Holm Lodge

People were safe, protected from avoidable harm. Staff were aware of risks to people and these were documented and reviewed within care plans. Accidents and incidents were recorded and any lessons learned, shared with all staff. People’s ability to make independent decisions about their care had been assessed and systems were in place to support those who needed help. Staff were recruited safely and had received training in all relevant areas. The home was described as ‘homely’ and was clean and free from hazards. Staff wore personal protective equipment (PPE) appropriately. Medicines were stored, administered and recorded safely.

At the last inspection the provider had failed to provide consistent information in care plans and risk assessments, there had been no analysis of falls data and auditing processes had failed to identify some concerns within the kitchen. The feedback process from people contained no detail other than a ticked box. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection improvements had been made and the provider was no longer in breach of regulation 17. Everyone spoke highly of the registered manager who was approachable and a visible presence throughout the service. Staff, people and their loved ones told us they had regular opportunities to raise any issues or concerns and they were confident that appropriate action would be taken. The registered manager had a clear vision about maintaining and improving the service and providing the best care and support to people. Effective auditing and feedback processes were in place and the registered manager was aware of their responsibilities under the duty of candour, to report certain events to the local authority and CQC. Logs were kept of learning from events and incidents and this was shared with staff.