Hollin Knowle Residential Care 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 inspection we rated this key question as good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
 

This service scored 71 (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 individual care plans and risk assessments in place which had been developed to meet their current needs. People and other specialist healthcare stakeholders were involved in the initial care needs assessment and periodic review of their care plans where appropriate.
People’s care plans identified their care needs but also referred to people’s individual strengths and ways in which their control and independence could be supported and encouraged.
People’s healthcare needs were assessed and detailed in their care plans. People were supported to engage in community healthcare services, as well as more specialist healthcare services, to ensure their health care needs were met.
People’s assessments included details of their communication needs. People’s care plans also detailed when changes in people’s physical presentation, or emotional state, may indicate a deterioration in their health or wellbeing.
 

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’s care needs were detailed in their care plans, including guidance on how their specific needs were to be met. A person’s relative told us, “They were concerned about [relative] not eating for a while when they first arrived, so they gave them regular small snacks to reintroduce eating again. Now they are eating meals again.”
 

The provider worked well 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 different services.
People were supported by a registered manager and staff who worked well with other external health and social care professionals and bodies. An external healthcare professional told us, “I have a good working relationship with the registered manager and the senior carer, or whoever is covering the shift. They are approachable, communicate well, and respond promptly to advice or actions suggested. Communication is always clear whether this is via telephone, email, or written correspondence.”
The registered manager ensured information was shared in a timely manner by everyone involved in people’s care. This all helped to ensure a joined up, consistent approach to delivering care to people in line with their individually assessed needs and preferences.
Staff had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support.
 

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.
People were encouraged and supported to make decisions about their own care needs. Staff encouraged and supported people to make healthier choices to help promote and maintain their health and wellbeing but were also mindful that the person had the final say on decisions relating to their care.
The provider’s staff regularly monitored people’s health and supported people to access external primary healthcare support from GPs etc, as well as specialist hospital support when needed. A person’s relative told us, “[Relative] had a [broken bone] when they moved in, and the staff dealt with the leg brace that was needed well. They also helped with the pain, by making sure they had the painkilling medicines.”
 

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.
People’s relatives told us people did not always receive positive outcomes from the service. For example, a person’s relative told us a person relied on using hearing aids but the batteries for that device were often flat. The provider had not put in place the necessary arrangements to ensure staff regularly checked the condition of the person’s hearing aid batteries. That adversely affected the quality of life of the person and their ability to communicate.
Another person’s relative told us, “[Person] has got worse in the short time they have been living here. They can't speak or walk now. They could do that when they first arrived. But staff haven't been helping [Person] to keep moving or interacting with them very much.”
This meant continuous improvements were not being made to the way people received care from the provider, and they were not always experiencing improved outcomes as a result.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Staff supported people to exercise their rights. Staff encouraged people to make decisions about aspects of their daily care routines, and staff told us they always obtained consent from the person before supporting them with personal care tasks.
People’s care plans contained assessments of people’s individual capacity to consent to specific decisions about their care. Where people were unable to meaningfully consent, appropriate best interest decisions were made and recorded in their care plans.