Holly House Residential Home

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. People had their needs assessed before they moved into the home and were reviewed regularly, and as their needs changed.

People’s history and exposure to trauma had been considered in their care planning and people’s views and opinions were respected, listened to and implemented as part of their day-to-day support.

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.

People told us they were treated with respect and kindness. Throughout our visits we observed staff interacted with people to provide inclusive and person-centred care. People and relatives said they would be comfortable to raise concerns should they need to and they were confident they would be listened to. Staff told us they received ongoing training to make sure their practice was informed by best practice guidelines and legislation.

The team facilitated visits to support important relationships. One person’s relative told us staff had recently set up “a lovely Valentine’s meal at home” for their family member and a friend.

The provider worked across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between or used different services.

People were supported to live a healthy life and professionals were engaged in reviews and assessments to make sure relevant information was incorporated into people’s care plans.

Staff worked with other professionals to make sure people’s needs were met. This included GPs, speech and language therapists, specialist nurses and occupational therapists. Changes in people’s presentation, emotional state or deterioration in their health or wellbeing were recognised by staff. We saw that when people’s needs had changed, the service had escalated this to relevant agencies, sought advice and adapted their care and support to suit people’s needs.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives.

Staff supported people to manage their health conditions whilst respecting people’s choices and rights. They sought support from healthcare services where appropriate. For instance, we saw people had regular reviews with their GP and had been supported to attend medical appointments to support their physical and mental wellbeing.

People told us they were provided with advice and support on managing their health and wellbeing. Relatives confirmed staff supported people to have access to the healthcare support they needed. One person told us they liked to be as independent as possible, and staff encouraged them in this.

The provider routinely monitored people’s care and support to make sure it was delivered consistently by staff, in a person-centred way that was specific to their needs. There were processes in place to monitor people’s wellbeing and the care people received. This included discussion with people and those close to them and reviews of people’s care records. People’s skills, life experience and strengths were discussed with them regularly, to understand how their choices and goals could be planned for and achieved.

The provider’s monitoring systems and processes helped staff to identify and respond to changes in people’s health and wellbeing in a timely way.

The provider told people about their rights around consent and respected these when delivering person-centred care and support. People were involved in any decisions made, making their own choices and decision on a day-to-day basis about all aspects of their lives, such as, what they ate and how they spent their day.

The provider made sure people were supported in the least restrictive way. Where restrictions were necessary to keep people safe, good practice was followed and other options had been considered. Staff understood the requirements of the Mental Capacity Act and associated codes of practice. Staff had a good understanding of the Mental Capacity Act and how to use it if a person lacked the capacity to make a specific decision.