Holme Manor Care Home

We found the following examples of good practice.

Prior to our inspection, we received information of concern about infection prevention and control (IPC) practices at this service. The registered manager was accessing testing for people using the service and staff. Clear records showed safe processes were followed in response to any positive COVID tests, in line with government guidance. There were enough staff to provide continuity of support should there be a staff shortage. The registered manager spoke positively about the hard work, care and commitment provided by staff.

The home was clean and odour free. There were designated domestic staff and cleaning schedules were followed. We discussed replacing swing bins with pedal operated bins to ensure safer disposal of waste and ensuring cleaning schedules reflected the frequency of cleaning high touch areas. The registered manager agreed to address these points. The registered manager carried out regular checks of the environment and cleanliness and any shortfalls were being acted on.

There were enough stocks of personal protective equipment (PPE). We observed staff and management were using PPE correctly and there were procedures in place to support staff with its use. Staff had received training in the use of PPE and infection control. Signage was in place to remind staff, visitors and people about the use of PPE, the importance of washing hands and regular use of hand sanitisers.

The provider was facilitating safe visiting in line with government guidance. Indoor visiting was suspended during the COVID-19 outbreak other than for essential care givers and in exceptional circumstances. People continued to use telephone calls to maintain safe and meaningful contact with their family members. Visitor assessments were carried out to consider temperature checks, current health needs, lateral flow test results and COVID-19 symptoms and PPE and sanitisers were readily available. At the time of the inspection, admissions to the service were restricted; the manager was aware of current guidance.

IPC policies and procedures were kept under review. We found safe processes were in place and appropriate action had been taken during the outbreak. The local commissioner's IPC team was providing advice and support to management and staff.

The five questions we ask about services and what we found