14 July 2016
During a routine inspection
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.