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We are carrying out a review of quality at Holbeche House Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 8 February 2017

This inspection took place on 15 December 2016 and was unannounced. At our last inspection in January 2016 we found that the provider ‘required improvement’ in three questions, namely safe, effective and well- led and was found to be ‘good’ the remaining two questions, caring and responsive.

Holbeche House Care Home provides accommodation for up to 49 people who require nursing or personal care. The home is split into two units. The general nursing unit, ‘Holbeche’ and a unit for people living with dementia which was referred to as ‘Littleton House’. At the time of the inspection there were 44 people living at the home.

There was a registered manager. 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 2008 and associated Regulations about how the service is run.

People told us they felt safe in the home and were supported by staff who had receiving training in how to recognise signs of abuse. Staff were aware of the risks to people on a daily basis and knew the procedures to follow if they any concerns or if someone had suffered an accident.

People were supported by sufficient numbers of staff who had been safely recruited. Medication records demonstrated that people received their medicines as prescribed by their doctor.

Staff received induction training and regular support from management which provided them with the skills, information and confidence to meet people’s needs safely and effectively.

People’s human rights were respected by staff because staff applied the principles of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards in their work.

Staff supported people with their preferred diet and the registered manager had identified areas for improvement in the dining room experience for people. People were supported to maintain good health and had access to a variety of healthcare professionals which helped promote their health and wellbeing.

People were supported by staff who were kind and caring and who treated them with dignity and respect. People were supported to make their own decisions and were supported by staff who knew them well.

People were involved in the planning of their care and staff were aware of people’s needs, preferences and interests. The home was split into two units and there was an inconsistency in how people were responded to by some staff across the units. There was a lack of activities available for people to participate in or items of interest available to occupy people. People were aware of how to make complaints and where complaints had been raised, they were investigated and action taken where appropriate.

People were complimentary about the registered manager and the changes she had introduced. People, relatives and staff all considered the quality of service to be good. Efforts were made to support and develop staff in order to improve the delivery of care.

There were a number of quality audits in place to identify any areas of improvement that were required within the service. Where areas where identified, action plans were put in place to address any issues.

Inspection areas

Safe

Good

Updated 8 February 2017

The service was safe.

People were supported by sufficient numbers of staff who knew how to keep them same from harm and manage the risks to them on a daily basis. People were supported to safely take their medication.

Effective

Good

Updated 8 February 2017

The service was effective

People were supported by staff who considered themselves to be well trained and supported in their role. People were supported with their healthcare needs and to maintain a health and nutritious diet. Staffs understanding of the Mental Capacity Act and the Deprivation of Liberty Safeguards meant people were supported appropriately and were not unlawfully restricted.

Caring

Good

Updated 8 February 2017

The service was caring.

People were supported by staff who were kind and caring and treated them with dignity and respect.

Responsive

Requires improvement

Updated 8 February 2017

The service was not consistently responsive.

People were involved in the development of their care plans and were supported by staff who were aware of how they wished to be supported.

Staff did not always respond to people’s needs consistently and there was a lack of activities available to stimulate and interest some people. People were confident that if they raised any concerns they would be listened to and acted upon.

Well-led

Good

Updated 8 February 2017

The service is well led.

People were complimentary about the registered manager and the changes she had introduced into the home. Staff were supported to develop their skills and knowledge in order to improve the delivery of care. Quality audits in place had identified areas for improvement and plans were in place to address these.