Holme Lodge - Care Home Physical Disabilities

Updated 7 May 2022

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 completed by one 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 Lodge Care Home Physical Disabilities is a residential 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 Lodge is a residential 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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

Notice of inspection

This inspection was unannounced.

Inspection activity started on 24 March 2022 and ended on 28 March 2022.

What we did before the inspection

We reviewed information we had received about the service since they registered with CQC. We sought feedback from the local authority 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.

During the inspection

We observed four people who used the service, spoke with one person and seven relatives. We spoke with three members of the care staff and the registered manager. We reviewed a range of records. This included the care records of five people using the service. We looked at a variety of records relating to the overall management of the service, including staff files.

After the inspection

We reviewed records in relation to quality monitoring, staff training and feedback received from people using the service and staff.

Updated 7 May 2022

About the service

Holme Lodge Care Home Physical Disabilities is a residential home registered to provide accommodation with personal care for up to 19 people who live with physical disability. At the time of our inspection, there were 17 people using the service. Holme Lodge is an extensively extended former family home in a residential area of West Bridgford.

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

Risks management plans were in place to ensure risks were managed safely. Regular safety checks for the premises were carried out. The premises were clean and staff followed infection control principles. Following our visit, the cleaning schedules were reviewed and updated. Systems and processes were in place to protect people from avoidable harm. There was enough staff available to respond to people’s needs in a timely manner. Electronic systems were in place to manage and monitor medicines, which helped to reduced errors. People received their medicines as and when they needed them. The provider had systems to review and monitor accident and incidents to prevent recurrence.

People’s needs were assessed and updated regularly. Support plans identified people were involved in their care planning. People’s choices and preferences were fully adhered to. Staff received relevant training and supervision support for their roles. People were supported to eat and drink. The service worked closely with agencies and other professionals to help provide effective care. The provider was working in line with the principles of the mental capacity act.

People were supported, respected and well cared for. We received positive comments from families and staff in the way people were treated. People were involved in making decisions about their life choices. The provider promoted equality and diversity, which was also reflected in people’s support plans.

Positive feedback was received about the quality and leadership of the service. Systems in place showed effective governance processes were available to monitor the service and drive improvement.

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

This service was registered with us on 6 August 2019 under a new legal entity. The last rating for the service under the previous provider was Good published on 20 February 2019.

Why we inspected

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

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

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