Healey House
Rochdale, OL12
ResidentialDementia
Rated 2 months agocare home
CQC report explained · a residential care home, run by Healey Care
Holt Mill House
Lloyd Street, Whitworth, Rochdale, OL12 8AA
Requires improvementpublished 16 December 2023, 2 years ago
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
The five questions inspectors ask
- Safe?
- Requires improvement
- Some health and environmental risks were not properly assessed or dealt with. Medicines, staffing, recruitment, infection control and safeguarding arrangements were otherwise found to be satisfactory.
- Effective?
- Requires improvement
- Staff were knowledgeable and people received support with food, healthcare and communication. However, training in areas including safeguarding, fire safety and equality and diversity was not up to date, and some consent records needed to be clearer.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Their equality, cultural needs, privacy, independence and choices were supported.
- Responsive?
- Good
- Care plans were personalised and people were supported to communicate, maintain relationships and take part in activities. Some care plan areas and end of life paperwork needed improvement.
- Well-led?
- Requires improvement
- The home had a positive and open culture, but audits had not identified several risks and there was little evidence of regular provider audits. Systems for learning from issues also needed to be stronger.
The latest report, explained
What inspectors found, December 2023
Rated Requires Improvement; inspectors found kind, person-centred care, but risks, staff training and management checks were not reliable enough.
The inspection took place over 8 and 9 November 2023. One inspector visited during normal hours and out of hours, spoke with people, a relative and staff, and checked care, medicine, recruitment and management records.
People were treated kindly and respectfully. They were supported to make choices, keep relationships and take part in activities. Medicines were administered safely, the home was clean, and staffing levels and recruitment were suitable.
However, some important risks were not properly assessed or dealt with. These included missing risk assessments for diabetes and asthma, hot water, uncovered radiators and delayed emergency lighting work. Staff training was also not up to date.
The overall rating changed from Good in 2018 to Requires Improvement. The same rating applies to Safe, Effective and Well-led. Caring and Responsive remained Good. The provider was required to send an action plan and will be monitored.
What inspectors praised
Kind and respectful care
People were treated well and their privacy, dignity, independence and equality needs were respected.
“People were treated well and their equality and diversity needs were respected.” from the report
Activities and relationships
People were supported to keep in touch with loved ones and take part in activities that matched their interests.
“People were supported to maintain relationships, follow their interests and take part in activities that were relevant to them.” from the report
Medicines managed safely
Inspectors found that medicines were administered safely and that records and stock counts were accurate.
“Records and pill counts were accurate and the daily handover covered medicines information in a good level of detail.” from the report
Positive culture
People, relatives and staff gave positive feedback about the management. Staff described an open and supportive culture.
“There was a positive and open culture at the service.” from the report
What inspectors were concerned about
Risks were not consistently managed
seriousA person did not have risk assessments for diabetes or asthma. Hot water, uncovered radiators and missing emergency lighting also created safety risks.
“Systems had not been established to assess, monitor and mitigate risks to the health, safety and welfare of people using the service.” from the report
Staff training was out of date
seriousStaff had not completed all required updates, including safeguarding, fire safety and equality and diversity training.
“Although staff were knowledgeable, we found staff were not up to date with a number of training courses including safeguarding, fire safety and equality and diversity” from the report
Management checks missed problems
seriousAudits did not identify environmental risks, missing care paperwork or training shortfalls. Provider oversight was not formal or robust enough.
“We found no evidence people had been harmed. However, systems were either not in place or robust enough to demonstrate records and governance was effectively managed.” from the report
Some records needed improvement
needs fixingConsent records, parts of care plans and end of life paperwork were not sufficiently clear or complete. No one was receiving end of life care during the inspection.
“Care plans carried little information in relation to people end of life care plans and staff had not received training in this area.” from the report
Questions to ask them, based on this report
- 01Have the missing diabetes and asthma risk assessments now been completed and reviewed?
- 02Have the hot water temperatures, radiator covers and emergency lighting been corrected?
- 03Which staff training was overdue, and can you show that safeguarding, fire safety and equality and diversity training is now up to date?
- 04What new checks are being used to make sure care records, environmental risks and staff training are identified promptly?
- 05How have consent records, care plans and end of life paperwork been improved since the inspection?
This was an announced inspection covering both floors, normal and out-of-hours care, people’s experiences, care and medicine records, recruitment records and the management systems across all five rated questions. This explanation was written from the published report of 16 December 2023 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.
The story over the years
Every inspection of Holt Mill House
3 rated inspections over 9 years: the service has slipped, from Good to Requires improvement.
- December 2023Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Registered with the Care Quality Commission on 21 January 2014.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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