administered, checked and disposed of appropriately. Records and audits were accurate.
“Regular auditing of medicine procedures had taken place, including checks on accurately recording administered medicines as well as temperature checks medicines stored in the fridge.” from the report
Kind and respectful care
Staff knew people's personalities and preferences. Inspectors saw friendly interactions and support for privacy, dignity and independence.
“Interactions between people and staff were positive and respectful.” from the report
Personalised support and activities
Care plans included people's likes, dislikes, routines and support needs. People could choose from activities in the home and community, or choose not to join in.
“Care plans contained detailed information on the person's likes, dislikes and daily routine with clear guidance for staff on how best to support that individual.” from the report
Open management and quality checks
People and staff could give feedback through meetings and surveys. Audits and incident reviews were used to identify improvements.
“The provider undertook quality assurance audits to ensure a good level of quality was maintained.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you decide each day whether there are enough staff when people's needs change?
- 02What mental health training do staff receive, and how is this kept up to date?
- 03How will my relative be involved in creating and reviewing their care plan?
- 04Which activities and community outings would be suitable for my relative, including if they prefer not to join group activities?
- 05How are families involved if there is a change in my relative's physical or mental health?
This was an unannounced inspection covering all five CQC questions, and the report says the previous inspection in November 2013 found no concerns. This explanation was written from the published report of 17 January 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 Warwick House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 6 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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28 live-in carers within about an hour of West Sussex
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Most charge £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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