Glenholme Holdingham Grange

Updated 30 January 2024

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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors and 2 experts 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

Glenholme Holdingham Grange is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

The inspection was unannounced.

What we did before the inspection

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. We sought feedback from partner agencies and professionals such as Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. On-going monitoring such as information received.

We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who lived at the home, 5 visiting relatives, 9 relatives by telephone, a visiting GP, 3 nurses, 4 carers, head chef, deputy manager, registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included 8 people's care records and multiple medication records. We looked at a variety of records relating to the management of the service including recruitment, training, rotas, quality audits, policies and procedures .

We asked the local authority for any information they had which would aid our inspection. Local authorities, together with other agencies may have responsibility for funding people who use the service and monitoring its quality.

We continued to seek clarification from the provider to validate evidence found. We contacted health and social care professionals to request their feedback about the service.

Updated 30 January 2024

About the service: Glenholme Holdingham Grange is a residential care home. The home provides accommodation for older people including people living with dementia. The home can accommodate up to 64 people. The home is divided into four units. At the time of our inspection there were 62 people living in the home .

People's experience of using this service:

Regular quality assurance checks had been carried out which supported good governance. Processes were in place to ensure medicines were administered and managed safely. The service followed safe infection, prevention and control procedures.

People felt well cared for by staff. There were a wide range of meaningful activities that people could access in their room, in groups or in the community. During our site inspection we observed visitors coming and going freely.

Most people and relatives told us call bells were responded within a couple of minutes. Some people told us there had been occasions at night when call bells were not always responded to quickly.

We observed people were treated with respect and dignity. People were supported to have maximum choice and control of their lives. The environment had improved and better supported people living with dementia and sensory loss.

When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed and where required best interest decisions had been recorded.

Care plans were electronic and reflected people's personal preferences and how they liked their care to be provided. The care plans had been reviewed monthly and contained information about people and their care needs.

People enjoyed the meals offered and their dietary needs had been catered for. This information was detailed in people's care plans. Staff followed guidance provided to manage people's nutrition and pressure care.

Staff had received regular supervision and plans were in place to ensure people received this on a regular basis. Staff had received training to support their role.

People had good health care support from professionals. When people were unwell, staff had raised the concern and taken action with health professionals to address their health care needs. The provider and staff worked in partnership with health and care professionals.

When required notifications had been completed to inform us of events and incidents.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update: The last rating for this service was requires improvement (published 29 April 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Glenholme Holdingham Grange on our website at www.cqc.org.uk.

Follow up

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