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Inspection Summary


Overall summary & rating

Good

Updated 9 March 2019

The inspection took place on 16 February 2019 and was announced.

Holmside 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.

Holmside is registered to provide accommodation for persons who require nursing or personal care. It is registered for up to eight people with learning disabilities. The home is split over two floors with the first floor having access via stairs. On the ground floor there is a lounge, conservatory and a separate dining room. There was level access to the outside patio area at the rear which was undergoing development. There were eight people living at the home at the time of inspection.

Staff had received an induction and continual learning that enabled them to carry out their role effectively. Staff received regular supervision and felt supported, appreciated and confident in their work. People and their relatives had been involved in assessments of care needs and had their choices and wishes respected including access to healthcare when required. The service worked well with professionals such as doctors, dentists and social workers.

People were protected from avoidable harm as staff received training and understood how to recognise signs of abuse. Staff told us who they would report this to both internally and externally. Staffing levels were sufficient to provide safe care and recruitment checks had ensured staff were suitable to work with vulnerable adults. When people were at risk staff had access to assessments and understood the actions needed to minimise avoidable harm. Medicines were administered and managed safely by trained and competent staff.

Staff were clear on their responsibilities with regards to infection prevention and control and this contributed to keeping people safe. Accident and incidents were recorded and analysed. Lessons learnt were shared with staff. People had their eating and drinking needs understood and they were being met. People told us they enjoyed the food and thought the variety and quantity was good.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People, their relatives and professionals described the staff as caring, kind and approachable. People had their dignity, privacy and independence respected.

People had their care needs met by staff who were knowledgeable about how they were able to communicate their needs. Their life histories were detailed and relatives had been consulted. The home had an effective complaints process and people were aware of it and knew how to make a complaint. The home actively encouraged feedback from people, their relatives and professionals. People’s end of life needs were included in their care and support plans. Activities were provided and these included staff, people and their relatives. Individual activities were provided for those that preferred them.

Relatives and professionals had confidence in the service. The home had an open and positive culture that encouraged the involvement of everyone. Leadership was visible within the home. Staff spoke positively about the management team and felt supported. There were effective quality assurance and auditing processes in place and they contributed to service improvements. Action plans were carried out and lessons learnt. The registered manager actively sought to work in partnership with other organisations to improve outcomes for people using the service. The service understood their legal responsibilities for reporting and sharing information with other services.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 9 March 2019

The service was safe.

There were sufficient staff available to meet people�s care and support needs.

Staff had completed safeguarding adults training and were able to tell us how they would recognise and report abuse.

Medicines were managed safely, securely stored, correctly recorded and only administered by staff that were trained and competent to give medicines.

Lessons were learnt and improvements were made when things went wrong.

Effective

Good

Updated 9 March 2019

The service was effective.

People�s needs and choices were assessed and effective systems were in place to deliver good care.

Staff received training and supervision and they were confident in their role.

People were supported to eat and drink enough and dietary needs were met.

The premises met people�s needs and they were able to access different areas of the home freely.

The service worked well with health professionals and people had access to services when they needed them.

Caring

Good

Updated 9 March 2019

The service was caring.

People were supported by staff that treated them with kindness and respect.

Staff had a good understanding of the people they cared for and supported them to make decisions about their care.

People were encouraged to be independent.

There was a relaxed and friendly atmosphere in the home.

Responsive

Good

Updated 9 March 2019

The service was responsive.

People were supported by staff who had a person centred approach to deliver the care and support they required.

People were supported to access the community and take part in activities within the home.

A complaints procedure was in place and was effective, people knew how to complain.

Well-led

Good

Updated 9 March 2019

The service was well led.

The management team promoted inclusion and encouraged an open environment.

The service worked well in partnership with other agencies and professionals.

Quality assurance systems were in place which ensured the management had a good oversight of the service.

Positive feedback was received about the registered managers leadership.

The home was continuously working to learn, develop and improve.