Archived: Holder House

Holder House is a residential service registered to provide accommodation and personal care for up to 14 adults who experience mental ill health. The service had recently moved to the new, purpose-built site comprising of people’s living spaces and communal areas. An adjacent building was used for staff offices. There were 13 people living at the service at the time of our visit.

People’s experience of using this service and what we found

People were safe at the service and supported by a sufficient number of safely recruited staff. The team used an innovative way to plan the staffing rotas that ensured there was always a right mix of skills on duty. People were supported to have their medicines safely and as prescribed. We recommended that the provider refers to the good practice guidance around records surrounding ‘as required’ medicine. Risks to people's well-being and any individual conditions had been assessed and regularly reviewed. Staff followed good practice around infection control.

People were supported to meet their dietary and health care needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff worked well with various external professionals to ensure people had access to health care services. External professionals were very complimentary about the care provided to people at the home.

People benefitted from a caring and committed team that put people first. People told us staff respected their privacy and dignity. The registered manager created an open and inclusive culture that respected people’s diversity. Each person was allocated a committed key worker who knew them well. The records confirmed people had regular meetings with their key worker to talk about their goals, review their progress and share their views. People received support that met their assessed needs, including communication needs were met.

There was an experienced, registered manager who ensured the service was well run. People, their relatives and staff were complimentary about the management team. Staff were listened to, well supported and valued. People were often consulted, and their views had been considered when planning their support. The registered manager ensured their regulatory responsibilities had been met, for example required statutory had been submitted. The team demonstrated an open and transparent approach with an emphasis on a continuous improvement.

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

Rating at last inspection

This was our first inspection at this service since they de-registered under the new provider with us on 29 April 2019.

Why we inspected

This was a routine, planned inspection.

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.