This is the latest available inspection report for this service, carried out on 1st July 2010.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Random inspection report
Care homes for older people
Name: Address: Holmwood Care Centre 30 Chaddesley Road Kidderminster Worcs DY10 3DJ two star good service 13/08/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Christine Potter Date: 0 1 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Holmwood Care Centre 30 Chaddesley Road Kidderminster Worcs DY10 3DJ 01562824496 01562822935 admin@holmwood.plus.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Gail Elizabeth Gilbert Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Cloud Care Plc care home 60 Number of places (if applicable): Under 65 Over 65 40 1 60 60 dementia learning disability old age, not falling within any other category physical disability Conditions of registration: 0 0 0 5 Accommodation to be used for a maximum of 45 nursing places. Category PD is restricted to persons aged between 55 -64 years. The home may accommodate one named service user over the age of 50 years with learning disability (LD). Date of last inspection 1 3 0 8 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Holmwood Care Centre offers 58 single rooms and one companion room for two people. The home is situated a short distance from the centre of Kidderminster. Accommodation is provided on three floors with a passenger lift providing access to rooms on the upper floors. The home fitted a new lift in 2010. Other areas of the home used by people include, lounges, dining room, toilets and bathrooms. Handrails are appropriately fitted to assist people to walk around the home. Ramps are fitted to assist people in wheelchairs to go outside to the enclosed garden. The registered manager for the home is Mrs Gail Gilbert who is a first level registered nurse and many years experience working in care for the elderly. Gail has completed the Registered Managers Award. The home is owned by St Cloud Care PLC and the providers takes an active role in the home and the people who live there. A range of activities are provided for the people living at the home and assist people to maintain links with the local community. Information about the fees are not included in the Service User Guide. For up to date information about the fees please contact the home direct as the fees are based on individual needs and assessments. Additional charges are made for hairdressing, daily newspapers and chiropody. Care Homes for Older People Page 3 of 9 What we found:
The focus of our inspections is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. This unannounced random inspection of Holmwood Care Home was carried out on the 1st July 2010. The reason for the inspection was to monitor the homes progress following the last key inspection on the 31st March 2010 inspection completed by the pharmacist on the 16th March 2010, where four requirements for medication were given. This inspection was completed by two inspectors from CQC one being the pharmacist inspector. On the day of the inspection there were 49 people being accommodated in the home. We met the manager, nurse in charge and care staff. We reviewed the care records, management of medication, staff records and talked to some of the staff who were on duty at the time of our visit. These were the findings of our inspection Choice of Home (standards 1 to 6) The last key inspection rated these standards as good. We looked at the pre admission assessment for two people who had recently been admitted into the home. This provided sufficient information for the staff to complete a basic care plan of the individuals health care needs. The other standards from this section were not assessed at this inspection. We have received no information from people that the home is not meeting these standards. Health and Personal Care (standards 7 - 11) The last inspection completed by the pharmacist was on the 16th March 2010 and the last key inspection on the 31st March 2010. This identified issues and four requirements were given for the home to comply with, around the management and administration of medication. The inspection on the 31st March 2010 showed that the care records was not being followed correctly with issues identified specifically around wound care, diet and nutrition and pressure relieving care. This inspection showed progress with the quality of care records. The home has made changes to the environment and clearly defined people requiring nursing care from those requiring personal care. Staff told us that this has improved how staff are allocated and resulted in staff not being so rushed. Staff also told us that staff moral had improved from the last inspection. One person commented that some staff were working in a task orientated approach, but definitely improved. We discussed the care needs of people we were reviewing the care records for. Staff were able to demonstrate their care needs appropriately. The pharmacist inspector looked at the management and organisation of medication and
Care Homes for Older People Page 4 of 9 overall this had improved from the last inspection. The only discrepancies highlighted at this inspection were by agency staff. The manager agreed to follow these discrepancies up with the agency staff. The care plans showed that the reason for as required medication was clearly recorded in a person centred way. The medication administration record was checked with the care plan and the reason why medication had been administered was clearly recorded. No other standards from this inspection were reviewed at this visit. Daily life and Social Activities (standards 12 to 15) These standards were assessed as good at the last key inspection therefore were not assessed at this visit. Complaints (standards 16 to 18) We looked at the complaint records since the last inspection. No new complaints have been made to the home or CQC. A requirement was made at the last inspection for the service to review their complaints procedure. The manager told us that the complaints from the last inspection were now closed, and some changes in practice have been made as a result of the complaint. The main shortfall recognised was around communication and staff passing on information. Different recording systems are now in place, and some staff changes have been made to minimise a similar incident occurring. No other standards from this section were reviewed at this visit. Environment (standards 19 to 26) The last key inspection rated these standards as good, a recommendation was made for the home to review the housekeeping staff covering the home for the seven day week. This had been addressed at this visit. No other standards from this section were reviewed at this visit. Staffing (standards 27 to 30) The last key inspection rated these standards as poor and required the home to be able to demonstrate that there were sufficient staff and skill mix on duty at all times to meet the dependency needs of the people living in the home. We were told by the manager and staff that with the re organisation of the home, it had helped ease the pressure on the staff. The manager told us that staffing levels would be reviewed as occupancy levels increased and matched to the health care needs of the people living in the home. In addition to the nursing and care staff the home employs administration staff, activities, laundry, catering and maintenance staff to meet all the needs of the people who live in the home. We looked at three staff files and these showed that the home was following their recruitment procedure and completing the appropriate checks on the applicants. This assists in ensuring that the right people are selected to work with the vulnerable people. Care Homes for Older People Page 5 of 9 We looked at the training records for the home, these showed the training completed by the staff and the planned training for the coming year. Management (standards 31 - 38) The last key inspection rated these standards as adequate due to the number of requirements made at the last inspection. Following the last inspection the service has made organisational and changes and are continually monitoring their progress. There has been no change with the registered manager since the last key inspection. The operation manager for the company is completing the monthly reports and these were shared with us at the time of the inspection. These provide relevant information about the home, and assist with monitoring the overall service provision for people living at Holmwood. No other standards from this section were reviewed at this visit. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 16 22 Reg 22 1 The service should ensure that all complaints are recorded and show that they have followed their complaints procedure. Not assessed at this inspection 01/07/2010 To ensure that people feel listened to. 18/06/2010 Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 A quality assurance system 30/09/2010 must be installed to assess agency staff competence in their handling of medicines. Appropriate action must be taken when these indicate that medicines are not administered as prescribed and records do not reflect practice, to ensure that all medicines are administered as prescribed and this can be demonstrated. People have their prescribed safely and this can be audited. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
