Hollands Care Home

Hollands Care Home is a detached two-storey purpose built residential care home providing personal care to up to 39 people in one adapted building. There are shared communal areas, including bathrooms and lounges. The service provides support to older people and younger adults, including people living with dementia, substance misuse or mental health conditions. At the time of our inspection there were 33 people using the service.

People’s experience of the service and what we found:

Systems in place helped safeguard people from the risk of abuse. Assessments of risk and safety and supporting measures in place helped minimise risks. Staff managed people’s medicines safely. Staff followed infection prevention and control guidance to minimise risks related to the spread of infection. Staffing levels were sufficient to meet people’s needs and managers recruited staff safely.

Care plans included information about support required in areas such as nutrition, mobility, and personal care to help inform care provision. Staff made appropriate referrals to other agencies and professionals when required.

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 told us they were well treated, and their equality and diversity respected. People felt staff respected their privacy and dignity and took into account their views when agreeing on the support required. Staff identified people’s communication needs and addressed these with appropriate actions.

The provider and registered manager responded to complaints appropriately and used these to improve care provision. The provider and registered manager were open and honest, in dealing with concerns raised. The registered manager was available for people to contact, and undertook regular quality checks, to help ensure continued good standards of care.

The provider and registered manager followed governance systems which provided oversight and monitoring of the service. These governance systems and processes ensured the service provided to people was safe.

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 21 September 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Hollands Care Home on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Hollands Care Home is a residential care homes located in Bolton. The home provides personal care and accommodation for up to 39 people, some of whom are living with conditions such as dementia, substance misuse and other mental health related conditions. At the time of the inspection there were 29 people living at the home.

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

Prior to our inspection, we received concerns in relation to people’s care needs not being met and risks not being managed. More specifically, this related to a potential ‘Closed Culture’ within the service. A closed culture is a poor culture in a health or care service that increases the risk of harm and can include abuse and human rights breaches. We used this information when planning our inspection and as such, carried out a ‘Targeted’ inspection looking at the Well-led key question only. A targeted inspection focuses on specific areas of concern we may receive from various intelligence sources.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions (Safe, Effective, Caring and Responsive). We therefore did not include them in this inspection. As this was a targeted inspection and did not cover all five key questions, an overall rating for the location will not be produced.

We received positive feedback about the management and leadership from everybody we spoke with including staff, people using the service and relatives. Staff told us there was a positive culture at the service, with good team work throughout. Nobody told us they had experienced bullying, harassment, or felt mistreated in any way. Staff said they enjoyed coming to work each day and had developed kind and caring relationships with both people living at the home and the rest of the team.

There were systems in place to seek and act on feedback to improve the quality of service. Appropriate governance and quality assurance systems were in place to monitor the service effectively. The home had developed a number of links within the local community and worked in partnership with a number of other organisations.

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)

We last inspected Hollands Care Home in September 2017. The overall rating was Good.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

We last inspected the Hollands on 04 August 2015 and the overall rating for the service was good.

The Hollands is a detached two-storey purpose built home situated in the centre of Farnworth, Bolton, close to shops, local amenities and public transport. It has a car park to the front of the home.

The Hollands is registered to care for 39 people, predominately under 65 years of age. The Hollands provides services to people who require nursing and personal care, physical and learning disabilities and mental health problems. The service provides specialist care in alcohol and drug dependence, bipolar and manic depression, epilepsy head and brain injury and schizophrenia. There were 32 people using the service at the time of the inspection.

The home had a manager in post who was in the process of registering with the Care Quality Commission (CQC). The manager was an experienced manager who had previously been registered with the CQC. 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.

We found that privacy and dignity of people who used the service maintained. Staff treated people with respect and staff interaction with people was good.

We found there were enough staff on duty to meet people’s needs. Staffing levels were based on an accurate and current assessment of people’s needs. The manager was currently reviewing the dependency needs of people who used the service.

We found records necessary for the management of the home were in place and completed accurately.

People were provided with sufficient food and drink to ensure their health care needs were met.

We saw that new staff completed an induction programme to help ensure staff were prepared for their role by assisting them to develop their knowledge, skills and understanding.

We found that that home worked well with other healthcare professionals when required.

We found that suitable arrangements were in place to help safeguard people from abuse. Staff knew what to do if an allegation of abuse was made to them or if they suspected that abuse had occurred.

Recruitment procedures were robust and appropriate checks had been completed.

The medication system was safe and we saw how the staff worked in cooperation with other healthcare professionals to ensure that people received appropriate care and treatment.

People's care records contained enough information to guide staff on the care and support required. The records showed that risks to people's health and well-being had been identified and plans were in place to help reduce or eliminate the risk.

Staff were able to demonstrate their understanding of the principles of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS); these provide legal safeguards for people who may be unable to make their own decisions.

Records we looked at showed there was a system in place for recording complaints and any action taken to remedy the concerns raised. Records showed that any accidents and incidents that occurred were recorded.

We looked at four care records and saw they contained detailed information about the care, support and treatment each person required. This included personal preferences, medical and social background, wound care nutrition and hydration, monitoring charts and input from other professionals such as the Speech and Language team (SALT), dietician and GPs. We saw the care records had been regularly reviewed and were up to date.

We spoke with two visitors who told us they were happy with the care provided to their relative and they had no complaints. They told us if they were unhappy with anything they would speak to the manager.

We spoke with a visiting professional who said they were happy with the care their patient received. They told us,'The staff are very obliging and helpful'.

We spoke with three people who used the service, one person said, 'I have no worries, the staff care for us really well'. Another person told us, 'I like to stay in my room, I have everything I need'.

We saw staff training was ongoing and included infection control, food hygiene, safeguarding and mental capacity awareness.

Staff spoken with told they felt the running of the home had improved since the manager came in to post. We were told the manager was supportive and listened to what they had to say.