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Inspection Summary


Overall summary & rating

Good

Updated 22 June 2018

This inspection took place on 1 and 10 May 2018.

Holcroft House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Holcroft House is a residential care home for up to 34 people who may be living with dementia. On the day of the inspection, 33 people were living there. The accommodation is on the ground level with several communal areas for different activities. There is also a garden, which is secure.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People were safe living at Holcroft House. The provider had policies and procedures in place designed to protect people from abuse. Risk assessments were in place to reduce risks to people’s health and safety. Appropriate recruitment procedures were in place and people’s needs were met by suitable numbers of staff. There was a cleaning programme in place to reduce the risk of infection.

Mental capacity assessments and best interests decisions were completed where necessary. People were supported by staff who were trained appropriately for their role. People were supported to eat and drink enough and were offered choices.

People were supported to access healthcare services and ongoing healthcare support when necessary. Staff supported people to take their medicines as prescribed. The environment was suitable to meet the needs of people living with dementia.

Staff developed caring relationships with people and supported them to express their views and be involved in making daily decisions about their care and support. Staff supported people whilst being mindful of their privacy and dignity.

People received personalised care that was responsive to their needs and enjoyed a range of activities, which were tailored to their interests and choices. People and their relatives had access to the complaints procedure. People were consulted about their end of life care choices and wishes.

The service was very well-led. The vision of the service was to improve the lives of people and their health and wellbeing and this was achieved because people were at the heart of the service.

There was a strong emphasis on continuous improvement and the views of people using the service were central to changes made. Governance was well-embedded into the running of the home. There was a system of audits in place to monitor the quality of service provided.

The registered manager was very open to trying new ideas to improve the quality of the care and support given to people. There was a clear management structure in place which demonstrated good management and leadership. The registered manager worked in partnership with other agencies and ensured that the service continued to learn and improve.

Inspection areas

Safe

Good

Updated 22 June 2018

The service was safe.

The provider had policies and procedures in place designed to protect people from abuse.

Risk assessments were in place to reduce risks to people�s health and safety.

Appropriate recruitment procedures were in place.

People�s needs were met by suitable numbers of staff.

People were supported to take their medicines as prescribed.

There was a cleaning programme in place to reduce the risk of infection.

Effective

Good

Updated 22 June 2018

The service was effective

Mental capacity assessments and best interests decisions were completed where necessary.

People were supported by staff who were trained appropriately for their role.

People were supported to eat and drink enough and were offered choices.

People were supported to access healthcare services and ongoing healthcare support when necessary.

People benefitted from an environment which met their needs.

Caring

Good

Updated 22 June 2018

The service was caring.

Staff developed caring relationships with people

People were supported to express their views and be involved in making daily decisions about their care and support.

Staff supported people whilst being mindful of their privacy and dignity.

Responsive

Good

Updated 22 June 2018

The service was responsive.

People received personalised care that was responsive to their needs.

People enjoyed a range of activities which were tailored to their needs and choice.

People and their relatives had access to the complaints procedure.

End of life care was provided in ways people preferred.

Well-led

Outstanding

Updated 22 June 2018

The service was very well-led.

The vision of the service was to improve the lives of people and their health and wellbeing and this was achieved because people were at the heart of the service.

There was a strong emphasis on continuous improvement and the views of people using the service were central to changes made.

Governance was well-embedded into the running of the home. There was a system of audits in place to monitor the quality of service provided.

The registered manager was very open to trying new ideas to improve the quality of the care and support given to people.

There was a clear management structure in place which demonstrated good management and leadership.

The registered manager worked in partnership with other agencies and ensured that the service continued to learn and improve.