19 May 2016
During a routine inspection
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.