Holly Bush Nursing Home

Updated 21 June 2022

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.

As part of CQC's response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 11 February 2022 and was announced. We gave the service one working days' notice of the inspection.

Updated 21 June 2022

About the service

Holly Bush Nursing Home provides care and accommodation for up to 12 people with learning disabilities, sensory impairments and physical disabilities. T

he home is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People were protected from the risk of harm and abuse. Safeguarding procedures were in place, which staff were aware of.

There were comprehensive risk assessments in place. These were kept under review, which ensured that risks to people's safety and wellbeing were monitored and managed properly.

Staff had been recruited safely. They underwent appropriate recruitment checks prior to working at the service. There were enough staff deployed to keep people safe. We observed that staff were busy but there were no delays in people being attended to.

Relevant health and social care professionals were involved in assessing, planning and delivering care and treatment.

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. When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed.

People’s privacy and dignity were respected. We observed kind, caring and spontaneous interactions between people and staff. Staff maintained people's independence by supporting them to manage as many aspects of their care as they could.

People’s needs were met. We observed a range of practices that reflected person centred care. People’s care was regularly reviewed to monitor whether it was up to date and reflected their current needs.

Accidents and incidents were monitored for trends and learning points. Regular checks and audits had also been carried out in other areas such as those related to people’s care. We found improvements were always made where shortfalls were identified.

There were effective quality assurance processes in place to monitor care and safety and plan ongoing improvements. There were systems in place to share information and seek people’s views about the running of the home.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Holly Bush Nursing Home on our website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was good (published 18 July 2017).

Why we inspected

This was a planned inspection based on our rating at the last inspection.

Follow up

We will continue to monitor intelligence we receive about the service until we return to inspect as part of our re-inspection programme.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk