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Care Services

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Warmere Court, Yapton, Arundel.

Warmere Court in Yapton, Arundel is a Nursing home and Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, dementia and treatment of disease, disorder or injury. The last inspection date here was 30th August 2019

Warmere Court is managed by Shaw Healthcare Limited who are also responsible for 16 other locations

Contact Details:

    Address:
      Warmere Court
      Downview Way
      Yapton
      Arundel
      BN18 0HN
      United Kingdom
    Telephone:
      01243551827
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Requires Improvement
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-08-30
    Last Published 2018-09-27

Local Authority:

    West Sussex

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

6th September 2018 - During an inspection to make sure that the improvements required had been made pdf icon

This focused inspection took place on 6 September 2018 and was unannounced. Warmere Court is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Warmere Court is situated in Yapton, Arundel, in West Sussex and is one of a group of homes owned by a national provider, Shaw Healthcare Limited. Warmere Court is registered to accommodate 40 people. At the time of the inspection there were 40 people accommodated in one adapted building, over two floors which were divided into smaller units comprising of ten single bedrooms with en-suite shower rooms, a communal dining room and lounge. These units provided accommodation for older people, those living with dementia and people who required support with their nursing needs. There were also gardens for people to access. The home also contained an unregulated day service facility where people could attend if they wished; however, this did not form part of our inspection.

The home had a registered manager. A registered manager is a ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the home is run. The management team consisted of the registered manager, a deputy manager, a clinical lead and team leaders. An operations manager also regularly visited and supported the management team.

We carried out an unannounced comprehensive inspection of this home on 11 December 2017. The home was rated as ‘Requires Improvement’ for a third consecutive time and a breach of legal requirements was found. This was because although it was recognised that the registered manager had made significant improvements since being in post, there was a concern regarding the overall ability to maintain standards and to continually improve the quality of care. Records to document people’s care, were not always completed in their entirety. Areas in need of improvement related to the sufficiency of staff to meet people’s needs for those living in the residential units as well as staff’s understanding and implementation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

We undertook this focused inspection to check that improvements had been made and to confirm that the provider was now meeting legal requirements. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Warmere Court on our website at www.cqc.org.uk. At this inspection we found that improvements had been made and the provider was no longer in breach of legal requirements. However, one area of practice that needed improvement, had been made, but needed to be further embedded in practice. This related to the monitoring and timely application of DoLS.

Staff were suitably trained and supported to enable them to meet people’s needs effectively. There were sufficient staff to meet people’s needs. People told us, and our observations confirmed, that when people required assistance from staff they responded promptly. One person told us, "The staff are very good. They are very respectful and private. They are very good with the call bell. They will answer it straight away but if dealing with an emergency will come back as soon as possible”.

People were protected from harm. Staff were vigilant and were aware of how to identify when people were at risk of harm. Staff demonstrated reflective practice and ensured that lessons were learnt when incidents and accidents had occurred. This helped to prevent reoccurrence. Appropriate actions were taken when there were concerns regarding people’s safety and wellbeing. People could maintain their independence through the assessment of risks and appropriate measures had been taken to ensure that people were safe.

People’s ne

11th December 2017 - During a routine inspection pdf icon

The inspection took place on 11 December 2017 and was unannounced. Warmere Court is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Warmere Court is situated in Yapton, Arundel in West Sussex and is one of a group of homes owned by a National provider, Shaw Healthcare Limited. Warmere Court is registered to accommodate 40 people. At the time of the inspection there were 36 people accommodated in one adapted building, over two floors which were divided into smaller units comprising of ten single bedrooms with en-suite shower rooms, a communal dining room and lounge. These units provided accommodation for older people, those living with dementia and people who required support with their nursing needs. There were gardens for people to access and a hairdressing room. The home also contained an unregulated day service facility where people could attend if they wished; however, this did not form part of our inspection.

The home had a registered manager. A registered manager is a ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the home is run. The management team consisted of the registered manager, a deputy manager and team leaders. An operations manager also regularly visited and supported the management team.

At the previous inspection on 4 and 5 August 2016 the home received a rating of ‘Requires Improvement’ and was found to be in breach of the Health and Social care Act (Regulated Activities) Regulations 2014. Following the last inspection, we asked the provider to complete an action plan to inform us of what they would do and by when to improve the key questions of safe and well-led to at least good. This was because there were concerns about the sufficiency and knowledge of staff. In addition, the provider had failed to submit notifications to CQC to inform us of incidents and events that had occurred to enable us to have oversight and ensure that the relevant actions were being taken. At this inspection improvements had been made and the provider had met the previous breach. However, this is the third consecutive time that the home has been rated as Requires Improvement. There were concerns with regards to the maintenance of records to ensure people received appropriate and consistent care. Records did not always contain sufficient detail and were not always completed in their entirety. This related to people’s healthcare plans, as well as food and fluid intake and cream application charts. It was not evident if people had received appropriate care or if staff had just failed to update the records. The maintenance of records was an area of concern.

There was mixed feedback with regards to the staffing levels within the home. People who resided in the nursing units of the home felt that there were sufficient staff and that their needs were met promptly, whereas people who resided in the residential units within the home felt that there was insufficient staff and they sometimes had to wait for support. When this was fed back to the registered manager they explained that the provider was in discussions with the local authority and was reviewing the staffing provision within the home. This is an area of practice in need of improvement.

People were able to take risks to maintain their independence and development. Most risks had been formally assessed to ensure that appropriate measures were in place to ensure that people were not exposed to harm. However, not all risks had been formally assessed and not all risks associated with one person’s certain lifestyle choice had been considered. When this was fed back to the management team, immediate action was taken and a risk assessment identifying and minimi

4th August 2016 - During a routine inspection pdf icon

The inspection took place on 4 and 5 August 2016 and was unannounced.

The home provides nursing care and accommodation for up to 40 older people including older people living with dementia. The home is purpose built and has two floors accommodating up to 20 people on each floor. People who required nursing care lived on the first floor and those who needed personal care on the ground floor. At the time of the inspection 37 people lived at the home. Each person had their own bedroom with an en-suite facility. Communal areas consisted of lounge areas, dining rooms and rooms where people could meet others. There was a garden which people could access. A day centre for up to eight people was run in one area of the home and residents were able to attend. This facility is not registered with the Commission and therefore did not form part of this inspection. The home had a staff team of four registered nurses: two full time and two part time plus staff for catering and domestic duties. The provider was taking action to recruit additional nurses.

The home did not have a registered manager, but there was a manager in post who was in the process of applying to register with the Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The previous inspection report for an inspection on 2 June 2015 made two requirements where we found breaches of the regulations:

• Care was not always provided safely to people. This included people being placed at risk when being moved in a wheelchair and a lack of care planning for managing pressure areas on people’s skin.

• Staff did not always respond to people’s requests for assistance.

The provider submitted an action plan on how these requirements would be met. At this inspection we found the provider had taken action to address these requirements, but there were still some areas for improvement. People were observed to be safely moved in wheelchairs. Care records showed pressure areas on people’s skin were well managed. However, we found air mattresses used to reduce pressure on people’s skin were not always set correctly. This negated the benefits of the equipment to relieve pressure on people’s skin. The manager took action to address this at the time of the inspection. Risk assessments clearly identified areas of risk to people and care plans gave staff guidance on how to mitigate risk. Staff were observed to help people when they needed it, but we observed two occasions when staff were slow to support two people with their food at lunch time.

Sufficient numbers of registered nurses were not employed. This included a lack of a registered nurse who could act in a role to co-ordinate nursing care to people as well as a lack of nurses appropriately trained to provide catheter care to some residents.

The Commission were not always notified of incidents as required by the Regulations.

Staff were trained in safeguarding adults procedures and knew how to report any concerns.

Since the last inspection, concerns were raised by the local community nursing team regarding medicines procedures for people living with diabetes. At this inspection we found people’s medicines were safely managed. Staff were trained and assessed as being competent to handle and administer medicines.

People told us they were supported by staff who were well trained and competent. Staff had access to a range of relevant training courses and said they were supported in their work.

The CQC monitors the operation of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. Staff and the manager were aware of the principles and guidance associated with the MCA. Where needed, ass

2nd June 2015 - During a routine inspection pdf icon

The inspection took place on 2 June 2015 and was unannounced.

The home provided nursing care and accommodation for up to 40 older people including older people living with dementia. The home was purpose built and had two floors accommodating up to 20 people on each floor. Those people who required nursing care lived on the second floor and those who needed personal care on the ground floor. At the time of the inspection 37 people lived at the home. Each person had their own bedroom with an en- suite bathroom. Communal areas consisted of lounge areas, dining rooms and rooms where people could meet others. There was a garden which people could use. A day centre for up to eight people was run in one area of the home and residents were able to attend. This facility is not registered with the Commission and therefore did not form part of this inspection. The home had a staff team of four registered nurses and 29 care staff plus staff for catering and domestic duties. A further two registered nurses had started work at the home and were undergoing their induction.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff did not always provide care which was safe. We saw some examples where staff did not use wheelchairs in a safe way. Risks to people’s health and well-being were not consistently assessed or planned for. People said they felt safe at the home and relatives also said people were safe at the home. Health and social care professionals said they considered the staff provided safe care.

Care needs were reassessed and updated on a regular basis, although we noted care records were incomplete. Omissions in people’s care records meant they could not demonstrate how care was being provided as set out in care plans. Care plans included details about how people liked to be helped as well as cultural preferences. Staff were observed to respond to people’s requests for support, but this was not always the case. This included staff failing to respond to someone’s requests and a visiting professional who said staff did not always respond in a timely way when people asked for assistance by using their call points in their rooms.

Staff were trained in safeguarding adults procedures and knew how to report any concerns.

Sufficient numbers of staff were provided to meet people‘s needs. Pre-employment checks were made on newly appointed staff so that only people who were suitable to provide care were employed.

People’s medicines were safely managed. Staff were trained and assessed as being competent to handle and administer medicines.

People told us they were supported by staff who were well trained and competent. Staff had access to a range of relevant training courses and said they were supported in their work.

People were supported to eat and drink and to have a balanced diet. There was a choice of food and people said they liked the food. Special dietary needs were catered for and nutritional assessments carried out when this was needed so people received appropriate support.

The CQC monitors the operation of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. Staff and the registered manager were aware of the principles and guidance associated with the MCA although one staff member was not. Five of the total staff team had attended training in the Mental Capacity Act 2005 and the registered manager had planned additional training for staff.

People’s health care needs were assessed and recorded. Care records showed people’s physical health care needs were monitored and that people had regular health care checks.

Staff treated people with kindness and had positive working relationships with people. Staff were observed to ask people how they wanted to be supported. People and relatives described the staff as caring and helpful.

A range of activities were provided for people and the service had a staff team member employed as an activities coordinator.

The complaints procedure was displayed and people said they knew what to do if they were dissatisfied with the service they received. A record was made of any complaints along with details of how the issue was looked into and resolved.

The registered manager promoted an open and person centred culture. This included people and relatives being encouraged to express their views about the service and the provider responding to any issues raised. There were examples of the registered manager acting to improve the standard of care as a result of dealing with concerns or complaints. Staff were supported by the home’s management who in turn monitored staff performance and values. A number of audit tools were used to check on the effectiveness of care plans, medicines procedures, the environment, catering and cleanliness. These were carried out by the registered manager and by the provider.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

9th April 2013 - During a routine inspection pdf icon

We spoke with six people and they told us they were happy with the care they received. One person told us " We are well looked after here". Another person told us "I have improved since I came in here".

We spoke with two relatives and they were happy with the care their family members received in the home.

People’s needs were assessed and care and treatment was offered according to their individual plan.

People were protected from abuse.

Medicines were administered safely in the home.

There was a complaints procedure in the home and complaints were taken seriously.

14th January 2013 - During a routine inspection pdf icon

We spoke with four people living in the home and they told us they were happy with life in the home and that staff were very Kind. They told us that they had choice in food and daily activities. One person told us "I can get up when I like" and that "there is choice in food".

People told us that privacy and dignity was respected and that independence was encouraged.

We spoke with three health professionals. We were told that on the residential floor, care staff followed instructions on how to care for people. We were also told that on the nursing floor there was a lack of continuity in the nursing staff and much use of agency staff. Not all people in the home were having their nursing needs met.

There were some quality assurance systems in place but these did not identify gaps in staff training.

 

 

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