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Holbeche House Care Home Requires improvement

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Inspection report

Date of Inspection: 9 May 2012
Date of Publication: 4 July 2012
Inspection Report published 4 July 2012 PDF | 64.6 KB

Overview

Inspection carried out on 9 May 2012

During a routine inspection

We carried out this review to check on the care and welfare of people using the service. The home had a nursing unit and a separate dementia care unit. The manager told us there were 20 people in the nursing unit and 24 people in the dementia care unit on the day of the visit. We spoke to seven people, two relatives, six staff, the manager, the regional manager and seven health and social care professionals.

Records showed that people and their relatives were not involved in making care and treatment decisions. One person said, “If I had the choice, I probably would like to be involved.”

Staff were able to describe basic care needs for people. However, we found that staff did not take timely action to seek expert advice for people’s healthcare needs.

We saw that arrangements in place did not ensure that people and their finances were appropriately safeguarded.

We saw that staff were not approaching people who were anxious when they were wandering in the dementia care unit. Staff made some positive interactions with people when giving them drinks and their meals. This meant that staff were not proactively engaging with people to reassure them and relieve their anxiety.

We found that there were minimal arrangements to monitor the quality of services being provided at the home. The action plan we saw following an audit did not prioritise or identify immediate actions that were needed to provide appropriate care and keep people safe. We received inconsistent information and explanations from the regional manager, the manager, and the staff throughout the visit.

We saw that records were inconsistent, inaccurate, and not stored in a systematic manner. People’s care records did not provide an overview of people’s needs and health conditions. This meant that there is a risk that staff may not be appropriately providing care for people.