Background to this inspection
Updated
17 December 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.
Service and service type
The Hollins Residential Care Home 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.
The provider is registered with us as a single provider and there is not a condition in place that requires a registered manager. The service is managed by the provider.
Notice of inspection
We gave short notice of the inspection. This was because the service is small and supported one person. The person and provider are often out, and we needed to be sure they would be available.
What we did before the 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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the one person who used the service, the registered provider and one member of staff. We did this to get their views about the care and check that standards of care were being met. We looked at the person's care records, medicines records and quality assurance processes.
Updated
17 December 2019
About the service
The Hollins Residential Care Home was providing personal care to one person at the time of the inspection. The service can support up to two people who have a learning disability.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
We have made a recommendation about the recording of medicines and monitoring of the person's care.
The person who used the service was supported by enough safely recruited staff, who had the skills and knowledge to provide effective support. The person received their medicines as required, their risks were lowered, and infection control practices were followed. The provider and staff understood how to safeguard the person from the risk of abuse.
The person was 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. Healthcare professionals were accessed when needed and advice received was followed by staff. The provider and staff ensured that the person was supported to eat and drink sufficient amounts.
The provider and staff supported the person in a caring way and promoted choices in a way that they understood, this meant the person had control and choice over their lives. Staff provided dignified care, promoted independence and respected the person’s privacy.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The provider involved the person in their care and supported them in line with their wishes and diverse needs. Complaints were listened to and the provider understood the person’s advance wishes for their future care needs.
The provider and staff were committed to providing a good standard of care, which was focused on person centred care.
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 11 May 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.