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Inspection Summary


Overall summary & rating

Good

Updated 28 March 2019

About the service: Holme Manor Care Home is a residential care home and is registered to provide accommodation and personal care for up to 32 older people and people living with dementia. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of our inspection, 29 people were using the service.

People’s experience of using this service: People told us they felt safe at the service. Processes were in place to make sure all appropriate checks were carried out before staff started working at the service. There were enough staff available to provide care and support; we were told staffing arrangements were kept under review.

Arrangements were in place to promote the safety of the premises, this included maintenance, servicing and checking systems.

Staff were aware of the signs and indicators of abuse and they knew what to do if they had any concerns. Staff had received training on safeguarding and protection matters. There were some good processes in place to manage people's medicines safely. Some improvements were made during our visit and the provider agreed to review medicines storage arrangements.

People's needs were being assessed, planned for and reviewed. Each person had a care plan which was designed to ensure their needs and choices were met. People were supported with their healthcare needs. Changes in people's health and well-being were monitored and responded to. Where necessary, people received appropriate medical attention.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems at the service supported this practice.

People made positive comments about the caring attitude of staff. They said their privacy and dignity was respected. We observed staff interacting with people in a kind, pleasant and friendly manner. Staff were respectful of people's choices and opinions.

There were opportunities for people to engage in a wide range of group and individual activities. Visiting arrangements were flexible, relatives and friends were made welcome at the service. There was a suitable standard of décor and furnishings to provide for people's comfort and wellbeing.

People said they were satisfied with the variety and quality of the meals provided at the service. Their individual needs and preferences were catered for. We found people’s mealtime experience could be better, we therefore made a recommendation for improvements.

People spoken with had an awareness of the service's complaints procedure and processes. They indicated they would be confident in raising concerns. Arrangements were in place to encourage people to express their views and be consulted about Holme Manor. They had opportunities to give feedback on their experience of the service and suggest improvements. A variety of checks on quality, systems and processes were completed regularly. These systems were being be further developed.

We found there were management and leadership arrangements in place to support the effective day to day running of the service. Progress was ongoing to ensure the management arrangements met legal requirements.

Rating at last inspection: At the last inspection service was rated Good (12 July 2016)

Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up: We will plan a follow up inspection as per our inspection programme. We will continue to monitor the service and if we receive any concerning information we may bring the inspection forward.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 28 March 2019

The service remained safe.

Details are in our Safe findings below.

Effective

Good

Updated 28 March 2019

The service remained effective.

Details are in our Effective findings below.

Caring

Good

Updated 28 March 2019

The service remained caring.

Details are in our Caring findings below.

Responsive

Good

Updated 28 March 2019

The service remained responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 28 March 2019

The service remained well-led.

Details are in our Well-Led findings below.