Archived: Holme View

Updated 13 September 2016

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 registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 14 and 15 July 2016 and was unannounced. The inspection team consisted of one adult social care (ASC) inspector.

Before this inspection we reviewed the information we held about the service, such as notifications we had received from the registered provider and information we had received from the local authorities that commissioned a service from the home. Notifications are when registered providers send us information about certain changes, events or incidents that occur. We also contacted the local authority safeguarding adult’s team to enquire about any recent involvement they had with the home.

The registered provider was asked to submit a Provider Information Return (PIR) prior to the inspection, as this was a planned inspection. This is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. The registered provider submitted their PIR within the agreed timescale.

During the inspection we spoke with six members of staff, the registered manager, the deputy manager, three people who used the service, one healthcare professional and six people’s relatives. We spent time observing the interaction between people who lived at the home, the staff and any visitors.

We looked at all areas of the home, including bedrooms (with people's permission) and office accommodation. We also spent time looking at records, which included the care records for three people, medication records for seven people, handover records, supervision and training records for three members of staff and quality assurance audits and action plans.

Updated 13 September 2016

This inspection took place on 14 and 15 July 2016 and was unannounced. At our last inspection on 16 September 2014, the registered provider was compliant with all the regulations we looked at.

Holme View is a care home that is located in Holmewood, approximately three miles from Bradford city centre. The service provides accommodation and personal care to a maximum of 35 older people, including people living with dementia. The service is split across two floors with the ground floor providing accommodation for up to 23 people on a permanent basis and the first floor offering 'flexi-beds' for people requiring an assessment of their needs, before returning home or seeking permanent residential care.

The registered provider is required to have a registered manager in post and on the day of the inspection, there was a manager registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found that staff had a good knowledge of how to keep people safe from harm and there were enough staff to meet people's assessed needs. Staff had been employed following appropriate recruitment and selection processes and we found that the recording and administration of medicines was being managed appropriately in the service.

We saw that staff completed an induction process and they had received a wide range of training, which covered courses the home deemed essential, such as safeguarding, moving and handling and infection control, and home specific training such as dementia awareness. However, we found that staff had not completed Mental Capacity Act 2005 (MCA) training and the dementia awareness training in some cases had been completed several years ago. We made a recommendation about this in the report.

The registered manager understood the Deprivation of Liberty Safeguards (DoLS) and we found that the MCA guidelines had been followed. Staff at the home did not use restraint but the registered manager understood the process to follow to ensure that any restraint was lawful.

We found assessments of risk had been completed for each person and plans had been put in place to minimise risk. The home was clean, tidy and free from odour and effective cleaning schedules were in place.

People's nutritional needs were met. Most people told us they enjoyed the food and that they had enough to eat and drink. We saw people were offered a choice of food and drink and were provided with refreshments throughout the day.

People told us they were well cared for and we saw people were supported to maintain good health and had access to services from healthcare professionals. We found that staff were knowledgeable about the people they cared for and saw they interacted positively with people living in the home. People were able to make choices and decisions regarding their care.

People’s comments and complaints were responded to appropriately and there were systems in place to seek feedback from people and their relatives about the service provided. We saw that any comments, suggestions or complaints were appropriately actioned.

We found the registered provider had audits in place to check that the systems at the home were being followed and people were receiving appropriate care and support.