The Warren Residential Lodge

further work was required to embed practices in the home.

further work was required to embed this practice [people's involvement in planning and reviewing their care] in the home.

a system of review for care plans had been implemented but was in its infancy.

Complaints had been responded to in line with the registered provider's policy and this work needed to be sustained.

quality assurance systems in the home... needed to be sustained.

The service was safe but required further work to embed safe practices in the home.

Further work was required to embed the practice of reporting concerns in the home.

The service was effective but required further work to embed these practices in the home.

The service was responsive but required further work to embed new practices in the home.

Further work was required to embed a system of review of care plans in the service.

Activities were available for people though some people were not always aware of these.

The service was well led but required further work to embed these practices in the home.

This work [embedding a system of audits, incidents and accidents monitoring] required time to become embedded in the practices at the home.

for three people a risk assessment was not in place for the use of a bed lever; this is a piece of equipment to provide stability for a person when getting out of bed and has a risk of entrapment associated with it. We spoke with the deputy manager who told us this risk assessment would be completed and added to records.

The use of this tool [recognised dependency tool for staffing] was in its infancy and required embedding in the service.

the information relating to the effectiveness of these medicines was not always clearly documented in the MAR; although this information was available in care records. The deputy manager told us they would ensure staff added this information to the MAR for clarity.

Whilst this information [enduring power of attorney] was available for staff it was not always clearly marked in their care records. The deputy manager told us this information would be added to people's care plans to ensure clear information was available.

Minutes of meetings showed the manager had engaged with people and their relatives to review the available meals and consider new menus which encompassed people's preferences and offered more choice. This was work in progress and staff told us menus were being planned.

it was not always clear whether people were aware of these [activities] or if the activities were always in line with people's preferences.

people who lived at the home and their relatives did not always have a clear understanding of who the manager for the service was.