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Inspection Summary


Overall summary & rating

Good

Updated 3 August 2018

HollyHouse 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.

HollyHouse can accommodate ten people. At the time of our inspection there were ten people living there who were diagnosed as having a mental health and/or learning disability diagnosis. They live in a detached house in a street in the middle of Cheltenham. They each have their own bedroom, nine of which have en-suite facilities. People have personalised their rooms and share bathrooms, a kitchen, lounge, dining room and conservatory. The garden is accessible and has patio furniture. There is a covered smoking facility.

HollyHouse has been developed and designed in line with the values that underpin the Registering the Right Support, Building the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

This inspection took place on 17 July 2018. At the last comprehensive inspection in September 2015 the service was rated as Good overall.

At this inspection we found the service remained Good.

People received personalised care and support which reflected their aspirations, hopes and routines important to them. Staff understood them really well, anticipating their feelings and emotions, treating them respectfully, with patience and sensitivity. People’s needs had been assessed and they were involved in developing their care and support with staff. If they wanted to change any aspects of this, it was discussed with staff and their care records were updated. 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 were encouraged to be as independent as possible. They were being supported to learn the skills they needed to live independently if they wished. People felt safe living in the home and accessing their community with staff support. They enjoyed a wide range of activities which reflected their hobbies and lifestyle choices. People’s diversity was acknowledged and respected. Staff advocated on their behalf and promoted their rights and wishes.

People were supported to stay healthy and well. They chose their weekly menus which reflected their likes and dislikes whilst promoting a healthy diet. People helped themselves to drinks and snacks and cooked meals for themselves if they wished. Each person had a health action plan which described their health care needs. They had annual check-ups with their GP and regular reviews with another specialist healthcare professional. People’s medicines were managed safely.

People had access to sufficient staff to meet their needs who had been through a satisfactory recruitment process. Staff felt supported in their roles and had access to refresher training to keep their knowledge and skills up to date. Staff were knowledgeable about people, their backgrounds and individual needs. Staff understood how to keep people safe and were confident any concerns they raised would be listened to and the appropriate action taken in response.

People’s views and the opinions of their relatives and staff were sought to make improvements to the service provided. People met formally each month to talk about their needs and any concerns they might have. They also talked with staff daily about any issues which were dealt with as they arose. The registered manager worked alongside staff enabling them to lead by example and to also ensure their values were embedded in people’s experience of their care. People told us, “The manager is kind and respects my wishes” and “Staff support us in any way they can.”

The registered manager kept up to date

Inspection areas

Safe

Good

Updated 3 August 2018

The service remains Good.

Effective

Good

Updated 3 August 2018

The service remains Good.

Caring

Good

Updated 3 August 2018

The service remains Good.

Responsive

Good

Updated 3 August 2018

The service remains Good.

Well-led

Good

Updated 3 August 2018

The service remains Good.