Background to this inspection
Updated
30 June 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 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 19 May 2016 and was unannounced.
The inspection was carried out by one adult social care inspector.
Before the inspection we reviewed all the information we already held on the service. On this occasion we did not request the provider complete the Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service. We contacted the local authority contracts quality assurance team to seek their views. We spoke with the local authority safeguarding team and looked at the healthwatch enter and view report.
During the inspection, we used a number of different methods to help us understand the experiences of people living in the home.
We reviewed six care records and spoke with six people living in the home. We examined the staff training records, looked at five staff recruitment files and interviewed seven staff, including the manager, the maintenance person, the activities coordinator and care staff.
We spoke with the registered manager, a visiting district nurse and six relatives visiting the home during our inspection.
We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not communicate with us because they were living with dementia.
We saw a selection of records relating to the management of the service such as policies and procedures and complaints.
Updated
30 June 2016
The inspection took place on 19 May 2016 and was unannounced.
The home was last inspected on 28 September 2015 and required improvement for safe in relation to medicines management, and well led as notifications were not submitted to CQC consistently and as required. At this visit we found improvements had been made.
Holcroft Grange Residential Care Home is a care home situated in the centre of the village of Culcheth. It offers accommodation and personal care for up to forty people and is run by CLS Care Services Limited. The home provides personal care, support and accommodation for up to 40 older people who may also have dementia. On the day of the inspection 37 people lived in the home.
A range of shops and other local facilities are within walking distance of the home and the village is supported by good public transport services.
The home had a Registered Manager. A registered manager is a person who has registered with the Care Quality Commission 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 the storage, administration and disposal of medications was safe.
Some people who used the service did not have the ability to make decisions about some parts of their care and support. Staff had an understanding of the systems in place to protect people who could not make decisions and followed the legal requirements outlined in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).
People’s needs were assessed and care plans identified people’s needs whilst fostering and maintaining independence where possible.
Staff were knowledgeable about the risks of abuse and the reporting processes.
The organisation had thorough recruitment practices so that suitable staff were employed.
Staff received suitable induction and training to meet the needs of people living at the home. Staff were well supported by the manager. This meant people were being cared for by suitably qualified, supported and trained staff.
People’s health care needs were met and their medicines were administered appropriately. Staff supported people to attend healthcare appointments and liaised with their GP and other healthcare professionals as required to meet people’s needs.
There were systems and processes in place to monitor the quality of the service and address shortfalls.