We carried out a review of the data available to us about The Hollies on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Hollies, you can give feedback on this service.
The Hollies is registered to care for people who need nursing or personal care but nursing care is not provided. It offers accommodation in one adapted building for up to 23 people with mental ill health. At the time of inspection 23 people were living in the home.
People’s experience of using this service and what we found
People had developed positive and friendly relationships with the staff and staff could tell us about people’s likes, dislikes, interests and the support they needed.
Care plans and risk assessments were person centred and they detailed how people wished and needed to be supported. People were supported to eat and drink enough to maintain a balanced diet and were able to access other health care services when needed.
People were recruited safely. Staff received regular training, received supervisions, attended staff meetings and had regular practice checks.
Medication needs were assessed and medication was only given by staff who were trained to do so. Accidents, incidents, safeguarding and complaints were managed appropriately and monitored by the management.
The registered manager and provider had internal and external audits in place and accessed other sources of information to review and improve practice. People were able to give their opinions on their care service and a range of communication methods were in place to ensure people continued to have this opportunity. There were ‘easy read’ or pictoral documents in place.
Policies and procedures were in place and updated, such as safeguarding, complaints, medication and other health and safety topics. infection control standards were monitored and managed appropriately.
There was an infection control policy in place to minimise the spread of infection. There was also a series of health and safety checks in place to ensure the building was safe. The home was clean, however we saw there were areas that were in need of refurbishment. The registered manager had already identified and actioned this.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The registered manager and staff regularly worked with other professionals to ensure the best outcomes for people living in the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection - The last rating for this service was Good (published 07 March 2017)
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Hollies on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The home is required to have a registered manager and a registered manager was in post. 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.
People’s medicines were administered safely. People were supported to access other healthcare professionals to maintain their physical and mental health and well-being.
Staff were trained to meet the needs of people. They had the training the provider considered necessary to support people using the service. Staff had safeguarding training and knew how to keep people safe.
People were offered the opportunity to pursue hobbies and interests inside and outside the service. They had access to fresh air and we saw the garden was in constant use.
Staff were deployed in the best interests of people and there were enough staff to meet people’s needs in a timely manner. There was a thorough recruitment processes in place.
People were given the opportunity to plan their meals and had a choice of nutritious food and drink throughout the day. People were happy with the food. People’s dignity was promoted at all times. Staff were caring at all times and had good relationships with people.
The staff understood and complied with the requirements of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards. All the staff we spoke with understood the implications for people who were living under different sections of the Mental Health Act 1983.
Staff had read people’s care plans and they were aware of information relating to people’s needs and wishes. The provider had introduced a handover sheet that included an easy read page of important details in relation to people’s needs and wishes.
There was an effective quality assurance system in place that was carried out at registered manager level and provider level to monitor all aspect of service delivery and to ensure the inclusion of people in service planning.
The people we spoke with told us that staff respected their personal preferences and they thought that their needs were met. We found that people were provided with a wide range of activities that were centred on their individual needs. Staff were considering the mental capacity of the people using the service when it came to them making important decisions in their life.
People said they felt safe at The Hollies and one person told us, 'I'm treated all right.' Staff had received training that kept people safe and also training to reduce the risk and spread of infection. People told us that the premises were kept clean, tidy and hygienic.
The people we spoke with thought that staff had been recruited safely. One person told us, 'Everyone is OK.' We found that appropriate checks were undertaken before staff began work.
The people we spoke with said that staff respected their personal preferences and they thought that their needs were met at The Hollies. They felt that a range of suitable activities were offered, with one person telling us, 'I don't get bored.'
People felt safe at The Hollies and one person told us, '[Staff] treat me very well.' Staff had received training that kept people safe and the people we spoke with felt that staff were well trained to meet their needs. Records we saw supported this.
People were asked for their views, and comments that they made were acted on. One person told us that, at residents meetings, 'I can tell people what I think.' Minutes of these meetings supported this comment.
Most people able to share their experiences with us were satisfied with the care and service they received, and felt involved in decisions about their care and treatment. One person told us ''this is a great place to live''. Another person said 'it's ok but I would prefer my own place'. A further person told us 'they liked having their own lounge and television, and took pride in keeping their room clean and tidy.'