Little Holland Hall

Updated 1 January 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

This inspection was carried out by one inspector over two days.

Service and service type

Little Holland Hall 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.

Notice of inspection

This inspection was unannounced.

What we did before 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 (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and what improvements they plan to make. This information helps support our inspections.

During the inspection-

We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with eleven members of staff including the registered manager, the clinical lead, nurses, senior care workers, an agency nurse and the activity co-ordinator.

We reviewed a range of records. This included three people’s care records, medication records and a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 1 January 2020

About the service

Little Holland Hall is a residential care home providing personal and nursing care to people aged 65 and over. The care home accommodates up to 41 people in one adapted building over two floors. There were 37 people accommodated at the time of the inspection.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

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

Staff treated people with compassion and kindness. People and relatives spoken with were consistently positive about the caring attitude of staff; one person summed it up, “Good home, good food and very good company – I like it here a lot!”

The atmosphere of the service was comfortable and homely. Staff understood people’s care and support needs, wishes and choices and any associated risks to their health and welfare. 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; policies and systems in the service supported this practice. Staff treated people as individuals, quickly responded to their changing needs and delivered planned and sensitive care and support.

The service was open and inclusive. Staff encouraged and supported people to keep relationships that were important to them and arrangements were in place to meet people’s social and emotional needs. Staff worked well with external health care professionals to ensure people received joined-up care. People received their medicines safely.

The service was consistently well-managed, the culture of the service was positive and person centred, with a clear vision and values.

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 28 April 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.