Holmside Residential Care Home

Updated 12 May 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 27 April 2021 and was announced. We contacted the service on the morning of the inspection. This was so we could appraise ourselves of the current COVID-19 situation at the home and ensure the inspection was carried out safely.

Updated 12 May 2021

About the service

Holmside Residential Care Home provides accommodation and nursing or personal care for older people, some of who are living with dementia. The home has been significantly extended and provides ensuite rooms over two floors and a large, multifunctional communal space. The service is registered to support up to 39 people. At the time of the inspection 39 people were living at the home.

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

Systems around assessing, monitoring and minimising risk had been improved. People’s care records contained risk assessments and care plans reflected these risks. Staff were aware of safeguarding issues and how to report concerns. People were supported by staff who had been safely recruited and subject to checks. Medicines were managed in line with national guidance. The home was maintained in a clean and tidy manner. The registered manager and staff had worked hard to learn lessons from the previous inspection and improve outcomes for people living at the service.

People’s needs had been assessed and care was being delivered in a safe manner and with regard equality and diversity. Staff had access to a range of training and received regular supervisions and appraisals. People were supported to maintain a balanced diet and had ready access to drinks. They were supported to access health services to help maintain their wellbeing. The service was acting within the guidance of the Mental Capacity Act and people’s consent was obtained in an appropriate manner.

People and relatives told us staff were caring and supportive and we observed good relations between staff and people. People were supported to express their views and make choices. Staff had a good awareness of personal preferences and people as individuals.

People told us staff respected their privacy and dignity and helped promote their independence. The service had appointed a dignity champion to assist people and staff in this area.

Detail in people’s care records had improved since the previous inspection. Records now contained sufficient information to allow staff to deliver good quality care. There was some evidence that people’s communication needs had been considered, although we spoke with the registered manager about ways to further develop this. A range of activities were available and people were supported to maintain social contacts. Complaints had been dealt with appropriately. People’s end of life wishes had been considered and recorded.

Improvements in the quality monitoring and auditing process had been instigated to help improve and maintain the standard of care people received. Staff were clear about their roles. The service had a number of champions to ensure care delivery was up to date and person centred. Staff told us they were well supported by the registered manager and senior staff. The service worked co-operatively with outside agencies.

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 20 July 2018).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected.

This was a planned inspection based on the previous rating.

Follow up.

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