• Care Home
  • Care home

Archived: Hollybush Residential Home

Overall: Good read more about inspection ratings

45 Glamis Road, Newquay, Cornwall, TR7 2RY (01637) 874148

Provided and run by:
Mr Neil Brazier and Mrs Nicola Brazier

Important: The provider of this service changed. See new profile

All Inspections

2 and 3 June 2015

During a routine inspection

Hollybush is a care home which provides accommodation and personal care for up to 14 people. At the time of the inspection 14 people were using the service. Some of those people were living with dementia. Some people had physical or sensory disabilities.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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 inspected Hollybush on 2 and 3 June 2015. The inspection was unannounced. The service was last inspected the service in February 2014 and was found to be meeting the requirements of the regulations.

People told us they felt safe at the service and with the staff who supported them. People told us, “Yes I feel safe, the staff are good, they are polite and friendly,” “It is very good indeed,” and “Oh, it is excellent, I am very happy, well fed, it couldn’t be better….they look after me well.” A relative told us; “We are very happy, the staff communicate with us very well. There are no problems.” Staff were confident, and had been suitably trained, about how to recognise potential signs of abuse and the subsequent action they would take. Staff received other suitable training to carry out their roles. Recruitment processes were satisfactory and appropriate pre-employment checks had been completed to help ensure people’s safety.

The medication system was well organised, and people told us they received their medication in a timely manner. People had access to a general practitioner, and other medical professionals such as a dentist, chiropodist and an optician. However records of some medical support were not always consistently kept to a good standard.

There were satisfactory numbers of staff on duty to keep people safe and meet their needs. People who used the service, and staff who worked at the home, said there were enough staff provided. For example people who used the service said if they pressed the call bell staff responded to them in a timely manner.

People who used the service told us staff were caring, worked in a respectful manner and did not rush them. People said they could spend their time how they wanted, were provided with a range of choices, and were able to spend time in private if they wished. Some activities were available for people.

Care files mostly contained suitable information such as a care plan, and these were regularly reviewed. However we were concerned that people’s capacity to consent to care and treatment was not always suitably assessed in line with legislation and guidance. For example there was limited evidence of systems in place to assess people’s mental capacity in line with the Mental Capacity Act (2005) , and make appropriate referrals to the local authority should this be necessary.

People said they enjoyed the food, and we were told regular drinks were provided. People had a choice of eating their meals in the dining room or their bedrooms.

Nobody who we met raised any concerns about their care. Everyone we spoke to said if they did have concerns, they would feel confident discussing these with staff or with management. People said they were sure that staff and management would resolve any concerns or complaints appropriately.

People felt the home was well managed. For example we were told “the manager always ensures the home is nice, clean and well maintained”. There were satisfactory systems in place to monitor the quality of the service.

We found a Breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.

10 February 2014

During a routine inspection

We spoke with five people who lived at Hollybush Residential Home about their views of the care they received. People said 'they [the care workers] are grand, they look after me very well', 'I like to live here, and there are lots of activities if you want to join in. I don't need much help I do everything myself but if I needed help I would only have to ask', 'If I can't be at home at least I have company here and the staff are very nice' and 'it is always lovely and clean and tidy, they do it just how I like it'.

We saw people's care records demonstrated their care needs were assessed and additional assistance sought from external health professionals when needed.

The home was clean, tidy and hygienic in appearance and free from odours.

We found from our observations, documentation and discussion with staff and people who used the service that there were sufficient staff to ensure people's assessed care needs were met.

The registered provider monitored the quality of the service provided and listened to people's views regarding how the service was run.

Records were maintained appropriately and stored securely in the home.

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25 September 2013

During a routine inspection

On the day of our inspection, we met and spoke with people who lived at Hollybush Residential Home. We spoke with the provider, registered manager, care staff and housekeeping staff.

Overall people who lived at Hollybush Residential Home were satisfied with the care and support they received and told us that they were treated with dignity and respect. Comments included, 'they're very obliging', 'it's a case of a different sort of life, you just get out of it what you put in', 'I like it here' and 'I've got quite a nice room'.

We found, care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

People who used the service were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were protected against the risks associated with medication because the provider had appropriate arrangements in place to manage medicines.

People were care for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

The provider did not have an effective system to regularly assess and monitor the quality of service that people received. The provider did not have an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others .

People were not protected from the risks of unsafe or inapproprte care and treatment because accurate and appropriate records were not maintained.

27 November 2012

During a routine inspection

People who used the service told us that the staff were kind and helpful to them and they liked living at Holllybush.

People told us they could choose when they ate their main meal of the day and what they ate at tea time. Three people told us they liked all the food prepared by the cook and did not mind that they were not given a choice of food at the lunch time meal.

People who used the service received their care from staff who were were recruited thoroughly and were trained and competent.

Medications were administered in a safe and well managed way which protected people who used the service.

While the home was clean and tidy, the most up to date guidance about infection control had not been obtained by the home which put people who used the service at risk from cross infection and did not promote the control of infection.

3 May 2012

During an inspection looking at part of the service

We spoke to four people who used the service and they told us that they liked living at Hollybush. They told us they were bathed when it suited them which was usually once a week. They said there was no choice on the lunchtime menu but they could have something else if they did not like, or want, the set meal. They would have to ask the staff for an alternative. They told us there were choices at tea time.

People told us they were treated well at Hollybush. Comments included 'I am well cared for', I am happy here' and 'This is my home and I am happy'.

People said they liked their bedrooms and some people told us they had some of their own furniture in their rooms.

13 October 2011

During a routine inspection

We spoke to people using the service and they told us their privacy was always respected and they could see their visitors in private if they wished. A relative told us that the staff treated her mother with the utmost respect. People told us they were well cared for at Hollybush residential home. Comments included 'I have got everything I need', 'All of the staff are helpful' and 'They answer the bell within seconds'. They told us that not much goes on during the day and staff don't have time to sit and chat. People told us they liked their bedrooms and some people told us they had some of their own furniture in their rooms.