- Care home
The Hollies
Report from 30 January 2024 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
During this assessment, we assessed 1 quality statement in relation to governance, management and sustainability and included using the principles of the Right support, right care, right culture policy. We found the provider conducted various quality assurance processes to measure and identify areas of good practice as well as concerns. The audits conducted failed to identify all the concerns we found during this assessment and the impact on people. This meant the culture and ethos did not always support people to lead inclusive and empowered lives.
This service scored 87 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Capable, compassionate and inclusive leaders
We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Freedom to speak up
We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Workforce equality, diversity and inclusion
We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Governance, management and sustainability
Staff and the registered manager had a good understanding of their roles and responsibilities. Staff told us; however, they did not feel listened to when they raised concerns to management about unsafe staffing levels and the related risks to both people and staff. The registered manager told us about quality assurance processes used to monitor quality at the service and how they have had recent changes in staffing at the service to improve quality of care.
Provider audits however, had failed to identify the level of concern we have highlighted in this report in relation to unsafe staff working patterns and delivery of care in line with people’s funded support hours. This suggested systems used for monitoring and planning staff rotas and people’s support hours were ineffective and did not promote best practice, inclusivity or improve standards of care.
Partnerships and communities
We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.
Learning, improvement and innovation
We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.