Holywell Park

Updated 25 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 08 December 2020 and was unannounced.

Updated 25 December 2020

About the service

Holywell Park is a residential care home providing nursing and residential care and accommodation for up to 60 people with various health conditions, including dementia. There were 49 people living at the service on the day of our inspection. Holywell Park is an adapted country building located in a rural area of Kent.

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

People received a high standard of personalised care that was responsive to their needs, improved their wellbeing, independence and quality of life. Staff ensured that people’s daily life was filled with a variety of opportunities.

Ensuring people were involved in every step of their care was a priority at Holywell Park. Care was tailored around each person’s choices and wishes. This ensured that people received good care that increased their sense of worth, improved their wellbeing and made them feel an active participant at all times.

The service had taken time to find out what hobbies and activities people have done in the past and supported people to continue with hobbies and interests that were important to them. A lively and full programme of activities was available which people told us they enjoyed. The wellbeing team enabled people to have close links with the local community and had worked to ensure Holywell Park was part of local community events which took place throughout the year.

Staff provided a safe environment and people’s independence was encouraged. Risks were assessed to encourage people to do as much for themselves as they could. Staff were aware of the actions to take if they thought anyone was at risk of harm or discrimination. Concerns identified had been reported to appropriate external professionals. A complaints procedure was in place and although there were no current complaints staff were aware of the process to follow if any issues were raised

Incidents and accidents were well managed and recorded, with actions in place to prevent issues reoccurring. Learning from events had been used to improve ongoing care provision. Medicine procedures were robust, nurses had received the appropriate training and competencies had been assessed to ensure medicine procedures remained safe. Suitable systems were in place to prevent and control infection.

Staffing numbers were reviewed and assessed dependant on people’s needs. A dependency tool was used to enable the registered manager to determine each persons care and nursing needs. Staff told us staffing levels were good. A wellbeing team had been introduced, this alongside increased care staffing levels had impacted positively. People received care based on their individual needs and preferences. Regular reviews were completed and people were encouraged to make choices and decisions regarding their care and daily lives.

Staff had access to training and support to ensure they could provide a high standard of care at all times. New staff completed a full induction which including shadowing experienced staff and reading care documentation. All staff had access to regular one to one supervision and appraisals.

People’s needs and choices were well documented and understood by staff. It was evident that there was a close relationship between people and staff. Positive steps had been introduced to ensure people and their relatives were involved in the planning of care and any changes to the way care and support was delivered. Peoples end of life wishes had been discussed and documented. The service worked closely with other healthcare professionals to ensure peoples end of life care needs were met.

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 supported to have a varied and nutritious diet. We saw people being offered a variety of food and drink choices throughout the day. People’s health and weight was monitored, and referrals made to other agencies if any issues were noted. Specific guidance in place regarding people’s nutritional needs were being followed.

There was an open culture at Holywell Park which was inclusive and valued people and their individuality. Staff were aware of their roles and responsibilities. The registered manager worked with staff each day to provide people with a good quality of care. A robust system of checks and audits were carried out to ensure the quality and safety of care being provided was maintained.

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

The last rating for this service was requires improvement. (Report published 29 June 2018) and there was one breach. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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.