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Inspection Summary


Overall summary & rating

Good

Updated 11 May 2019

About the service: Holmewood Manor Care Home is a residential care home that provides personal care for up to 37 people, some of whom are living with dementia. At the time of inspection 34 people were using the service. The accommodation is in a purpose-built home split over two floors. Each floor contained bedrooms, a communal lounge and a dining area. There were accessible outdoor spaces.

People’s experience of using this service: People were supported to have choice and control over their lives. However, at the time of the inspection there were limited opportunities for people to take part in meaningful activities and people expressed a wish for more intervention in this area. Most staff engaged well with people and responded to their individual needs promptly. Care was delivered on the whole, by staff who were well trained and knowledgeable about people’s support needs.

People’s needs had been assessed, plans developed, and care delivered, in line with good practice. However, they had not fully considered implementing the Accessible Information Standards which all organisations that provide adult social care are now legally required to follow.

There was a friendly, welcoming atmosphere for people using the service and they gave positive comments about the staff and care provided. People were cared for by staff who were kind and compassionate and who respected their privacy and dignity. Staff were considerate to the people they cared for. People overall said they felt involved in their care and supported in decision making.

People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Sufficient staff were available to meet people’s needs and people told us staff responded promptly when they called them. People received their medicines regularly, systems were in place for safe administration management. Incidents and accidents were investigated, and actions taken to prevent re-occurrence. The premises were clean, and staff followed infection control and cleaning procedures.

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 in the service supported this practice. People were provided with a choice of varied diet and were complimentary about the food.

Systems were in place to monitor the quality of care and to drive and improve the level of service. At the time of inspection, a new registered manager was being recruited, the service had clear procedures for management cover during this period. Staff had developed good positive working relationships with other services.

More information is in the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Good (report published 06 January 2017)

Why we inspected: This was a planned inspection based on the rating at the last inspection which was good.

Follow up: We will continue to monitor intelligence we receive about this service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Good

Updated 11 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 11 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 11 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 11 May 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 11 May 2019

The service was well-led

Details are in our Well-Led findings below