We carried out a review of the data available to us about Holly Lodge 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 Holly Lodge, you can give feedback on this service.
Holly Lodge is a residential care home registered to provide personal care and support for up to 23 people aged 65 and over. At the time of the inspection there were 15 people living in the home.
People’s experience of using this home:
People who used the home continued to be supported to remain safe. Staff knew people well and supported them with kindness and consideration. Staff knew how to keep people safe and had received training in safeguarding and how to reduce the risks of harm from occurring.
People received medications safely and risks to people had been assessed and managed to identify and reduce or address the impact of any known risks. People were supported to access healthcare services as needed and staff responded promptly to changes in people’s health. Other aspects of safety, including fire safety and issues of personal safety, were well managed in the home.
People continued to be supported in a comfortable home with access to all communal areas and private space as they wished. People were supported to maintain their health through a good diet that provided them with choice and addressed their nutritional needs. Drinks were readily available at all times.
Peoples rights were upheld and protected and people received kind support and assistance to have choice and control over their day to day lives. People’s preferences and experiences were known and staff provided personalised encouragement and enabled people to do as much as possible for themselves.
People continued to be supported by an established team of staff who provided kind and personalised care to people living in the home. Safe recruitment of staff ensured people were supported by staff of good character. People were supported by staff who were well trained and focussed on supporting them with their plans.
There was a range of effective monitoring systems in place that checked if the home was well managed and delivered care that was supportive enabling people to have a good quality of life. People and staff were encouraged to provide feedback about the home. The registered manager was aware of their responsibility to report events that occurred within the home to the CQC and other external agencies.
The home met the characteristics of a rating of good in all areas. More information is in the full report.
Rating at last inspection:
The service was rated Good at the last inspection; the reports was published in October 2015.
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor the service through the information we receive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This was an announced inspection which took place on 14 October 2015. Holly Lodge provides accommodation with personal care for 23 older people. At the time of this inspection 20 people were living at the home. At our last inspection in October 2013 the provider was compliant with the regulations we assessed.
There was a registered manager at the home. 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.
We received a high level of praise in relation to this home. People and their relatives were positive and enthusiastic about the quality of the care they received. The registered manager and staff were motivated and committed to providing a high standard of care for people.
People felt safe and risks to their safety had been identified. People and their relatives had no concerns about their family member’s day-to-day safety. Staff knew how to support people safely and had training in how to recognise and report abuse.
Staff were recruited in a safe way. We found there were enough trained and experienced staff to support people and meet their needs in a personalised manner. Staff had good access to training, development opportunities and supervisions to enhance their skills in providing people with high quality care.
People had their medicines when they needed them and the arrangements for the management of people’s medicines was safe.
Care was focused on people’s individual needs and wishes and took into account the impact of medical conditions which affected people’s ability to express themselves.
Staff were aware of how to support people’s rights, seek their consent, respect their choices and promote their independence.
People told us they enjoyed the meals and we saw that risks to their dietary intake were known and staff supported them to eat and drink enough. People’s health was supported by access to appropriate healthcare professionals.
People and their relatives were exceptionally positive about the care provided. Our observations confirmed that staff were attentive, caring and showed compassion when supporting people. The staff were committed to a strong person centred culture which put people first. We saw that people had positive relationships with staff and were treated with respect. People and their relatives felt staff went that extra mile to provide compassionate and enabling care.
People knew how to make a complaint and were confident this would be listened to and acted upon.
People described the management of the home as very friendly and approachable. Staff felt supported by the provider who had used their audits and quality monitoring to develop the service and maintain high standards. The registered manager displayed a commitment to developing the staff team to ensure they could meet people’s needs in a proactive and caring manner.
Suitable nutritious food and drinks were available to people throughout the day or on request.We saw staff helping people to eat and drink and these interactions were positive.People's dietary and nutritional needs were being met.
We found that medicines were safely stored, handled and administered.Records in regard to administration of medicines were accurate. We saw that staff were appropriately trained in how to administer medicines.This meant that staff received support to ensure they were confident with the management of medicines. Staff were well trained and knowledgeable about the individuals care needs.Staff we spoke to said they enjoyed their jobs and felt they were supported by the manager.
People who used the service were involved in any decisions that needed to be made about their care, and consent from people was obtained before care and treatment was provided.
People's needs had been assessed and care and treatment was planned and delivered in line with their individual care plan. Staff were aware of each person's needs and knew how to give care and support to meet those needs to ensure people's health and welfare was maintained.
We found that the provider has taken steps to provide care in an environment that was suitably designed and adequately maintained. This made sure that people who used the service, staff and visitors were protected against the risks of unsafe or unsuitable premises.
Recruitment procedures made sure that only suitable staff were employed to safeguard people from the risk of harm. People told us that staff were: 'Good here'. One relative told us that staff were: 'The best, excellent, very caring'.
We found that any comments and complaints people made were responded to appropriately to ensure that people were listened to. We saw comments such as: 'This is the best home, I couldn't wish for a better place for my mother'. One person told us: 'It's so nice here'.
We saw that people were well presented and wore clothes that reflected their own preferences and styles. There was a friendly and pleasant atmosphere in the home. One person said, 'You get first class treatment here.' People and their relatives were complimentary about the home and staff.
We saw that people were able to sit in the main lounge or in a quieter lounge. This meant people had a choice about where they wanted to sit. One person told us, 'I am fortunate I have a wonderful room overlooking the garden.' People were happy with their rooms and the facilities that were available.
People could have small amounts of money held by the home, which was kept safe and
secure.
We saw positive interactions between staff and people using the service. One relative said, 'Staff are excellent, the care they provide is really good.' We saw that staff respected people, understood their needs, and supported people appropriately. This meant that people received personalised care and treatment.
People told us that they knew how to raise any concerns if they had any; however all the
people we spoke to told us that they did not have any concerns. One person told us, 'I have no problems here but I would make sure I tell the manager if I did.'
We saw that there was ongoing work at the home to make some improvements and to extend the home. We saw that the manager and staff ensured that this caused minimal disruption for people using the service.