Archived: Hollins Lodge Care Home

Updated 5 September 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

One inspector and 1 Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Hollins Lodge Care Home is a ‘care home’ without nursing. 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. 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, they were based close by at another home owned by the provider and spent time at both locations. There was also a manager based at Hollins Lodge Care Home.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

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 reviewed information we had received about the service since the last inspection. We sought feedback from Healthwatch, the local authority and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who used the service and 1 relative about their experience of the care provided. We spoke with a further 14 people in group settings in the dining room and lounge. We spoke with 11 members of staff including the registered manager, manager, and deputy manager. We spoke with the administrator, housekeeping, maintenance, and kitchen staff. We had a walk around the home to make sure it was homely, suitable, and safe. We spoke with 2 health professionals 1 who visited the home on a regular basis. We observed the care and support people received. This helped us understand the experience of people who could not talk with us.

We reviewed a range of records. This included 8 people's care records and multiple medication records. We looked at 4 staff files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures.

Updated 5 September 2023

About the service

Hollins Lodge Care Home is a residential care home providing accommodation for persons who require nursing or personal care to up to 31 people. The service provides support to older people and younger adults, people living with dementia and or a physical disability and sensory impairment. At the time of our inspection there were 31 people using the service.

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

Some care plans did not have information related to people’s health conditions or guidance for staff on how to manage the risks and support people effectively. Recruitment processes were not consistently operated effectively. Some audits or assessments did not identify risks to people or the environment. We have made a recommendation about staff training. Not all staff had received mandatory safeguarding training, however, staff were aware of the processes to follow to keep people safe.

Medicines were stored and administered safely. People were supported safely, and the provider had plans in case of emergencies. The home was clean and hygienic, and staff were seen to wear appropriate personal protective equipment (PPE).

The manager and registered manager positively engaged in the inspection process and the registered manager clearly understood their regulatory responsibilities. The manager and staff had been responsive in working with health and social care professionals to improve people’s quality of life. The manager had systems to positively engage with people, relatives and staff and feedback was positive on the staff and managers leadership of the home.

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.

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

Rating at last inspection and update: The last rating for this service was requires improvement (published 04 August 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

At our last inspection we recommended the provider follow best practice guidance on the recruitment of staff. At this inspection we found the provider still needed to make improvements.

The last rating for this service was requires improvement (published 04 August 2022).The service remains rated requires improvement. This service has been rated requires improvement for the last 2 consecutive inspections.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 6 and 7 July 2022, and breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hollins Lodge Care Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to, the management of risk, recruitment and the assessment and monitoring of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.