About the service Holmer Care Home with Nursing is a residential care home providing personal and nursing care to 34 people aged 65 and over at the time of the inspection. The service can support up to 40 people.
People’s experience of using this service and what we found
People were supported by knowledgeable staff who understood how to keep them safe and protect them from avoidable harm. People had their risks assessed and had up to date guidance to support people safely. The numbers of staff had been increased and was under review to ensure staff were deployed effectively to meet people's needs. People received their medicines regularly and systems were in place for the safe management and supply of medicines. Staff understood how to prevent infection and followed best practice guidelines. Incidents and accidents were investigated, and actions were taken to prevent recurrence.
People's needs were assessed, and care was planned and delivered to meet legislation and good practice guidance. Staff were well trained and knowledgeable about people's needs and wishes. People enjoyed the meal time experience, and additional training had been arranged to keep staff updated with improved practice. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported by compassionate staff who knew people well and championed their rights. The atmosphere within the home was friendly and welcoming. People and their relatives felt welcomed, involved and supported in decision making. People's privacy was respected, and their dignity maintained.
People were supported by staff who knew them well and supported them as an individual. Staff spent time with people, and there was a program of interesting events for people to join if they wished. Staff were completing additional training to improve people’s involvement in daily pastimes. Complaints were investigated, and outcomes agreed, and improvements made when needed. When people needed support at the end of their lives staff were skilled and had links with community support.
The registered manager and her management team were open, approachable and focussed on providing person centred care. Systems were in place to monitor the quality of care provided. Improvements such as communication between staff, had been identified and actions to improve this were being established. Staff said they were well supported and encouraged to share ideas for improvements. The registered manager and staff had established community links to improve people’s well-being.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 24 January 2019 and this is the first inspection.
The last rating for this service was good (published 30 October 2016). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.