Archived: Hollins Lodge Care Home

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.

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 26 people using the service.

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

Some audits did not identify concerns, drive improvement or were not consistently completed. Some care plans did not have all the information required to lessen the risk around people’s physical and mental health. Best practice around infection prevention was not always followed. Documentation did not indicate recruitment processes had been fully completed. We have made a recommendation about this.

Medicines were stored, managed and administered as prescribed. People were safe and protected from abuse and avoidable harm. Visitors were welcomed into the home and asked to follow infection prevention measures to keep people and staff safe. One person told us, “My son visits whenever he can, and he has never been stopped. They [staff] have been very good to him.”

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. People had access to a range of healthcare professionals and services. People's diets and preferences were catered for and they enjoyed a variety of food and drinks.

People were looked after by kind and caring staff, who were patient in their approach and treated them with dignity and respect. One person told us, “The staff are lovely.” A second person said, “I can have fun with them [staff], they are very understanding.”

People received personalised care that was responsive to their needs and preferences. Activities were planned daily and people could choose whether to participate or not. People we spoke with told us they knew how to make a complaint if they had any concerns. People’s end of life wishes of care were recorded and respected.

The registered manager was aware of their regulatory responsibilities. They had created a welcoming and positive culture at Hollins Lodge Care Home. People and staff were able to share their views on the service delivered. One person told us, “ I wouldn’t like to move from this place, ever.”

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 17 February 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can see what action we have asked the provider to take at the end of this full report.

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 are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to risks related to people’s physical and mental health, infection prevention and governance and auditing at this inspection.

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

Follow up

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.