Background to this inspection
Updated
22 February 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our expert by experience’s area of expertise was the care of people living with physical disability.
Service and service type:
Holme Lodge is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was unannounced.
What we did:
We reviewed the information we held about the service. This included information received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once a year to give some key information about the service, what the service does well and improvements they plan to make. We received feedback from three local authorities who pay for the care of people living at Holme Lodge.
During the inspection visit we spoke with 11 people using the service. We also spoke with the deputy manager (the registered manager was away), two care workers and the cook. We made observations of how staff supported people.
We looked at three people’s care records. We also looked at other records relating to the management of the service including staffing, quality assurance, and accidents/incidents.
Updated
22 February 2019
About the service:
Holme Lodge is a residential home that provides accommodation with personal care for up to 19 people who live with physical disability. At the time of our inspection, there were 18 people using the service. Holme Lodge is an extensively extended former family home in a residential area of West Bridgford.
What life is like for people using this service:
People were safe living at Holme Lodge. Staff understood how to keep people safe from harm and abuse. People received their medicines on time and as prescribed. Medicines were safely stored and managed.
People were supported by an experienced staff team who had the relevant training and support to meet people’s needs. Staff supported people with their nutritional needs, though we found that food storage was disorganised and people were not always able to have what they wanted.
People had access to health services when they needed them.
People were supported to have the maximum choice and control of their lives and staff supported them in the least restrictive way possible; the polices and systems in the service supported this practice.
Staff were kind and treated people with dignity and respect. People were supported to make their own choices and were encouraged to be as independent as possible. Staff understood people’s preferences and care was delivered in line with people’s wishes and needs.
People had individual activities schedules. They were supported to follow their interests and hobbies and to participate in social activities with others.
The management team were approachable and people knew how to make a complaint. The registered manager and deputy manager carried out health and safety checks of the premises and equipment. Accidents and incidents were recorded and action taken where necessary to keep people safe.
More information is in the full report.
Rating at last inspection:
At our last inspection (report published 12 May 2016) all the key questions were rated Good and the service was rated as Good overall. The overall rating has not changed, but we have rated Effective as requiring improvement because of what we saw in relation to how people were supported with their nutritional needs.
Why we inspected:
This was a planned inspection based on the date and the rating of the last inspection.
Follow up:
We will continue to monitor the service through the information that we receive.