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Inspection Summary


Overall summary & rating

Good

Updated 12 June 2018

Hollybank is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection.

Hollybank is located in the village of Botley on the outskirts of Southampton. Hollybank provides care and accommodation for up to 23 older people who are physically frail or may be living with dementia. At the time of our inspection there were 21 people living at the home. The home provides long term care and respite care. It does not provide nursing care. There is a car park located at the front and a garden to the rear of the property. The accommodation is arranged over two floors with a passenger lift, stair lift and stairs available for accessing the first floor. The home offers 17 single rooms and three shared rooms. All the rooms have ensuite facilities.

At our last inspection in February 2017, the service was rated as ‘requires improvement’ and was not meeting the legal requirements in relation to medicines management. This inspection found that whilst some improvements had been made, some concerns were still identified with regards to the safety of medicines management.

Overall risks to people’s safety and wellbeing were assessed and planned for, but people’s care plans and other records relating to their care did not always reflect this.

The recruitment practices and checks were not always sufficiently robust.

People were appropriately protected from harm or abuse as staff had received training in safeguarding adults, and had a good understanding of the signs of abuse and neglect.

There were sufficient numbers of experienced staff to meet people’s needs.

The home was clean and good infection control practices were followed.

Staff worked in accordance with the Mental Capacity Act 2005 and the deprivation of liberty safeguards were applied appropriately.

Staff received training, supervision and an induction which ensured they had the skills and knowledge to support people appropriately.

Hollybank provided a secure but comfortable and homely environment that was appropriate to people’s needs.

People’s nutritional needs were met and where necessary a range of healthcare professionals had been involved in planning and monitoring people’s support to ensure this was delivered effectively.

People were cared for by staff that were kind and caring and with whom they had developed good relationships. People were treated with dignity and respect.

Staff had a good knowledge and understanding of the people they were supporting which helped to ensure people received care and support which was responsive to their needs.

People were engaged in activities that were meaningful to them and were supported to retain links with their local community.

Complaints procedures were in place and information about how to make a complaint was freely available within the service.

People spoke positively about the leadership of the service.

There were systems in place to assess and monitor the quality and safety of the service and to ensure people were receiving appropriate support.

Inspection areas

Safe

Requires improvement

Updated 12 June 2018

The service was not always safe.

Further improvements were needed to ensure that people�s medicines were managed safely.

Overall risks to people�s safety and wellbeing were assessed and planned for, but people�s care plans and other records relating to their care did not always reflect this.

The recruitment practices and checks were not always sufficiently robust.

People were appropriately protected from harm or abuse. There were sufficient numbers of experienced staff to meet people�s needs.

The home was clean and good infection control practices were followed.

Systems were in place to monitor incidents and accidents and to learn from these in order to keep people safe.

Effective

Good

Updated 12 June 2018

The service remained effective.

Staff worked in accordance with the Mental Capacity Act 2005 and deprivation of liberty safeguards were applied appropriately.

Staff received training, supervision and an induction which ensured they had the skills and knowledge to support people appropriately.

Hollybank provided a secure but comfortable and homely environment that was appropriate to people�s needs.

People�s nutritional needs were met. Where necessary a range of healthcare professionals had been involved in planning and monitoring people�s support to ensure this was delivered effectively.

Caring

Good

Updated 12 June 2018

The service remained caring.

People were cared for by staff that were kind and caring and with whom they had developed good relationships.

People were treated with dignity and respect and supported to maintain their independence.

Responsive

Good

Updated 12 June 2018

The service remained responsive.

Staff had a good knowledge and understanding of the people they were supporting which helped to ensure people received care and support which was responsive to their needs.

People were engaged in activities that were meaningful to them and were supported to maintain links with their local community.

Complaints procedures were in place and information about how to make a complaint was freely available within the service.

Well-led

Good

Updated 12 June 2018

The service was now well led.

People spoke positively about the leadership of the home.

There were systems in place to assess and monitor the quality and safety of the service.