The Hollies

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 assessment we rated this key question Good. At this assessment the rating has remained 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 was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The assessments of people’s care showed clear and detailed information about their needs. The care plans were written in a holistic way giving staff detailed guidance on how people required their support. The people living at the service had different communication needs and were supported to use different methods to make their needs known. There was good use of picture boards to effectively support communication. People used some sign language and individual words to help them communicate with staff.

Relatives told us they had a lot of input to their family member’s care plans. One relative told us they had needed to raise a concern about their relative’s care plan, they felt information on some aspects of the person’s care needed to be updated. The registered manager arranged for them to meet and re-write the person’s care plan together and ensure all the information was up to date and correct. The relative told us they and staff had worked hard together to ensure things were right for their family member.

People’s likes and dislikes were well documented in their care plans and there was excellent information on what could make people anxious and how to reduce their anxieties. People had detailed positive behaviour support (PBS) plans in place.

Staff told us they were able to access people’s care plans and if there were any changes to people’s needs these were updated in their care plans. Staff were alerted to any changes via the company’s electronic monitoring systems via a ‘click it’ message that prompted them to read the relevant part of a person’s care plan.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Although people living at the service lacked the mental capacity to make complex decisions, they were supported to make as many of their own decisions about their day to day care as they could. This included when they got up or went to bed, what clothes they wished to wear, what foods they wanted to eat and what activities they wanted to undertake.

People were also supported in line with the Mental Capacity Act 2005. Where people’s liberty had been restricted, the provider had ensured this was done lawfully using the Deprivation of liberty Safeguards (DoLS) process. They ensured people’s needs were properly assessed and supported by their relatives, relevant health professionals and staff. Relatives, relevant health professionals and staff also the used best interest meetings process to ensure any decisions made for people were made in their best interest. Where restrictions had been in place these were reviewed regularly to ensure they were still relevant to people’s care.

Staff were all very clear about people’s rights to refuse care and gave us examples of different strategies used to encourage people to accept care. This included giving people time to process information or change of staff offering a particular aspect of care.