3 November 2022
During a routine inspection
Hollymount Residential and Dementia Care Centre is a residential care home providing personal care to up to 38 people. The service provided support to older people, people living with dementia, people requiring support with their mental health and/ or physical health needs. The service consists of a two-storey building with an extended annex to the rear of the property. At the time of our inspection there were 34 people using the service.
People’s experience of using this service and what we found
We found medicines were not managed safely across the home though some actions were taken following the inspection to improve. Care staff expressed mixed views around staffing levels. We have made a recommendation about the use of staffing tools.
People felt safe in the service. Systems were in place to safeguard people. Environmental checks were being completed. The environment was in need of some repair and work was ongoing to renovate. Infection prevention and control measures were in place although not always robust. Immediate action to address this was undertaken by the provider.
Preadmission assessments were completed, and care plans were reviewed. Staff received training and regular supervisions. People’s diet and nutritional needs were met, and they told us they enjoyed the meals. The provider worked in partnership with other agencies to maintain people’s health and wellbeing.
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’s religious and cultural needs were considered. People were treated with dignity and respect and had choices over their care. People were involved in meetings at the service and both people and relatives felt the staff were caring.
People were supported to have person centred care. End of life care was considered and planned for. Activities were offered at the service and processes and systems were in place to respond to complaints.
Systems and processes are not always effective to oversee and manage the service. We have made a recommendation about the provider’s audit systems. Mixed views were given by staff around the approachability of management. Duty of candour was understood by the registered manager and partnership working was seen. Views around the service was being sought from people, relatives and staff.
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 31 March 2022) and looked at the safe, effective and well led domains only. The last comprehensive inspection that looked at all five domains was 15 April 2020.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 changed from good to requires improvement based on the findings of this inspection.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hollymount Residential and Dementia Care Centre on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to safe management of medicines at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.