Archived: Holly House

Updated 11 June 2019

The inspection:

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

Inspection team:

The inspection was conducted by one inspector.

Service and service type:

Holly House is a care home registered to accommodate up to four people who need support with personal care. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We did not give notice of our inspection.

What we did:

Before the inspection we reviewed the information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us.

During the inspection we gathered information from:

Three people using the service.

Three people’s care records.

The registered manager

The provider

Records of accidents, incidents and complaints

Audits and quality assurance reports

Following the inspection, we gathered information from:

One member of care staff

We contacted one family member and a healthcare professional but did not receive feedback.

Updated 11 June 2019

About the service:

Holly House is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Holly House is registered to provide accommodation and personal care for up to four people and predominantly supports people living with a learning disability and mental health needs.

At the time of the inspection there were three people living at the service. Best practice guidelines recommend supporting people living with a learning disability in settings that accommodate less than six people. The service model at Holly House was aligned to the principles set out in Registering the Right Support. Outcomes for people using the service, reflected the principles and values of Registering the Right Support including; choice, promotion of independence and inclusion. People's support was focused on them having new experiences and maintaining their skills and independence.

People’s experience of using this service:

People told us they were happy living at Holly House and felt supported to live their lives. One person told us, “Oh yes I’m very happy.”

People were supported to maintain their independence as much as possible and encouraged to participate in activities of daily living.

Staff supported people to access the community for social opportunities as well as employment.

People were supported to make choices in line with legislation and staff recognised people’s individual needs.

People were cared for in a way that respected their privacy, dignity and promoted their independence. Staff knew people extremely well, enabling care to be delivered effectively. People had lived at Holly House for many years and had built positive relationships not only with the staff but with each other. There was a close family atmosphere in the home.

Care plans were detailed, and person centred. People were involved in deciding how they wished to be supported and in reviewing their care plans when needed. Information was available in a format they could understand.

Staff had completed training that equipped them to do their jobs. They received regular supervision to help develop their skills and support them in their role.

Quality assurance processes ensured risks to people and the environment were managed safely. The service was clean and infection control audits ensured that cleaning tasks were completed, and any issues were identified and acted upon quickly.

There was a clear management structure with staff being supported by the registered manager and provider.

Rating at last inspection:

The service was rated as Requires Improvement at the last full comprehensive inspection, the report for which was published on 21 June 2018.

Why we inspected:

This was a planned inspection based on the previous inspection rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk