Background to this inspection
Updated
8 April 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Holly Dyke is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make.This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with five of the six people who used the service and one relative about their experience of the care provided. We spoke with six members of staff including the registered manager, deputy manager and support workers.
We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at three staff files in relation to recruitment, training and staff supervision. A selection of records relating to the management of the service, including the development plan, rosters, meetings and quality audits were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We received information related to training and quality reviews.
Updated
8 April 2020
About the service
Holly Dyke is a residential care home for up to six people living with a learning disability. It is operated by Walsingham support, who provide residential homes and community support to people throughout England. People had single bedrooms and there were suitable shared facilities and a pleasant garden.The home does not provide nursing care.
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
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. 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.
Holly Dyke is an exceptionally well-led service with a commitment to quality. The registered manager had maintained and developed the staff team’s commitment to a service that engaged fully with people. The registered manager and her team were well respected in the local area and nationally. The team had come first the national Learning Disability and Autism Awards for care homes.
The service supported people to have meaningful individual, person-centred activities, including sporting and social activities, which were often based in their static caravan on the Cumbrian coast. People and the staff worked towards individual goals and also had projects in place that would benefit everyone in the home. These included a welfare project where people and staff increased their daily walking steps and ongoing fundraising to buy a new caravan for the people in the home. People had become more independent, had travelled, studied and undertaken voluntary work.
The service provided an outstandingly caring approach where the staff team put the needs of people first and where person-centred care was fundamental. Staff worked hard to support people to live as independently as possible. People’s needs, and wishes were recognised and met in an exceptional way. The team overcame barriers and encouraged people to achieve their dreams, maintain good health and become as independent as possible.
People told us they felt very safe. Staff understood their responsibilities in protecting people from harm and abuse. New members of staff had been suitably vetted. Accidents and incidents were responded to appropriately. Staffing arrangements ensured that people got the best care possible.
Staff had an in-depth and far reaching understanding of individual needs and wishes. The staff team had suitable training and experience in their different roles. Good attention was paid to health needs and people had their nutritional needs met well.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
Outstanding (4 August 2017).
Why we inspected:
This was a planned inspection based on the previous rating
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.