Background to this inspection
Updated
21 November 2019
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
One inspector carried out this inspection.
Service and service type
Holly lodge 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 CQC. This means that 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 available to us about this service. This included details about incidents the provider must notify us about, such as abuse. We sought feedback from the local authority. The provider sent us a provider information return prior to the inspection. This is information we require providers to send us to give some key information about the service, what the service does 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 the registered manager, the area manager, two care workers and five people who use the service. We looked at two people’s care records in full. We also looked at people’s medication administration records and a selection of documentation about the management and running of the service. We looked at recruitment information for two members of staff, staff training records and policies and procedures.
After the inspection
We contacted two social care professionals. One gave feedback about the service.
Updated
21 November 2019
About the service
Holly Lodge is a residential care home, based across two adjacent houses, supporting up to 19 people. The service was registered to support people who have a mental health condition.
People’s experience of using this service
We received positive views from people about the support provided. Care and support was tailored to each person's needs and preferences. People were supported to remain independent and access to activities within the local community was promoted and supported.
People were fully involved in developing and updating their planned care and risk management plans. Staff knew people’s likes and dislikes well and people felt happy with the support they received.
People’s communication needs were known and met. Recruitment checks were in place to ensure staff were suitable to work at the service. Staff had received regular ongoing training and support to enable them to carry out their role. Staff were skilled to meet the needs of people.
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. People received their medicines on time and their health was well managed. Staff had positive links with health care professionals which promoted people’s wellbeing.
Relatives and staff told us the registered manager and management team were approachable. All feedback was used to make continuous improvements to the service. The provider had systems in place to safeguard people from abuse. Staff demonstrated a clear awareness of safety and how to minimise risks to the people who used the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.