Holme House Care Home

Updated 15 March 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 was carried out by an 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

Holme House 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. Holme House is a care home with 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

This inspection was unannounced.

What we did before the inspection

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 sought feedback from the local authority, local safeguarding team and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

During the inspection

We spoke with 4 people who used the service and 5 relatives. We spoke with 3 staff members; this included the registered manager. We spoke to 3 professionals. We reviewed a range of records. This included 3 people's care records and documents relating to the management of the service.

Updated 15 March 2023

About the service

Holme House provides personal and nursing care for up to 68 people, some of whom were living with dementia. At the time of our inspection there were 49 people using the service. Holme House accommodates people over 2 separate floors.

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

People and relatives were involved in planning their care and needs were regularly assessed. Staff had completed relevant training required for their role. Staff had good knowledge of people’s care needs; professionals spoke positively about the team and the registered manager. The service was in the process of introducing a shopping and dining out experience on the top floor.

Activities coordinators had been recruited and activities in the service had improved. People’s documentation evidenced person centred care. Changes were being made to how people were cared for at the end of their lives. A robust complaints procedure was in place and the registered manager dealt with complaints effectively and learning was implemented.

Effective quality assurance measures in place. The service promoted a positive culture. People and relatives felt the staff team were approachable and friendly. The registered manager acted on feedback they regularly sought from people, relatives and staff.

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.

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 requires improvement (published 19 March 2021).

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective, Responsive and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Follow up

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