You are here

Inspection Summary


Overall summary & rating

Good

Updated 22 September 2017

The inspection took place on 26, 27 and 31 July 2017. This was an unannounced inspection. The service was last inspected in March 2015.

The Hollies Nursing home is situated in Dursley and provides care for up to 56 older people who have nursing needs. The Hollies Nursing Home also supports people who have dementia. At the time of our inspection, there were 51 people living at the Hollies Nursing Home.

There was a registered manager in post at The Hollies Nursing 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

The service was safe. People received safe care and treatment and had clear risk assessments which reflected the current level of risk to people. There were sufficient staffing levels to ensure safe care and treatment to support people. People were kept safe by staff who had a good awareness of safeguarding policies and procedures and felt confident to raise any issues or concerns with the management team. The registered manager had carried out the relevant checks to ensure they employed suitable people at The Hollies Nursing Home. There were regular health and safety checks of the property to ensure it was safe for the people living at The Hollies Nursing Home

People were receiving effective care and support. Staff were well skilled and had the appropriate knowledge to meet the needs of the people living at the Hollies Nursing Home. Staff received regular individual meetings called supervisions and appraisals. Where required, the service was adhering to the principles of the Mental Capacity Act 2005 (MCA) or Deprivation of Liberty Safeguards (DoLS). People’s nutritional needs were met. Care staff and kitchen staff were aware of people’s dietary requirements and worked hard to meet individual needs. The environment had been adapted to meet the needs of people living at the home. People were supported to personalise their living spaces.

The service was caring. People and their relatives spoke positively about the staff at the home. Staff demonstrated a good understanding of respect and dignity and were observed providing care which maintained peoples dignity. People had end of life care plans which reflected their needs and preferences.

The service was responsive to people’s needs. Care plans were person centred and contained sufficient detail to provide consistent, high quality care and support. People were supported to engage in a range of activities based on their preferences and interests. There was a complaints procedure in place and where complaints had been made, there was evidence these had been dealt with appropriately.

The systems in place to manage staff training had not always supported the registered and deputy managers to ensure staff training was up to date. The registered manger carried out other quality assurance checks and audits regularly and where issues had been identified, action had been taken to address them. Staff, people and their relatives spoke positively about the registered manager. The registered manager and staff were aware of the vision and values of the service and worked hard to provide a service which was person centred for each individual.

Inspection areas

Safe

Good

Updated 22 September 2017

The service was safe.

Risk assessments were implemented and reflected the current level of risk to people.

There were sufficient staffing levels to ensure safe care and treatment to support people.

Staff had a good awareness of safeguarding policies and procedures and felt confident to raise any issues of concerns with the management team.

The registered manager had carried out the relevant checks to ensure they were employing suitable people.

Effective

Good

Updated 22 September 2017

People were receiving effective care and support.

Staff had access to a range of training to enable them to carry out their role. Staff were well skilled and had the appropriate knowledge to meet the needs of the people using the service.

Staff received regular individual meetings called supervisions and appraisals.

The service was adhering to the principles of the Mental Capacity Act 2005 (MCA) and where required the Deprivation of Liberty Safeguards (DoLS).

People had enough to eat and drink. Where required, the relevant professionals were involved to manage people’s dietary needs.

The environment in the service was appropriate to the people living there.

Caring

Good

Updated 22 September 2017

The service was caring.

People and their relatives spoke positively about the staff at the home.

Staff demonstrated a good understanding of respect and dignity and provided care which maintained people’s dignity.

People had end of life care plans which reflected their needs and preferences.

Responsive

Good

Updated 22 September 2017

The service was responsive.

Care plans were person centred and provided sufficient detail to provide safe care to people.

Care plans were reviewed and people were involved in the planning of their care.

People were supported to access and attend a range of activities.

There was a complaints procedure in place and where complaints had been made, there was evidence these had been dealt with appropriately.

Well-led

Requires improvement

Updated 22 September 2017

The service was not always well-led.

The systems in place to manage staff training had not always supported the registered and deputy managers to ensure staff training was up to date. The registered manger carried out other quality assurance checks and audits regularly and where issues had been identified, action had been taken to address them.

Staff, people and their relatives spoke positively about the registered manager.

The registered manager and staff were aware of the vision and values of the service and worked hard to provide a service which was person centred for each individual.