Holmfield Care

Updated 6 December 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Holmfield Care is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Holmfield Care is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The 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 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 annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people who used the service and 4 relatives when we visited the service. We also spoke with 6 members of staff including the registered manager, the deputy manager, the chef, 1 senior care worker, and 2 care workers. We also spoke to 1 visiting health professional.

We reviewed a range of records. This included 3 people’s care records and multiple medicine records. We looked at 3 staff recruitment files, as well as a variety of records relating to the management of the service were reviewed. In addition we carried out a visual inspection of the service.

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.

Updated 6 December 2023

Holmfield Care is a residential care home providing personal care to up to 24 people. The service provides support to older people, some people were living with dementia. At the time of our inspection there were 21 people using the service.

People’s experience of the service and what we found

We were assured people received care and support based on their needs. A positive person-centred culture was promoted within the service. People and staff thought highly of the service and management.

Medicines were managed safely. Medicines that required stricter controls were recorded correctly. The room temperature in the medicines room was warm, the registered manager confirmed they would address the room temperature to ensure people’s medicines were not impacted by the warm room temperature.

Care plans were person-centred and guided staff to meet people's needs. People's communication needs were met. People were able to take part in activities provided by the service.

Aspects of the home were tired and in need of refurbishment. We have made a recommendation about updating the environment and implementing a refurbishment schedule.

The provider had effective quality assurance systems in place to monitor the quality and safety of the service. Regular staff and residents' meetings were held, and feedback was also sought from people about the service.

Systems and processes were in place to protect people from the risk of infections and people were supported to receive visitors when they wanted.

The provider supported people appropriately with end-of-life care and liaised with the GP when people's end of life needs changed. Staff were recruited safely and there was enough staff on duty to meet people's needs in a timely way.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice and were followed by the provider in line with the Mental Capacity Act.

Staff were provided with an induction and training relevant to the needs of people living at the service. People told us they enjoyed the meals on offer and choices were available. There was a calm atmosphere during mealtimes with staff respectfully asking people if they needed support before intervening.

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

Rating at last inspection

The last rating for this service was Good (published 6 March 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made a recommendation about the improvement and refurbishment of the environment.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.