CQC report explained · a residential care home
What the CQC found at Holme Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risk assessments, safety checks, safeguarding systems and medicines procedures were in place. Inspectors found that cleaning schedules were not robust enough, but these were reviewed and updated after the inspection.
- Effective?
- Good
- People's needs, choices and dietary requirements were assessed and recorded. Staff had relevant training, although relatives gave mixed feedback about staff knowledge and some fluid charts had not been completed correctly.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff supported choice, independence, equality and contact with family and friends.
- Responsive?
- Good
- Care was personalised around people's preferences, communication needs, interests and goals. People could join activities, attend meetings and raise complaints or concerns.
- Well-led?
- Good
- The home had regular quality checks, feedback systems and a person-centred culture. Inspectors found that shortfalls were identified and dealt with promptly, and staff worked with healthcare professionals.
What inspectors found, May 2022
Holme Lodge was rated Good; inspectors found kind, safe and personalised care, with some cleaning and record-keeping issues addressed during or after the inspection.
This was an unannounced inspection carried out from 24 to 28 March 2022. One inspector and an Expert by Experience observed care, spoke with a person, relatives, staff and the registered manager, and reviewed care and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, person-centred support plans, respectful care, activities and effective work with other professionals.
There were some shortfalls. Cleaning schedules did not cover all areas clearly enough, some higher-risk care plans needed adjustment, and some fluid charts had not been completed correctly. The registered manager acted on these issues, including updating the cleaning schedules after the visit.
Kind and respectful care
Relatives spoke positively about staff, and inspectors observed respectful and compassionate interactions. People were supported to make choices and maintain their independence.
“People were supported, respected and well cared for.” from the report
Safe medicines systems
Electronic medicines records were accurate and up to date. Staff had medicines training and competency checks, and medicines were stored securely.
“Medicines administration records (MAR) were electronic, accurate and up to date.” from the report
Personalised support
Support plans recorded people's likes, dislikes, routines, communication needs and preferred ways of receiving support. Staff also helped people pursue personal goals and life changes.
“Support plans contained person-centred information within them.” from the report
Support to avoid isolation
People were supported to follow hobbies, maintain relationships and take part in activities. During the pandemic, staff introduced reading, film and baking clubs.
“People had opportunities to participate in activities to maintain relationships and avoid isolation.” from the report
Responsive leadership
The registered manager used feedback and quality checks to identify issues and make changes. Staff and relatives described the manager as approachable.
“Any shortfalls found during the inspection were dealt with promptly.” from the report
Cleaning checks
needs fixingThe home was clean, but the cleaning schedules did not clearly identify every area and surface that needed cleaning. The schedules were reviewed and updated after the visit.
“the cleaning schedules were not robust enough to identify all areas and surfaces that required cleaning.” from the report
Higher-risk care plans
needs fixingSome plans for people at higher risk needed adjustment to make sure people were always kept safe. The registered manager reviewed and updated the assessments immediately.
“the plans in place to support these people required some adjustment to ensure people were always kept safe.” from the report
Fluid records
minorA relative raised concern about whether enough fluid was being given. The manager said some fluid charts had not been completed correctly and had addressed this with staff.
“some fluid charts were not being completed correctly” from the report
- 01How do you now check that every area and surface is included in the cleaning schedules?
- 02How do you make sure fluid charts are completed correctly and reviewed when someone may be at risk of dehydration?
- 03How do you check that staff can safely reposition each person and use moving and handling equipment correctly?
- 04What changes were made to the higher-risk care plans identified during the inspection?
- 05How are people and relatives involved in reviewing care plans, activities and personal goals?
This was an unannounced inspection covering all five CQC questions, including infection prevention and control, with observations, discussions and reviews of care and management records. This explanation was written from the published report of 7 May 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Holme Lodge
4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- May 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2019
Registered with the Care Quality Commission on 6 August 2019.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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75 live-in carers within about an hour of Nottinghamshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.