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CQC report explained · a residential care home

What the CQC found at Holly Nook

Goodpublished 19 November 2019, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good COVID-19 infection control arrangements, but this visit did not assess the home's overall quality.

This was an announced, targeted inspection on 4 February 2022. It focused on infection prevention and control during the COVID-19 pandemic. Inspectors also asked about staffing pressures linked to COVID-19.

Inspectors found policies and procedures for infection control. Staff and visitors had enough personal protective equipment, staff used it correctly, and testing was carried out regularly. The home was very clean and extra cleaning was in place.

Visiting arrangements followed government guidance. Inspectors were assured that the home was managing infection risks, including admissions, outbreaks, hygiene, testing and social distancing. The service was inspected but not rated, so this report is not an overall judgement on the quality of care.

What inspectors praised
  • Good infection control

    The home had infection control policies and staff followed current guidance. Inspectors were assured that infection risks were being managed.

    “The provider had policies and procedures in place to ensure staff followed effective infection control guidance.” from the report
  • Protective equipment and training

    There was a plentiful supply of protective equipment. Staff had training in infection control, COVID-19 and using protective equipment.

    “Staff and visitors had access to personal protective equipment (PPE) and there was a plentiful supply.” from the report
  • Clean environment

    Inspectors found the home very clean, with extra cleaning measures in place.

    “The home was very clean throughout and additional cleaning measures were in place.” from the report
  • Safe visiting arrangements

    Professional visitors had to show a negative lateral flow test and evidence of vaccination status. Visiting arrangements followed current government guidance.

    “Visiting arrangements were robust and in accordance with the most recent government guidance.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are you managing any staffing pressures linked to COVID-19 now, and what effect do they have on people's care?
  2. 02What are the current rules for visits, including testing, vaccination evidence and protective equipment?
  3. 03How often are staff and people living in the home tested for COVID-19?
  4. 04What infection control training have staff completed recently?
  5. 05How would you manage a new infection outbreak in the home?

This was a targeted inspection of infection prevention and control, with questions about COVID-19-related staffing pressures; it was not an assessment of the home's overall quality of care. This explanation was written from the published report of 2 March 2022 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.

An earlier report, explained

What inspectors found, November 2019

Holly Nook was rated Good; inspectors found safe, kind and personalised care, with some medicine records not signed.

Inspectors visited on 16 October 2019. They spoke with two people, three staff members and reviewed care records, medicine records, staff files and management records.

The home supported five people with learning disabilities or autistic spectrum disorder. Inspectors found people were safe, treated with respect, involved in decisions and supported to make choices, build independence and take part in activities.

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 16 May 2017.

What inspectors praised
  • Personalised care plans

    Care plans described people's needs, preferences, history and interests. Staff followed the guidance seen by inspectors.

    “Care plans were comprehensive, detailed and person centred.” from the report
  • Respect and independence

    People were supported to make everyday choices, maintain their privacy and develop their independence.

    “People were supported to maintain and develop relationships with those close to them.” from the report
  • Skilled and consistent staff

    Staff knew people well and had training, supervision and experience relevant to their roles. Staffing levels were considered suitable.

    “People received care from staff who knew them well and had relevant experience.” from the report
  • Activities and community links

    People took part in activities such as arts and crafts, lunches, day centre visits and seeing family. They also used local facilities and attended local events.

    “The provider arranged various activities daily.” from the report
  • Quality monitoring

    The management team used audits, feedback and improvement plans to monitor care and address actions.

    “There was an effective system in place to check on the quality and safety of the service.” from the report
What inspectors were concerned about
  • Unsigned medicine records

    needs fixing

    Some handwritten Medicine Administration Records had not been signed by staff. The manager said this would be corrected immediately and addressed through meetings and supervision.

    “Although some MARs were handwritten and had not been signed by staff.” from the report
Questions to ask them, based on this report
  1. 01Have all medicine administration records been completed and signed consistently since the inspection?
  2. 02How do managers check that staff follow the medicine procedures every time?
  3. 03How will you support my relative to make choices and develop their independence?
  4. 04What activities would be available for my relative, based on their interests and communication needs?
  5. 05How are relatives involved when care plans and risk assessments are reviewed?

This was a planned inspection that assessed all five CQC questions and looked at both the premises and the care provided; all five ratings remained Good. This explanation was written from the published report of 19 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.

The story over the years

Every inspection of Holly Nook

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Holly Nook →

  2. November 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Holly Nook →

  3. May 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Registered with the Care Quality Commission on 21 December 2012.

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.

Next steps

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