15 August 2023
During an inspection looking at part of the service
Holly House Residential Home is a care home providing accommodation and personal care to up to 28 older people and people living with dementia. At the time of inspection there were 27 people living at the service.
People’s experience of using this service and what we found
People continued to be cared for safely and with compassion. Staff were appropriately recruited and there were enough staff to provide care and support to meet people’s needs.
Effective systems were in place to identify and manage risks to people. These included individual risks such as falls and pressure ulcers and environmental risks.
People were supported by sufficient numbers of staff who knew them well and understood how to meet their needs.
Medicines systems were well organised, there was effective oversight of medicines in place and people received their medicines as prescribed.
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 were protected from infection and the home was well maintained and clean.
The service had a positive ethos and an open culture. The management team were approachable, understood the needs of people, and listened to staff. People that used the service and their relatives had the opportunity to feedback on the quality of the support and care that was provided. There were effective systems in place to monitor the quality of the service and drive improvements.
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 15 November 2022).
Why we inspected
The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of people’s skin and pressure ulcers and meeting people’s health needs. We undertook a focused inspection to examine those risks and reviewed the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Holly House Residential Home on our website at www.cqc.org.uk.