4 December 2020
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.
As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
This inspection took place on 19 November 2020 and was announced.
4 December 2020
About the service:
¿ Holmwood Residential Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care. Holmwood Residential Home accommodates up to 32 older people in one adapted building. During our comprehensive unannounced inspection on 12 March 2019, there were 29 people using the service, some living with dementia.
People’s experience of using this service:
¿ At our last inspection of 6 April 2016, the service was rated requires outstanding overall. The key questions for safe and responsive were rated good and the key questions effective, caring and well-led were rated outstanding. At this inspection of 12 March 2019, we found the evidence continued to support the rating of outstanding. The continuous improvement in the service had resulted in a further outstanding rating for the responsive key question.
¿ People told us that they were extremely happy with the service they received. They were highly complimentary about the caring nature of the staff and management team.
¿ People were supported by highly motivated and caring staff who knew them well.
¿ The service was led by a highly motivated and compassionate registered manager who continued to strive to continuously improve the service and provide high quality care to people at all times.
¿ There were systems designed to keep people safe, including from abuse. Risks to people in their daily lives were assessed and plans in place to reduce these. People’s medicines were managed safely.
¿ There were enough highly trained and skilled staff to meet people’s needs effectively. Recruitment processes continued to be safe.
¿ Infection control procedures in place helped protect to people from the risks of cross infection.
¿ People had access to health care professionals when needed.
¿ People were supported to maintain a healthy diet. Meal times were extremely social occasions and people had choices of meals. Without exception people were complimentary about the provision of food.
¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
¿ People shared very positive relationships with staff. People’s privacy, independence and dignity were always respected.
¿ People were listened to in relation to their choices about how they wanted to be cared for. These choices were highly valued.
¿ There was a complaints procedure in place and people’s concerns were addressed.
¿ There was an extremely open culture in the service. People using the service, their representatives and staff were asked for their views about the service and these were valued and used in the ongoing improvement in the service.
¿ The service had systems to continuously monitor, assess and improve the service provided.
Rating at last inspection:
¿ At our last inspection of 6 April 2016, which was published 9 August 2016, the service was rated outstanding.
Why we inspected:
¿ This inspection took place as part of our planned programme of inspections, based on the rating of outstanding made at our last inspection.
¿ We will continue to monitor this service according to our inspection schedule.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk