Warmere Court

At the last inspection, we found the provider in breach of Regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Two people requiring modified diets had been given high risk foods. A person at risk of malnutrition and who was to be weighed weekly, was not cared for in line with the provider’s guidance. One person living with Parkinson’s disease did not receive a medicine within the prescribed timeframe.

At this assessment, improvements had been made and the provider was no longer in breach of Regulation 12. The requirements of the Warning Notice issued had been met. People on modified diets were supported safely and we observed some people having their lunchtime meal. People were given food that mitigated their identified risks such as swallowing, aspiration or choking. Audits provided good oversight and management of the home and were used to drive improvements. Medicines were managed safely. People living with Parkinson’s disease received their medicines within the recommended timeframes.

People’s concerns were listened to and acted upon and events relating to their safety were investigated and remedied. People received continuity of care from staff who knew them well, understood their risks and how to support them safely. Staff understood how to protect people from the risk of abuse or harm and had received safeguarding training.

People were supported with positive risk taking and understood any issues that posed a risk to their health and wellbeing. The home provided a safe environment for people. Staffing levels were sufficient to ensure people’s needs were met, and staff were recruited safely. The home was very clean with no unpleasant smells.

At the last inspection, we found the provider in breach of Regulation 17 of the Health and Social Care Act 2008 (Regulation Activities) Regulations 2014 – Good governance. Some people’s dietary needs and risks had not been identified through the auditing systems, concerns about medicines managed for people living with Parkinson’s disease, and repositioning charts.

At this assessment, sufficient improvements had been made and the requirement of the breach of Regulation 17 had been met. A robust system of audits had been developed which identified and reviewed people’s risks, with associated actions for mitigating these risks. Medicines audits monitored how and when people received their medicines to ensure these were administered when required. Monitoring charts, such as for repositioning people, were completed in a timely fashion and in accordance with people’s care plans.