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Holbeche House Care Home Requires improvement

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Inspection report

Date of Inspection: 28 June 2012
Date of Publication: 1 August 2012
Inspection Report published 1 August 2012 PDF | 62.26 KB

Overview

Inspection carried out on 28 June 2012

During an inspection to make sure that the improvements required had been made

We visited Holbeche House in May 2012 and identified concerns in a number of areas. The provider sent us an action plan and we carried out this inspection in June 2012 to review improvements that had been made.

The home had a nursing unit and a separate dementia care unit. We spoke to two people, five staff, the manager, and two health and social care professionals.

We found that opportunities for people and their relatives to be involved in the planning of care continued to be limited. However, the provider informed us that care-planning reviews would take place shortly. We found that although some improvements had been made, these were not consistent throughout the home and further improvements were required.

We found that there had been some improvements, particularly in the dementia unit. There was use of instruments, improved ways to stimulate people and the introduction of dolls, which was known to help with dementia. We saw that interactions between staff and people had improved. We found that healthcare professionals were not always involved in people’s care in a timely manner. This meant that concerns that we previously raised relating to care and welfare were not all met.

People at the home continued to be at risk of not being safeguarded appropriately. We found that staff were not appropriately escalating safeguarding concerns and any incidents to management. We found that we were not being notified of incidents, which the home has a duty to report to us. There was an ongoing risk that people’s finances were not appropriately safeguarded.

We found that not all actions from the provider’s action plan had been completed. We were not updated with the progress on a regular basis. We found similar concerns during this inspection that we had raised in May 2012. This meant that not all necessary changes had taken place.