Holly Tree Lodge Care Home

Updated 30 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector and an assistant inspector.

Service and service type

Holly Tree Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, senior care worker, two care workers, the chef and maintenance worker.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We looked at training data and policies and procedures. We received feedback from three professionals who regularly visited the service.

Updated 30 August 2019

About the service

Holly Tree Lodge is a residential care home providing personal and nursing care to 40 people aged 65 and over at the time of the inspection. The service can support up to 40 people, some of whom may be living with dementia.

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

People living at Holly Tree Lodge were happy and well cared for. People felt safe and were encouraged to be independent with all areas of daily living. Staff provided support in line with people's diverse needs. People received their medicines as prescribed and systems were in place to ensure these were administered according to best practice guidelines.

Recruitment checks were carried out to ensure staff were suitable to work in the service. Staff had received training and support to enable them to carry out their role. Staff were kind and caring and promoted positive relationships with people within the environment. Staff understood their roles clearly and knew what was expected of them. People were treated with respect and dignity and were also supported to maintain their safety and wellbeing.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff had positive links with health care professionals, which promoted people's wellbeing. Care and support were tailored to each person's needs and preferences. People and their relatives were fully involved in developing and updating their planned care and spoke positively about the service.

The registered manager led by example to ensure people received a good service. People and staff told us the management team were approachable and listened to them when they had any concerns. All feedback was used to make continuous improvements to the service.

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 07 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.