Holme Farm Residential Home

Updated 3 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

One inspector visited the service.

Service and service type

Holme Farm residential home 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and spoke with other professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with five people who used the service about their experience of the care provided. We spoke with six members of staff including , the registered manager, deputy manager, senior care workers and care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care and medication records. We looked at three staff files in relation to recruitment and staff supervision records. Multiple records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were reviewed during and after the inspection.

After the inspection

We spoke with two relatives and reviewed further information the provider sent to us in relation to quality assurance.

Updated 3 September 2019

About the service

Holme Farm is a residential care home providing personal and nursing care to 28 people aged 65 and over at the time of the inspection. The service can support up to 30 people.

People’s experience of using this service and what we found

People living at Holme Farm were happy and well cared for. Staff promoted a service that ensured people had opportunities to develop and maintain friendships and relationships.

Activities for people were exemplary. Staff supported the activities co-ordinator to find out people’s individual interests and hobbies to create person centred activities. Activities were designed to promote people's well-being, prevent people becoming socially isolated and to keep people active.

Staff were committed to ensuring people's wishes at the end of their lives were respected and that people were able to die with dignity and amongst people who they knew and who knew them well.

People felt safe and were encouraged to be independent with all areas of daily living. Staff provided support in line with people’s diverse needs. Risks to people were consistently assessed and the environment was clean and well maintained.

People were treated with respect and dignity and were also supported to maintain their safety and wellbeing. Staff were kind and caring and promoted positive relationships with people in the home. Staff understood their roles clearly and knew what was expected of them.

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.

The registered manager was supported by a passionate staff team who knew people well. Quality assurance systems in place monitored the service effectively and drove improvements when they were needed.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk

Rating at last inspection

At the last inspection this service was rated Good , (published 25 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.