The Hollies Rest Home

Updated 17 November 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

The Hollies Rest Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Hollies Rest Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced on the first day and announced on the second day.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We carried out a tour of the home to ensure it was safe and suitable to meet people's needs. We also observed the delivery of care and support at various times throughout the day. We spoke with 5 people who lived at the home, the registered manager, the care manager, the compliance and support manager, the cook, 2 senior carers and 2 members of care staff.

We looked at records in relation to people who used the service including 3 care plans, medication records and systems for monitoring the safety and quality of the service provided. We also looked at staff training and quality assurance records.

After the inspection

We spoke with 3 relatives of people being supported at The Hollies, to help us understand their experience of the care and support received by their loved one.

Updated 17 November 2023

About the service

The Hollies Rest Home is a residential care home providing personal care to up to 23 people. The service provides support to older people, including those living with dementia. At the time of our inspection there were 19 people using the service.

The Hollies Rest Home is a large adapted house, with 4 floors and lift access to all floors. There were communal lounges and a dining room located on the ground floor. People also had access to a private and enclosed rear garden.

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

Whilst accidents and incidents were analysed to ensure the home had an accurate picture of safety at any given time, we have made a recommendation about recording further detail in the analysis.

Whilst we were assured people were supported to take their medicines in a safe way, we have made a recommendation that PRN (as and when required medicines) protocols are put into place to help further guide staff.

Whist we were assured people received the care and support they required, care records did not always best evidence this. We have made a recommendation about the importance of maintaining contemporaneous records in relation to people’s food and fluid intake.

We were assured people received care and support based on their needs, however, care plans required further detail to provide robust guidance for staff. We have made a recommendation about updating people’s care plans.

Risks to people's health, safety and well-being were assessed. Staff had access to information about how to manage people's identified risks and support them in a safe way.

Safeguarding processes were in place to help ensure people were protected from the risk of harm.

Staff were recruited safely and there was enough staff on duty to meet people’s needs in a timely way.

People were 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 and were followed by the provider in line with the Mental Capacity Act.

People were supported by staff who were familiar with them and their needs and preferences. People told us staff were kind, caring and treated them with respect. The home had a relaxed, calm and ‘family’ feel.

Staff spoke positively about the support provided by the management team and were keen to tell us how much they enjoyed working at The Hollies Rest Home.

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

Rating at last inspection

This service was registered with us on 29 May 2019, and this is the first inspection.

The last rating for the service under the previous legal entity was good, published on 19 October 2016.

Why we inspected

We carried out this inspection to award the service with a rating.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.