Archived: Holyport Lodge Care Home

Updated 12 July 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Our inspection took place on 31 May 2017 and 1 June 2017 and unannounced.

Our inspection was completed by an adult social care inspector, a pharmacist inspector a specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our Expert by Experience was familiar with the care of older people with dementia.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed information we already held about the service. This included previous inspection reports and notifications we had received. A notification is information about important events which the service is required to send us by law. We also looked at feedback we received from members of the public, the local authority, the clinical commissioning group (CCG) and the fire authority.

During the inspection we spoke with the regional director, regional support manager, registered manager and deputy manager. We also spoke with four registered nurses, 8 care workers, the maintenance person, the receptionist, the administrator, two kitchen staff and two activities coordinators.

We spoke with five people who used the service and two relatives. We looked at 12 sets of records related to people’s individual care needs. These included care plans, risk assessments and daily monitoring records. We also looked at five staff personnel files and records associated with the management of the service, including quality audits. We asked the provider to send further documents after the inspection and these were included as part of the evidence we collected.

We looked throughout the service and observed care practices and people’s interactions with staff during the inspection.

Updated 12 July 2017

Our inspection took place on 31 May 2017 and 1 June 2017 and unannounced.

Holyport Lodge Care Home provides accommodation and nursing care to younger and older adults, people with sensory impairments or physical disabilities and people with dementia. The service provided ongoing care as well as respite stays. Part of the Bupa brand, the service is located in Holyport, a village near Maidenhead in Berkshire. The service is registered to accommodate a maximum of 40 people. On the days of our inspection there were 25 people who used the service.

The service must have a registered manager.

At the time of the inspection, there was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection on 27, 28 and 29 April 2016, we asked the provider to take action to make improvements regarding people’s consent, staffing deployment, staff training and support, people’s nutrition and hydration and the governance of the service and these actions have been completed.

Although we found further improvements were needed, the service had made positive changes and were sustaining positive improvement.

We made recommendations about staff deployment, communication with people and their families and the workplace culture.

People received safe care and treatment, although further improvement was required in staff deployment and medicines management. There were appropriate personal risk assessments in place for people’s care. People were protected from abuse and neglect.

Staff training and support had improved. There was a better focus on improving staff knowledge, experience and skills to provide good care for people. The service had achieved compliance with the Mental Capacity Act 2005 and associated practices. People’s nutrition and hydration was effective. Access to community healthcare professionals was available. A refurbishment plan had commenced to modernise the building.

Staff provided compassionate care. People and relatives were able to participate in care planning and reviews, but some decisions were made by staff in people’s best interests. People’s right to privacy and dignity was respected.

Care plans were detailed, personalised and reviewed regularly. There was a robust complaints system in place which included the ability for people and others to escalate complaints or report them to external bodies.

There was an increased focus on the safety and quality of people’s care. Systems and processes were examined more by the management to check for ways of improving the care experience for people. Staff felt the workplace culture of the service had improved.