Background to this inspection
Updated
15 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by two inspectors.
Service and service type: Holland Road 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: The unannounced inspection took place on 27 March 2019, followed by phone calls to relatives on 02 April 2019.
What we did: Before our inspection we looked at all the information we held about the service including notifications. A notification is information about events that the registered persons are required, by law, to tell us about. The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We visited the service on 27 March 2019. Some people who lived at the service had complex needs and were not able to talk with us or chose not to. We used observation to gather evidence of people's experiences of the service. We spoke with one person’s relative over the telephone, for their views.
During our visit to the service we also spoke with the registered manager, the house manager, the regional director and a support worker. We looked at two people's care records. We also looked at a range of records relating to the management of the service. These included accident and incident reports, complaints and compliments records, audits and training records.
Updated
15 May 2019
About the service: Holland Road is registered to provide accommodation for up to four people who require personal care and may have learning disabilities or mental health needs. Nursing care is not provided at Holland Road. At the time of inspection there were four people were using the service.
People’s experience of using this service:
People at the service were kept safe, staff understood their safeguarding responsibilities and knew how to identify abuse. Relevant risk assessments had been completed. Medicines were well managed and people received their medicines as prescribed. People lived in an environment that was maintained well and health and safety checks were completed on a regular basis. Systems and processes were in place to report and review incidents and complaints.
The care service was being developed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
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. People were supported with dietary needs and were involved in menu planning. People’s health was monitored and people had access to health services
People were supported effectively by knowledgeable staff who had been well trained.. Staff were also supported by a management team who were experienced and knowledgeable. A complaints procedure was in place.
People were treated with dignity and respect by caring staff. People were supported to communicate in a way that helped them as the service provided information in easy read format.
Whilst there was nobody at the end of their lives at the time of inspection. We have made a recommendation about end of life planning.
The service was effectively managed by a registered manager with support from a house manager. The service was currently being sold to a new provider, staff reported communication about these changes had been excellent.
More information is in the detailed findings below.
Rating at last inspection: Good (report published 15 September 2016).
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.