We carried out a review of the data available to us about Holyhead Care Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Holyhead Care Centre, you can give feedback on this service.
We found examples of good practice.
Detailed and up to date policies and risk assessments were in place to reduce the risk of infection to people living at the home.
Comprehensive checks were in place for visitors on their arrival. This included vaccination status, temperature checks and wearing personal protective equipment (PPE).
COVID-19 tests were carried out three times a week as a minimum for staff and every 28 days for people living at the home.
The home appeared clean and well maintained.
Staff were observed wearing PPE in line with Government guidance.
The manager monitored staff compliance by observing practice, to ensure that it was in line with their training.
Holyhead Care centre is registered to provide accommodation and personal care for up to 26 people with mental health support needs. At the time of inspection, 23 people were using the service.
People’s experience of using this service:
People continued to receive safe care. Staff understood safeguarding procedures that should be followed to report abuse and incidents of concern. Risk assessments were in place to manage risks within people’s lives, whilst also promoting their independence.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out . Staffing support matched the level of assessed needs within the service during our inspection.
Staff training was provided to ensure they had the skills, knowledge and support they needed to perform their roles. Training was provided to make sure that people’s needs were met and they were supported effectively.
Staff were well supported by the registered manager, and had one to one supervisions . The staff we spoke with were all positive about the senior staff and management in place.
People's consent was gained before any care was provided. 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
Staff continued to treat people with kindness, dignity and respect and spent time getting to know them. Care plans reflected people’s likes and dislikes, and staff spoke with people in a friendly manner.
People were involved in their own care planning and were able to contribute to the way in which they were supported. People and their family were involved in reviewing their care and making any necessary changes.
A process was in place which ensured people could raise any complaints or concerns. Concerns were acted upon promptly and lessons were learned through positive communication.
The service continued to be well managed. The provider had systems in place to monitor the quality of the service. Actions were taken and improvements were made when required.
Rating at last inspection:
Good (report published 25/12/15)
Why we inspected:
This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
Holyhead Care Centre is a care home providing personal care and accommodation for a maximum of 24 people. It supports younger and older adults with mental or physical health care needs. At the time of our visit there were 24 people living at the home.
The home has a registered manager. 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.
People who lived at Holyhead Care Centre felt safe and were supported by staff who had undertaken training to support with people who had mental and/or physical health conditions.
Staff understood the provider’s policies and procedures on how to safeguard people from abuse. They followed people’s individual risk assessments which provided them with information on potential risks associated with people’s care and how to manage them.
Recruitment checks were carried out prior to staff starting work at Holyhead Care Centre to ensure their suitability to work with people in the home.
Whilst most medicines were managed and administered safely, further information was required for when people should be given medicine that was prescribed on an ‘as required’ basis. The registered manager had a good understanding of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Staff had undertaken training to help ensure they understood how people who lacked capacity could be supported to make decisions.
Staff understood the importance of obtaining people’s consent before undertaking care and support. We saw people had been assessed to determine how decisions could be made in their best interests and applications for DoLS had been completed and were in the process of being assessed by the Local Authority.
There were sufficient staff to meet people’s needs both in the home, and to support people with their hobbies and interests outside of the home. People received care and support which was tailored to their individual needs. People enjoyed the food provided at the home and were involved in menu planning.
Staff were motivated to work with people who lived at Holyhead Care Centre and had a caring approach. They treated people with dignity and respect.
Staff and people who lived at the home told us they had confidence in the management team. They told us they felt that they were approachable and that they could discuss any concerns or issues with them.
There were systems in place to monitor the quality and safety of the service, these were effective and action had been taken to address any problems identified in the home.
We observed interactions in the home and looked at a sample of care records. We saw staff were attentive to the needs of people in the home, consulted them and explained what was happening. We found it difficult at times to understand what some people at the home were trying to tell us. Members of staff were able to understand and assist people in ensuring we understood them. We saw that staff enjoyed a good rapport with people who lived at the home. We saw lots of smiles from people. We had positive responses from people in the home, such as “I like the staff” “The staff are good” and “The food is good”.
Staff we spoke with were very positive about working at the home. Most staff had worked at the home for several years. Staff showed a good knowledge of the needs of people in the home and supported them in accordance with those needs.
We noted a few minor shortcomings in the environment and were assured by the manager that these were in the process of being improved.
The report from the provider told us that all staff had received training for moving and handling. It also told us that moving and handling was being regularly monitored by the manager. The report also told us a system for ensuring a full induction for all new staff had been put in place.
We spoke with the manager by telephone on 15 February and they told us that regular observations showed staff were moving and handling people appropriately. The manager also told us all new staff were receiving a full induction.
We spoke with the local authority and they told us they had no concerns about the service in these areas.
We observed good positive interactions between staff and people who lived at the home and heard positive remarks by people about the home and staff.
One person said “I really love it here. They have a lift which helps me get around and I can smoke in the outside smoking area”.
Another person living at the home referred affectionately to a member of staff: "This is a nice little girl here - she's my friend".
.
The home supports people to do a wide variety of activities in and out of the home. Concern was expressed by one member of staff regarding appropriate manual handling of people. We found some uncertainty over whether this was being done appropriately at all times.
We found that one person had recently commenced work at the home without evidence of a proper induction.