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Holly Lodge Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 24 January 2019

This inspection took place on 30 November 2018 and was unannounced. Holly Lodge Nursing Home 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. At the time of our inspection there were 57 people living at the home.

Holly Lodge Nursing Home provides specialist care and support for people living with dementia and physical health care needs. It’s a large purpose-built nursing home spread over two floors accessed by internal lifts and is set in extensive landscaped grounds surrounded by woodlands. At the time of our inspection there was an experienced registered manager 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. They were aware of the legal requirement to display their CQC rating.

At our last inspection of the service on 7 November 2016 we rated the service overall as ‘Good’ and 'Requires Improvement' in Effective. This was because people's dietary needs and preferences were not always respected and met by staff. This was a breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found improvements had been made and the breach of Regulation 9 had been met.

Risks to people were assessed and safely managed by staff. Medicines were managed, administered and stored safely. People were protected from the risk of abuse, because staff were aware of the types of abuse and the action to take to ensure peoples safety and well-being. There were systems in place to ensure people were protected from the risk of infection and the home environment was clean and well maintained. Accidents and incidents were recorded, monitored and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff to meet people’s needs in a timely manner.

There were systems in place to ensure staff were inducted into the service appropriately. Staff received training, supervision and appraisals. There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s nutritional needs and preferences were met. People had access to health and social care professionals when required and staff worked well with health and social care professionals to meet their needs.

People told us staff treated them with kindness and respected their privacy and dignity. People’s diverse needs were met and staff were committed to supporting people to meet their needs with regard to their disability, race, religion, sexual orientation and gender. People were involved in making decisions about their care. There was a range of activities available to meet people’s interests and needs. The service provided care and support to people at the end of their lives. People’s needs were reviewed and monitored on a regular basis.

There were well-led systems in place to monitor the quality of the service provided. People’s views about the service were sought and considered. The provider worked in partnership with other professionals to ensure people received appropriate levels of care and support to meet their needs.

Inspection areas

Safe

Good

Updated 24 January 2019

The service was safe

Risks to people�s health and well-being were assessed, managed and reviewed on a regular basis to ensure people�s safety.

There were systems in place to safeguard people from possible harm or abuse and staff were aware of the action to take if they had any concerns.

There were systems in place for the monitoring, investigating and learning from incidents and accidents.

There were safe, robust staff recruitment practices in place and appropriate numbers of staff to meet people�s needs in a timely manner.

Medicines were stored, managed and administered safely.

There were systems in place to manage emergencies and to reduce the risk of infection.

Effective

Good

Updated 24 January 2019

The service was effective

There were processes in place to ensure staff new to the service were provided with an induction.

Staff were supported to do their job and received regular training, supervision and annual appraisals of their work performance.

There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves.

People�s physical, mental and social needs were assessed before they moved into the home.

The home environment was suitably maintained and adapted to meet people�s needs.

People were supported to eat a well-balanced diet and cultural and nutritional preferences were met.

People were supported to maintain their health and well-being.

Caring

Good

Updated 24 January 2019

The service was caring

People were supported to maintain relationships that were important to them.

There were established and affectionate relationships between staff, people and their relatives.

People were able to express their views and were provided with information about the service.

People�s diverse needs were met and staff were committed to supporting people to meet their needs with regard to their disability, race, religion, sexual orientation and gender.

People's privacy and dignity was respected and maintained.

Responsive

Good

Updated 24 January 2019

The service was responsive

People�s diverse needs were met and staff were committed to supporting people to meet their needs.

People were involved in making decisions about their care.

There were a range of activities available to meet people�s interests and needs.

The service provided care and support to people at the end of their lives.

People�s needs were reviewed and monitored on a regular basis.

People were provided with information on how to make a complaint.

Well-led

Good

Updated 24 January 2019

The service was well-led

There were well-led systems in place to monitor the quality of the service provided.

The leadership at the home was positive and there was an open and inclusive culture. Staff spoke positively about the registered manager.

Staff worked well as a team, communicated clearly and supported each other where needed.

People�s views about the service were sought and considered.

The provider worked in partnership with professionals to ensure people received appropriate levels of care and support to meet their needs.