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Inspection Summary


Overall summary & rating

Good

Updated 27 May 2020

About the service

Holmwood Care Home is a residential care home providing accommodation and personal care to 21 people aged 65 and over. At the time of the inspection, there were 18 people living at the home.

Holmwood Care Home accommodates people in single rooms on three floors, within one building. There is a passenger lift to give easy access. There are two communal lounges, with one having an adjacent dining room. One lounge leads on to a large patio and garden. There was also a domestic kitchen, where people were able to prepare and cook their own meals.

People’s experience of using this service and what we found

Risks to people's safety had been identified.

Most of the home was clean, although this was not the case for less visible areas. There was debris on the framework of the dining chairs, and the seals of the kitchen sinks and shower cubicles were stained and worn. This was due to a delay in the normal “deep clean”. On the second day of the inspection, the seals and re-grouting in the shower cubicles had been replaced.

There were enough staff to support people safely and a robust recruitment process was in place. People’s medicines were safely managed although two people’s medicines were not being administered in a timely manner. Accidents and incidents were reviewed, and lessons learnt where required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People had enough to eat and drink, although fluid monitoring for some was not fully completed due to a change in the documentation systems. People were supported by a range of health and social care professionals to maintain good health. The environment was comfortable, homely and met people’s needs. Staff were undertaking their mandatory training, which needed to be completed by the end of the year. Staff felt well supported but said they would like more formal meetings with their manager.

People were supported by staff who showed kindness and compassion. There were positive interactions, and staff showed a friendly and respectful approach. People’s rights to privacy, dignity and independence were promoted. People were encouraged to direct their care and give feedback about the service they received.

People were happy with their care and had a care plan in place, which showed their preferences. People were encouraged to follow their own routines and be as independent as possible. There was a varied social activity programme, which included in house and external events. People knew how to raise a concern and there was a weekly meeting to raise any concerns. This helped to minimise the number of formal complaints. Staff were passionate about providing good end of life care, but people’s wishes were not always detailed in their care plan.

There were two registered managers. Both had an overview of the service, rather than day to day involvement. The registered managers were supported by a wider management team. Each had their own roles and responsibilities. The management team were passionate about the standard of care delivery and wanted to continually improve. There was a clear ethos of Holmwood Care Home being each person’s home. Clear networking took place and there were a range of audits, to assess the safety and quality of the service.

Rating at last inspection

The last rating for this service was good (published 25 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Holmwood Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 27 May 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 27 May 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 27 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 May 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 27 May 2020

The service was well-led.

Details are in our well-led findings below.