Background to this inspection
Updated
28 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and one medicines team inspector.
Service and service type
Warrington Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager who was in the process of registering with the Care Quality Commission. This meant the provider was currently solely legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and four relatives about their experience of the care provided. We spoke with 10 members of staff including the provider, manager, head of care, care workers, housekeepers and the chef.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with three health and social care professionals who regularly visit the service.
Updated
28 March 2020
About the service
Warrington Lodge is a ground floor purpose-built care home providing accommodation and personal care for up to 21 people with a diagnosis of dementia. At the time of this inspection there were 21 people living at the service.
People’s experience of using this service and what we found
Staff were knowledgeable about the people they supported and the individual needs they had. Staff provided a support system for relatives as well as the person concerned and understood the impact a person’s ‘journey through dementia’ had on the wider network.
The home was relaxed, calm, and people moved through their day at a pace that suited them. Staff were seen to be effortless in their interactions with people and it was clear there was a whole staff approach to engaging people in the home.
The service demonstrated a strong person-centred culture. Paramount importance was placed on empowering people to make choices and share and express their views. We observed that people were active participants in their environment and took responsibility over the home. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s needs were met by staff who had a detailed induction and access to the training they needed. The service benefited from having two training officers on site who kept track of where staff were in their development.
People told us they felt safe and that staff were always available to help them. Potential risks had been identified and action taken to mitigate them. Staff had undertaken safeguarding training and were aware of their responsibilities to identify and report potential abuse.
People and their relatives were positive about the service and how it was run. There was a mutual appreciation between staff and the management team. The director of the service had his office in the home and was available for people, visitors and staff to approach at any time should they need to. This created a culture of accountability and transparency in the home.
The management and staff worked well with external professionals and we received extremely positive feedback from all the professionals we spoke with about this service. Staff knew people well and detected any changes early on to ensure people received the right support at the earliest stage.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 13 September 2013).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.