You are here

Inspection Summary


Overall summary & rating

Good

Updated 10 January 2018

Holmes House Care Home provides accommodation, care and support for up to 78 older people. At the time of our inspection there were 67 people using the service.

At the last inspection on 17 September 2015 the service was rated Good. At this inspection the service remained Good overall. However, we rated the safe domain as requires improvement.

There was a registered manager in post. 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.

People continued to feel safe. Staff understood their roles and responsibilities to safeguard people from the risk of harm. Risks to people were assessed and monitored regularly. The premises were maintained, however some works took longer to complete based on the availability of the estates department. We found equipment to ensure people’s food was served at the correct temperature was not available in one dining room.

The environment required updating. Work was planned for this and had been started. The provider was working to ensure the design and décor of the premises was in line with best practice guidance for people living with dementia.

People’s property was not always safe. People had things go missing from their rooms. This had not always been reported to the provider to enable them to look for the missing items.

Staffing levels ensured that people's care and support needs were met. Safe recruitment processes were in place. Medicines were managed in line with the prescriber’s instructions. The processes in place ensured the administration and handling of medicines was suitable for the people who used the service. Medicines had not all been dated when opened and guidance was not always in place for staff for medicines which were taken when required. The deputy manager took action to rectify these concerns during our inspection.

Systems were in place to ensure the premises were kept clean and hygienic. However, cups in use were very chipped. These could harbour infection. There were arrangements in place to make sure action was taken and lessons learned when things went wrong, to improve safety across the service

People’s needs and choices were assessed and their care provided in line with up to date guidance and best practice. They received care from staff who had received training and support to carry out their roles.

People were supported to maintain their health and well-being. Staff supported people to attend appointments with healthcare professionals. People were encouraged to eat healthily and staff made sure people had enough to eat and drink.

People’s diverse needs were taken into account for the planned development of the adaptation, design and decoration of the premises. Staff demonstrated their understanding of the Mental Capacity Act 2005 and they gained people's consent before providing personal care.

Staff were caring and compassionate. People were treated with dignity and respect and staff ensured their privacy was maintained. People were encouraged to make decisions about how their care was provided. Staff had a good understanding of people's needs and preferences.

People were listened to; their views were acknowledged and acted upon. Care plans were focused on the person and their wishes and preferences. People and their relatives were involved in the assessment process and the on-going reviews of their care.

People were supported to take part in activities which they wanted to do, and encouraged to participate in events within the local community. There was a complaints procedure in place to enable people to raise complaints about the service.

People, their relatives and staff felt confident to approach the registered manager and felt they would be listened to. Quali

Inspection areas

Safe

Requires improvement

Updated 10 January 2018

The service was not always safe.

People’s environment had been assessed to make sure it was safe. However there were a number of chipped cups in use which could harbour infection.

People’s personal property was not always kept safe. The provider had not always been told about items going missing to allow them to investigate this.

People’s medicines were handled safely and given to them as prescribed. Staff were trained and deemed as competent to administer medicines. Medicines were not always dated when opened and guidance was not in place for staff when medicines were given as needed. The deputy manager took action to address this during our inspection.

People were protected from abuse and harm by staff who knew their responsibilities for supporting them to keep safe.

Risks to people had been identified and assessed. There was guidance for staff on how to keep people safe.

Effective

Good

Updated 10 January 2018

The service remained effective.

Caring

Good

Updated 10 January 2018

The service remained caring.

Responsive

Good

Updated 10 January 2018

The service remained responsive.

Well-led

Good

Updated 10 January 2018

The service remained Well-led.