Holme House Care Home

The following is CQC's published account of its assessment, published 12 May 2026. References to “we” mean CQC. It describes findings at that time.

The dates of assessment were from 10 March 2026 to 2 April 2026, and we visited the service on 10 and 12 March 2026. Holme House is a care home for people who require personal and or nursing care, some of whom may be living with dementia. At the time of the assessment there were 52 people living in the service. This assessment was in part initiated following intelligence from partners and professionals identifying emerging risk, along with the aged rating.

The assessment identified significant shortfalls in governance, oversight and culture, which impacted on people’s safety, experience and outcomes. Systems to monitor quality and risk were not consistently effective. Audits and monitoring processes failed to identify or address ongoing issues, and improvements identified through the service improvement plan were not always implemented or sustained.Care was not always delivered in a safe or consistent way, with risks not clearly identified, monitored or acted upon. Care records were frequently inaccurate and contradictory, which meant staff did not always have clear, up-to-date information to guide care. This also affected how responsive the service was, as people’s changing needs and preferences were not always reflected in practice.People’s experiences of care were variable. Whilst some kind and compassionate interactions were observed, dignity was not always maintained and people did not consistently feel listened to, involved or emotionally supported. Opportunities for meaningful engagement and personalised care were limited, particularly for those who remained in their rooms.Staff working relationships and communication were not always effective, and leadership, although knowledgeable, was not consistently visible or embedded in day-to-day practice. This contributed to a culture where staff did not always feel confident to speak up or assured that concerns would be acted upon.Whilst there were some positive examples, including improved healthcare access and inclusive practices, these were not consistently experienced across the service. Overall, the service was not yet delivering consistently safe, effective, caring, responsive or well-led care.

We raised all identified concerns with the provider and also made safeguarding referrals to the local authority safeguarding team where necessary. The provider has been responsive to the assessment findings and has started to implement improvements.

The provider was in breach of 3 legal regulations in relation to need for consent, safeguarding and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.