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Inspection Summary


Overall summary & rating

Good

Updated 22 May 2019

About the service: Hollyacre Bungalow is a residential care home that was providing accommodation and personal care to nine adults with learning disabilities.

The service is a large home, bigger than most domestic style properties. It is registered for the support of up to 10 people. Nine people were using the service. This is larger than current best practice guidance. However. the size of the service did not have a negative impact on people. This was because the building design fitted into the local residential area. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going out with people.

People’s experience of using this service: Improvements had been made since the last focussed inspection in 7 November 2018. People and their relatives told us the changes had improved the service for the better.

Some new policies and procedures had been introduced by the registered manager however, these were not fully completed. We have made a recommendation for a plan to be put in place to ensure this is completed in a timely manner.

Staff received support and an improved variety of appropriate training and support to meet people’s individual needs. However, there was still training outstanding. We have made a recommendation that a training plan be introduced for all staff.

Changes to the service had a positive impact on people. Improvements were made to ensure care plans were more person centred, using appropriate language and that care and support was individualised.

Regular outings had been arranged for people to be more active in their local community.

New risk assessments were in place. Staff knew how to keep people safe and were trained in safeguarding.

Audits and monitoring systems were effective at managing the service and making improvements.

Robust recruitment and selection procedures ensured suitable staff were employed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to have enough to eat and drink.

Appropriate healthcare professionals were included in people’s care and support as and when this was needed.

People spoke positively about the improvements put in place by the registered manager and the provider. There was an effective quality assurance system in place to ensure the quality of the service and to drive improvement.

There were systems in place for communicating with staff, people and their relatives to ensure they were fully informed via team meetings and communications.

People had links to the local community through regular access to local services.

People were supported to be independent where they could and their rights were respected. Support was provided in a way that put the people and their preferences first. Information was provided for people in the correct format for them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection and update: At the last comprehensive inspection (published 26 July 2018) the service was rated inadequate. This was followed up by a focussed inspection and rated requires Improvement (18 December 2018).

Why we inspected: This inspection was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor information we receive about the service. If any concerning information is received, we may re inspect sooner.

Inspection areas

Safe

Good

Updated 22 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 22 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 22 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 22 May 2019

The Service was responsive

Details in our Responsive findings below.

Well-led

Good

Updated 22 May 2019

The service was well led

Details are in our Well-Led findings below.