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Inspection Summary


Overall summary & rating

Good

Updated 25 October 2017

This inspection took place on 10 July 2017 and was unannounced. This was the first rating inspection of this service since they registered with us in August 2015.

Holly House provides accommodation and personal care for up to 8 younger adults living with dementia and mental health issues. There were 8 people living at the service at the time of our inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The culture of the service was to promote people’s wellbeing whilst providing personalised care and support. People were at the heart of the service and people’s expectations were exceeded in relation to the support provided to them. Staff were aware of people’s likes and dislikes, their aspirations and how they wished to spend their days. People were encouraged to take part in a variety of activities that were of interest to them and chose to have busy lives. Great efforts were made to ensure people maintained relationships with those important to them. People’s care needs were regularly reviewed and staff made aware of any changes in their care needs immediately.

People felt safe and confident in the care of the staff who supported them. People were protected from harm because there were systems in place to identify and manage risks associated with their needs. Staff were aware of their responsibilities to act on any concerns they may have regarding people’s wellbeing and additional support was sourced where appropriate, to keep people safe from harm.

People were supported by staff who received a comprehensive induction and were well trained. Systems were in place to ensure staff had the most up to date skills they needed to meet the individual needs of the people they supported. People were supported by sufficient numbers of staff with the right skill mix to meet their needs.

Systems were in place to ensure people received their medicines as prescribed by appropriately trained staff.

People were supported by staff who were aware of their healthcare needs and worked effectively with other agencies to promote their health and well-being. People were supported to have sufficient food and drink to remain healthy and solutions were sought to support people to make healthy choices which may have a positive impact on their well-being.

People were complimentary about the staff who supported them and benefitted from positive relationships with staff and other people living at the home. Staff respected people’s privacy and dignity and were respectful when supporting people with their needs.

There was a system in place for investigating and recording complaints and people were confident that if they did have any concerns, they would be dealt with appropriately. People were given the opportunity to have their voice heard and provide regular feedback on the service.

Staff felt listened to and supported and were well motivated and enjoyed their work.

Regular audits took place to continually assess the quality of the care provided. There was a strong emphasis on continual improvement and striving to provide a quality service in order to support people to live healthy, interesting and fulfilling lives.

Inspection areas

Safe

Good

Updated 25 October 2017

The service was safe.

People were supported by staff who had received training in how to recognise signs of abuse. Staff were aware of how to manage risks to people and support them safely. People were supported to take their medicines.

Effective

Good

Updated 25 October 2017

The service was effective.

People were supported by staff who received an induction and ongoing training which provided them with the skills and knowledge required to meet people�s needs effectively. Staff obtained people�s consent prior to supporting them. People had access to sufficient food and drink and their preferences were respected. Support from a variety of healthcare professionals was made available to assist people to maintain good health.

Caring

Good

Updated 25 October 2017

The service was caring.

People highly praised the staff who supported them and described them as kind and caring. Staff treated people with dignity and respect and encouraged people to maintain their independence. People had choice and control in their lives.

Responsive

Outstanding

Updated 25 October 2017

The service was responsive.

People�s expectations were exceeded in relation to the support provided to them. Great efforts were made to ensure people maintained relationships with those important to them. People were supported to take part in a variety of activities that were of personal interest to them. People chose to have busy lives and enjoyed taking part in a range of experiences. People were encouraged to give their views on the service and were confident that if they raised any concerns they would be dealt with appropriately.

Well-led

Good

Updated 25 October 2017

The service was well led.

People were complimentary of the registered manager and staff group and considered the service to be well led. The registered manager and provider worked to provide a service that gave people the opportunity to live full and active lives, supported by caring and well trained staff. Staff spoke positively about the support they received and were proud to work for the service. Audits were in place to continually assess the quality of service provided.