CQC report explained · a residential care home
What the CQC found at Holly House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They checked visits, admissions, PPE, testing, social distancing, hygiene and outbreak management.
- Effective?
- Requires improvement
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced, targeted inspection on 1 December 2020. It was carried out as part of checks on infection prevention and control in care homes during coronavirus outbreaks.
Inspectors found good practice in visits, personal protective equipment, signage, social distancing, testing, admissions, hygiene and managing infection outbreaks. They said they were assured that infection control procedures were being followed.
The home was inspected but not rated. This means the visit did not give an overall quality rating or a rated judgement for the five areas of care.
Visits
Visits were arranged in line with government guidance.
“Visits were arranged in line with government guidance.” from the report
Personal protective equipment
Staff were using PPE in line with guidance, with areas provided for putting it on and taking it off.
“Staff were wearing PPE in line with government guidance and designated areas were set up within the service for staff to remove and put on PPE.” from the report
Infection control
Inspectors were assured about the home's approach to preventing and managing infections, including testing and outbreak arrangements.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Further development
minorInspectors signposted the provider to resources to develop its approach. The report does not say that this led to a breach or enforcement action.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control changes have been made since the inspection on 1 December 2020?
- 02How are visits arranged now, and what rules apply to visitors?
- 03How do you test residents and staff for infections, and what happens if there is an outbreak?
- 04What resources did inspectors suggest the home use to develop its infection control approach?
- 05What is the home's most recent full CQC rating and inspection report?
This was a targeted inspection of infection prevention and control practices only, and the service was inspected but not rated. This explanation was written from the published report of 12 December 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2017
Rated Good overall; inspectors found safe, kind care, but the environment needed improvement and Effective was Requires Improvement.
This was an unannounced comprehensive inspection on 09 October 2017. The inspector spoke with people living in the home, relatives, staff and the registered manager. They reviewed care files, staff records, medicines, complaints, safeguarding records and safety checks.
The home was rated Good overall, as it was at the previous inspection in 2015. Inspectors found people were safe, treated kindly and supported in a person-centred way. Staffing, recruitment, medicines, care planning, activities and complaint handling were also found to be satisfactory.
The Effective rating was Requires Improvement. Inspectors found that some areas of the home looked worn and tired, and some garden areas were untidy. They recommended improvements to redecoration, lighting and the garden, particularly with people living with dementia in mind.
Safe care
Inspectors found effective systems for safeguarding, risk management, staffing, recruitment and medicines. People and relatives said they felt safe.
“People were protected from the risk of harm by systems to manage safeguarding concerns and staff were trained in safeguarding adults from abuse.” from the report
Kind and respectful staff
Staff knew people's needs and preferences and treated them with compassion. Privacy, dignity and independence were respected during personal care.
“People were cared for by compassionate staff that knew about their needs and preferences.” from the report
Personalised support
Care plans recorded people's routines, preferences and risks. Staff offered choices about meals, activities, clothing, bedtimes and contact with family and friends.
“People's care plans recorded their routines and preferences in relation to food, clothing, activity and outings.” from the report
Activities and family contact
The home offered activities such as bingo, crafts, karaoke, reminiscence and quizzes. Relatives were welcomed and supported to maintain relationships.
“People's relationships were encouraged and respected and staff supported people to keep in touch with family and friends.” from the report
Quality checks
The home used audits, meetings and surveys to identify and address shortfalls. Inspectors found the management approach supportive and approachable.
“An effective system was in place for checking the quality of the service using meetings, audits and satisfaction surveys.” from the report
Worn décor and untidy garden
needs fixingSome bedrooms and communal areas needed redecoration, and some areas were not bright enough. The garden also needed tidying, so inspectors made a recommendation for improvement.
“Some areas needed redecoration as parts of the décor were worn and tired looking.” from the report
- 01Which bedrooms, hallways and communal areas have been redecorated since the inspection?
- 02What has been done to improve brightness and lighting in the areas identified by inspectors?
- 03Has the garden been tidied, and how is it now maintained?
- 04How do you make sure the environment remains suitable for people living with dementia?
- 05Have any changes been made to the building layout or the out-of-use lift since this inspection?
This was a comprehensive inspection covering all five key questions, and the report says the overall Good rating remained unchanged from 2015. This explanation was written from the published report of 10 November 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Holly House Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2017Goodstayed GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
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32 live-in carers within about an hour of North Lincolnshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,300 a week. 29 can care for a couple. 11 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.