CQC report explained · a residential care home
What the CQC found at Holly Lodge Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe, and staff understood safeguarding and risks. Medicines were generally managed safely, but not all as-needed medicines had a protocol.
- Effective?
- Good
- Staff received training, supervision and appraisals. People's dietary, healthcare and decision-making needs were assessed and supported.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff knew people's personalities, preferences and communication needs.
- Responsive?
- Good
- Care was personalised and reviewed. People were supported to take part in local activities, keep in touch with relatives and communicate in ways they understood.
- Well-led?
- Good
- The management team was described as approachable and open. Regular checks, meetings and feedback were used to monitor and improve the service.
What inspectors found, November 2019
Rated Good; inspectors found kind, personalised care, with one medicines protocol still needing attention.
This was an unannounced inspection on 28 October 2019. One inspector spoke with five people, the manager, other staff and a social care professional. They reviewed care records, medicines records, staff recruitment and training records, and service documents.
The home supports up to 19 people with mental health conditions. Inspectors found that people felt safe and happy. Care was tailored to people's needs and choices, and staff supported independence, community activities, healthcare and family contact.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 11 May 2017. Inspectors noted that not every as-needed medicine had a written protocol, and the manager said this would be addressed.
Personalised support
People were involved in their care plans and risk assessments. Staff knew their likes, dislikes and communication needs.
“Care and support was tailored to each person's needs and preferences.” from the report
Kind and respectful care
Inspectors saw a calm atmosphere and found that staff listened to people and respected their choices, dignity and independence.
“People were treated with kindness; they were actively listened to and their choices respected.” from the report
Independence and community life
People were supported to do things for themselves, join local groups and maintain relationships with family and friends.
“People were supported to remain independent and access to activities within the local community was promoted and supported.” from the report
Staff knowledge and support
Staff received regular training and support, and inspectors found they had the skills and knowledge to meet people's needs.
“Staff had received regular ongoing training and support to enable them to carry out their role.” from the report
Open management
People, relatives and staff had confidence in the management team. The home used meetings, questionnaires and feedback to make improvements.
“The management team demonstrated a commitment to provide person-centred, high-quality care by engaging with everyone using the service and stakeholders.” from the report
Missing as-needed medicine protocols
needs fixingNot all medicines to be taken only when needed had a written protocol explaining how and when they should be used. The manager said this would be addressed.
“Not all 'as and when' required medication had a protocol in place.” from the report
- 01Have written protocols now been completed for every as-needed medicine?
- 02How would you support my relative to make choices and remain as independent as possible?
- 03How would you tailor activities and community involvement to my relative's interests?
- 04How are changes in my relative's health, communication needs and care plan recorded and shared with relevant professionals?
- 05How can relatives raise concerns, and how will we be told what action has been taken?
This was an unannounced inspection covering all five CQC questions; the previous overall rating was Good, published on 11 May 2017. This explanation was written from the published report of 21 November 2019 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, May 2017
Holly Lodge Residential Home was rated Good; inspectors found safe, caring and well-managed support, but some CQC notifications had initially been missed.
This was an unannounced comprehensive inspection on 13 April 2017. Inspectors spoke with five people, the registered manager and one staff member. They observed care and lunchtime, and checked care records, medicines, training, recruitment, safety checks and quality records.
The home was supporting 18 people and was registered for up to 19 people with a mental health condition. Inspectors found enough staff, safe medicines arrangements, suitable recruitment checks and up-to-date risk assessments. People said they felt safe and well cared for.
Staff had relevant training and regular supervision. People were supported to make choices, stay independent and access health professionals. Inspectors saw kind and respectful care, personalised support, activities and a clean environment.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. It was also rated Good at the previous inspection on 27 January 2015, so the overall Good rating remained unchanged.
People felt safe
People told inspectors they felt safe. Risk assessments and care notes explained how identified risks should be managed while still allowing people to make choices.
“People told us they felt safe and one person said, "It just couldn't be better here. I feel safe here because of the staff. They are really good.” from the report
Safe medicines support
Inspectors found that medicines were reviewed, administered safely and supervised when people needed help.
“The arrangements for managing people's medicines were safe.” from the report
Skilled and supported staff
Staff completed relevant training and received supervision every three months. Inspectors also found evidence of induction and additional training.
“We saw that staff had access to a range of training deemed by the registered provider as 'essential'.” from the report
Respectful, personal care
Staff knew people's histories, preferences and needs. They supported privacy, dignity and independence, and adapted care for people's diverse needs.
“People were treated with dignity and respect.” from the report
Activities and independence
People could use community facilities and take part in activities such as gardening and art. Inspectors saw people using the garden and going to local amenities.
“People told us they were happy with the activities available to them.” from the report
Quality monitoring
The registered manager used feedback, meetings and monthly audits to identify shortfalls and follow up improvements.
“The registered manager carried out monthly audits of the systems and practice to assess the quality of the service, which were then used to make improvements.” from the report
Missed CQC notifications
needs fixingSome incidents that should have been reported to the CQC had not been notified at first. Inspectors discussed this with the service, sent a formal letter and said notifications had since been submitted appropriately.
“We noted that some incidents should have been notified to CQC, but these had been missed by the registered manager.” from the report
- 01How do you currently make sure all incidents that must be reported to the CQC are notified on time?
- 02How will you support my relative's mental health needs and involve relevant healthcare professionals?
- 03How will you support my relative to make choices and remain as independent as possible?
- 04What medicines might my relative take, and how will staff explain and supervise them?
- 05What activities are available both in the home and in the local community?
This was an unannounced comprehensive inspection covering all five rating areas and the overall quality of the home. This explanation was written from the published report of 11 May 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 Lodge Residential Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Holly Lodge Residential Home →
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Holly Lodge Residential Home →
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 26 April 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.
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16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“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.”
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.