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The Hollins Residential Care Home Good

Reports


Inspection carried out on 7 November 2019

During a routine inspection

About the service

The Hollins Residential Care Home was providing personal care to one person at the time of the inspection. The service can support up to two people who have a learning disability.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

We have made a recommendation about the recording of medicines and monitoring of the person's care.

The person who used the service was supported by enough safely recruited staff, who had the skills and knowledge to provide effective support. The person received their medicines as required, their risks were lowered, and infection control practices were followed. The provider and staff understood how to safeguard the person from the risk of abuse.

The person was supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Healthcare professionals were accessed when needed and advice received was followed by staff. The provider and staff ensured that the person was supported to eat and drink sufficient amounts.

The provider and staff supported the person in a caring way and promoted choices in a way that they understood, this meant the person had control and choice over their lives. Staff provided dignified care, promoted independence and respected the person’s privacy.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The provider involved the person in their care and supported them in line with their wishes and diverse needs. Complaints were listened to and the provider understood the person’s advance wishes for their future care needs.

The provider and staff were committed to providing a good standard of care, which was focused on person centred care.

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

Rating at last inspection

The last rating for this service was Good (published 11 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 31 March 2017

During a routine inspection

This inspection took place on 31 March 2017. The provider was given 24 hours' notice because the service was a small care home supporting one person. The person and provider are often out during the day and we needed to be sure that someone would be in.

Our last inspection took place in December 2015 and at that time we found that the provider was required to make improvement to the service. At this inspection we found that these improvements had been made.

The Hollins Residential care Home is registered to provide accommodation and personal care for up to two people who may have a learning disability. At the time of our inspection, one person was using the service.

The provider is registered with us as a single provider and therefore there is no requirement for a registered manager. The service is managed by the provider.

The person was protected from the possibility of harm or abuse by a staff team who were knowledgeable about how to prevent this happening. The person was involved in the decisions about their care and support at all times. They were supported to choose how they lived their life on a day-to-day basis.

The person was supported to have their choice of food and drink. They were able to access the services of healthcare professionals as required, including healthcare screening. the person was supported to take their medicines as prescribed.

The person was supported by a close staff team who were knowledgeable about their role.

The person was treated with kindness, empathy and courtesy at all times by the staff team. They were supported to express their individuality at all times. The person was encouraged to develop friendships in the local community.

The provider had systems in place to ensure the person received high quality support to live their life as they wished.

Inspection carried out on 8 December 2015

During a routine inspection

This inspection took place on 8 December 2015. The provider was given 24 hours’ notice because the service was a small care home supporting one person. The person and provider are often out during the day; we needed to be sure that someone would be in.

Our last inspection took place in April 2013 and at that time we found that the provider was meeting the regulations that we inspected against.

The Hollins Residential care Home is registered to provide accommodation and personal care for up to two people who may have a learning disability. At the time of our inspection, one person was using the service.

The provider is registered with us as a single provider and therefore there is no requirement for a registered manager. The service is managed by the provider.

The person who used the service felt safe and the provider recognised some situations that could be considered abusive. However, the provider and staff member were unaware of local safeguarding adult’s procedures which meant there was a risk that safeguarding concerns could go unreported.

People’s risks were not always assessed and managed individually to promote people’s safety and wellbeing. The provider said they completed risk assessments daily however this was not documented so there was a risk that people were not supported safely and consistently.

The person who used the service told us they had their medicines when they needed them and we saw that medicines were stored safely. There were enough staff to safely meet the person’s needs.

The person was supported and encouraged to make decisions about their care. However, the provider and staff member were unaware of their legal responsibilities under the Mental Capacity Act 2005 which meant that the person’s legal and human rights may not have been upheld.

We observed that staff had the skills to support people effectively. However, the provider and staff member had not been trained to support the person in line with best practice.

People had enough to eat and drink and were offered choice and flexibility about their food and drinks. They were encouraged to stay healthy and had access to health professionals when they needed them.

People were treated with kindness and compassion by staff who knew them well. People’s privacy was respected and they were encouraged to be independent and participate in the running of the home and the local community.

People received care that met their preferences and they were enabled to follow their interests. The person felt able to approach the provider with any issues or concerns.

There was a homely and relaxed atmosphere at the home and the person was treated as part of a family.

The provider acted upon issues as and when they arose, however there was no formal recording of this. The provider was unaware of the requirements of registration with us.

There were no daily records or recording of medication administered to the person who used the service. There were no records in relation to staff employed at the service. This meant there was a risk that the person may receive inconsistent or unsafe care if the provider were unavailable.

These issues resulted in a breach of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Inspection carried out on 26 April 2013

During a routine inspection

The home supported one person, who lived as part of the family in a small, personalised service. We spent time in the home and found that the person was happy, settled and well cared for. We were told, "I am at home." Their routines were flexible and they were supported to live a full a life as possible.

The person�s individual needs were understood and met well. They were supported to attend their health appointments and receive their medication when needed.

The owner kept appropriate records relating to the person�s care and the management of the home.

Inspection carried out on 22 October 2012

During a routine inspection

People living at the home lived as part of a family in a small, personalised service. Their individual needs were understood and met well. People were happy and well cared for. We were told, �I am happy and safe, and at home.�

People�s routines were flexible and people were supported to live a full a life as possible. The provider supported people to be involved in the local community. They enjoyed going shopping and bingo, where they go regularly.

The home was furnished to a high standard and was comfortable and homely.

The provider needed to maintain daily records of how people have been and how they have spent their day to ensure that an ongoing record of care and support provided was maintained.