Archived: Hollycroft Care Home

Updated 2 June 2015

We undertook an unannounced focused inspection of Hollycroft Care Home on 7 April 2015. This inspection was to check that improvements to meet legal requirements planned by the provider after our 28 October 2014 inspection had been made. The inspection team checked improvements had been made in all areas where breaches were identified. The inspected was unannounced.

During this inspection the team inspected the service against four of the five questions we ask about service; is the service safe, is the service effective, is the service responsive and is the service well led? This is because the service was not meeting relevant legal requirements in these areas.

The inspection was undertaken by two inspectors.

During our inspection we spoke with six people who lived at the home, a relative, the manager, three members of care staff, and one domestic staff. We reviewed the care records of five people who lived at the home and other documentation relating to the management of the service.

Updated 2 June 2015

We carried out an announced comprehensive inspection of this service on 28 October 2014. Breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches.

We undertook this focused inspection on 7 April 2015 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hollycroft Care Home on our website at www.cqc.org.uk

At the April 2015 inspection we found the new manager had completed the registration process and was now the registered manager for the service.

People and their relatives spoke positively about the service and staff told us they had confidence in the management. We found significant improvements had been made and the home was now compliant with all the regulations we looked at. However, there were only 12 people living at the home which is registered to provide care to 30 people. For us to be assured that the service was able to consistently able to provide good care we would need to see evidence that these improvements were sustained over time and with a greater occupancy level.

Staffing levels were appropriate and people received care in a timely fashion. There was also a good level of management support available in the home.

Systems were now in place to ensure that staff promptly reported incidents such as safeguarding incidents and falls. We looked at how incidents had been managed and saw examples were appropriate action had been taken to help keep people safe.

Staff we spoke with had a good understanding of the Mental Capacity Act (MCA) and how to ensure the rights of people with limited mental capacity when making decisions was respected. We found the home to be meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). Covert medicines were administered correctly in line with the required legal frameworks.

People’s care needs were appropriately assessed and care was delivered to meet their individual needs. Care documentation was up-to-date and there was evidence that regular changes were made to respond to people’s changing needs.

Systems were in place to regularly assess and monitor the quality of the service. This included checks on staff competency, a range of audits such as medication and mealtime experience and regularly seeking the views and feedback of people who used the service.