HF Trust - Hollycroft

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last inspection we rated this key question Requires improvement. At this inspection the rating has changed to Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment were effective because they assessed their needs when they started using the service and reassessed these regularly. When new people started living at the service, their needs were thoroughly assessed by the staff team to make sure their needs could be met. The staff team worked with people to get to know them and continually update their care plans and risk assessments. As a result of staff support people had positive experiences when they started using the service. Other people had been using the service for many years. Staff and the management team knew them well, noticing any changes in their support needs and promptly reassessing them. One person said, ‘‘I have lived here a long time, and I am very happy here.’’ A relative told us, ‘‘[Family member] lived with us for so long but we were understandably a bit worried when they moved into the service. But we were reassured immediately by the staff teams attitudes. They stayed at the service lots and lots over a 6-week period and this really helped too. It could not have gone better.’’

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The management team kept up to date with best practice and shared this with the staff team. The staff team spoke knowledgably about their training in area such as supporting people living with a learning disability. The management team fully understood RSRCRC guidance and supported people in line with this. For example, they ensured people discussed their goals and ambitions, were supported to follow their interests and had regular opportunities to discuss they were happy with their support at the service, including how they were getting on with other people they lived with. One person said, ‘‘I get on well with all the people I live with here and they are like my brothers and sisters.’’ A relative told us, ‘‘I cannot fault the staff team. They always try their best and they are well trained to deal with whatever [family member] may need.’’

The provider worked well across teams and services to support people. Staff were positive and complimentary about their colleagues and how well they worked together. They pulled together to support each other to help ensure people received the best care possible. Staff told us in the past the staff team had not been as consistent or worked well together but that this had changed for the better over recent months and years, with the support of the registered manager. They shared information with each other on a regular basis, for example what had worked well when supporting someone, so the staff team could all replicate this. Staff worked well with other professionals such as GP’s and nurses and followed their advice when it came to supporting people. Feedback from professionals about the service was positive. One person said, ‘‘[Staff] are all so friendly and funny.’’ A relative told us, ‘‘We know all the staff team, and they are all very welcoming. Everyone gets on so well.’’

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff supported people to be healthy in line with their support needs. Staff prompted and supported people to have regular exercise and to eat healthily. This was done in a respectful and dignified way promoting choices whilst discussing healthy living with people. As a result, people had been supported to maintain or improve their mobility skills and maintain healthy weights. A person told us, ‘‘Eating a whole packet of [food] is not a good idea so I only eat some of it and I feel good.’’ A relative said, ‘‘[Family member] can be a little stubborn but staff do an excellent job making sure they discuss health ways of living with them.’’

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met the expectations of people and their relatives. Staff knew people well and knew how to support them to achieve their health-related outcomes. The management team reviewed people’s care records to make sure outcomes were being achieved. People were being supported to lose weight and take part in regular exercise to promote their health and wellbeing. Another person’s health needs had changed, and the registered manager and staff team were working to put the correct support in place for them. One person said, ‘‘I like going for long walks and doing my exercise class.’’ A relative told us, ‘‘The staff are all in the job for the right reasons. To make sure [family member] has everything they need at all times.’’

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff were trained in the MCA and knew the importance of this legislation and making sure people were asked for consent whilst being supported. The management team completed assessments and made decisions in people’s best interests if they lacked the full capacity to make decisions themselves. One person said, ‘‘Staff listen to me.’’ A family member told us, ‘‘I trust staff explicitly to make any decisions in the best interests of [family member] They always let me know when this happens as well.’’