Hollybank Nursing 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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.The service was previously in breach of legal regulation as we had found some people were deprived of their liberty without the legal authorisations been sought. At this assessment we found improvements had been made and the provider was no longer in breach of this regulation.

This service scored 62 (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. Assessments of people's needs had been carried out prior to people using the service and involved the person and, where appropriate, their relatives and healthcare professionals, to ensure the service was able to meet the person's needs and preferences. The registered manager told us how they also considered the needs of others when assessing a person’s suitability for the service. Relatives confirmed people’s needs had been assessed and their care plans were regularly reviewed and updated. One relative told us, “Absolutely we were involved with [person’s] care plan they spent four weeks assessing him. They discussed everything with us.” Another relative told us, “We had a meeting a couple of weeks ago with the manager, the council and [person] and I went through it. I received a copy of their care plan a few days later.”

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.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People had regular input from external agencies to meet specific needs that staff had identified such as choking risks and support with their nutrition. Staff continuously monitored people’s health conditions where appropriate and evidence-based tools were used to support this practice. Relatives confirmed that staff identified and responded promptly to changes in their family members health. Relatives also spoke positively about the service had how their family members were supported. One relative told us, “[Person] has improved since being in there” and another relative told us, “I’m very happy, [person] is being well looked after.”.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People had mental capacity assessments and best interest decisions in place when relevant. We reviewed mental capacity assessments and best interest decisions and found they had been completed in line with best practice, they contained details on how information had been provided and adapted to meet people’s their individual needs. This maximised people’s opportunities to make a decision about their care themselves. Staff had received training on the Mental Capacity act 2005 and were knowledgeable on how to support people in line with the act. One staff member told us, “Everyone has right to do what they want, if they want to stay in bed, we check they are ok, if they want do to activities, where they want to sit, it’s their choice there are no rules on this”. People confirmed staff supported their decisions. The service had made appropriate Deprivation of Liberty Safeguards (DoLS) applications and monitored the progress of the applications.