CQC report explained · a nursing home
What the CQC found at Holly Tree Lodge Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks, medicines, staffing, recruitment, fire safety and infection control were managed appropriately. People and relatives said they felt safe.
- Effective?
- Good
- Care needs were reviewed and staff had appropriate training and support. People received suitable food, help to access health professionals and support with their choices.
- Caring?
- Good
- Staff were described as kind, patient and respectful. People were involved in decisions, treated with dignity and encouraged to remain independent.
- Responsive?
- Good
- Staff understood people's preferences and provided personalised care. People could take part in activities, maintain relationships and raise concerns.
- Well-led?
- Good
- Inspectors found the home organised and well run. Management was approachable, staff felt supported and feedback was used to make improvements.
What inspectors found, August 2019
Holly Tree Lodge Care Home was rated Good in all areas; inspectors found people safe, well cared for and supported by kind staff.
This was a planned, unannounced inspection on 05 August 2019. Inspectors spoke with three people, four relatives, six staff and three visiting professionals. They reviewed care, medicines, recruitment, training and management records.
The home was supporting 40 people aged 65 and over, including some people living with dementia. Inspectors found people felt safe, received their medicines as prescribed, and had care tailored to their needs and preferences.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report says this meant people were safe, their outcomes were consistently good, they were treated with dignity and respect, their needs were met, and the home was consistently managed well.
People felt safe
Safeguarding procedures, risk records, fire arrangements and safety checks were in place. People and relatives reported feeling safe.
“It's fabulous for me, I am very satisfied and I am safe.” from the report
Kind and respectful care
Staff built positive relationships and treated people with patience, dignity and respect. People were supported to make choices and stay as independent as possible.
“People were cared for and supported by staff that were kind, patient and respectful.” from the report
Good staff support
The home used recruitment checks and provided induction, training, supervision and appraisals. Inspectors found staff had the skills and knowledge needed for their roles.
“People were supported by staff who had the skills and knowledge to care for them effectively.” from the report
Personalised care and involvement
Staff knew people's routines, interests and preferences. People and relatives were involved in developing and reviewing care plans.
“Staff were knowledgeable about people and had a good understanding of their preferences and interests; this enabled them to provide personalised care.” from the report
Approachable management
People, relatives and staff said managers listened to them. Governance checks, action plans and feedback were used to support improvements.
“The service was organised and well-run; people were treated with respect and in a professional manner.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's particular health, nursing or dementia needs?
- 02How many staff are usually on duty at the times my relative would need the most help?
- 03How would you support my relative's preferred routines, interests and communication needs?
- 04How are relatives kept informed when a person's health or care needs change?
- 05How would you involve my relative and our family in care planning and decisions?
This was an unannounced inspection covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 30 August 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, February 2017
Rated Good; inspectors found safe, kind and well-organised care, with limited signs for people with memory problems.
Inspectors visited the home without notice on 12 December 2016. They spoke with people living there, relatives, staff and health professionals. They observed care and reviewed five care plans, staff records and other documents.
The home supported 40 people. Inspectors found enough staff, safe medicines practice and up-to-date care plans and risk assessments. People were supported with food, drink, health appointments and activities.
People told inspectors that staff were kind, respectful and approachable. Staff supported people's choices, privacy and independence. The home had systems for complaints, audits and gathering people's views.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This means the inspection found the service was meeting the relevant standards at that visit.
Safe staffing and care
Inspectors found there were enough staff to meet people's needs. Staffing levels were reviewed when people's needs became more complex.
“We found that there were sufficient staff to meet the needs of people using the service.” from the report
Kind and respectful staff
People were treated with patience and respect. Staff supported privacy, dignity, choices and independence.
“People told us staff treated them with dignity and respect at all times.” from the report
Good care planning
Care plans clearly described people's needs and preferences. People and relatives were involved in planning care.
“People and relatives told us they had seen their care plans and been involved in the planning of their care.” from the report
Food and mealtime support
People had meal choices and regular drinks. Staff gave calm, unhurried help to people who needed support to eat and drink.
“Staff did not hurry people. Staff were calm, gave encouragement to get people to eat and ensured people had something to eat.” from the report
Quality checks
The home used audits and other checks to monitor care and identify improvements. People's views were collected and acted on.
“Systems for auditing and monitoring the service were in place and these were all kept up to date.” from the report
Few signs in one unit
minorInspectors found few directional signs in one unit used mainly by people with memory problems. This could make it harder for some people to find their way.
“However, in one unit where people lived who mainly had memory problems there was little directional signs in corridors to direct people around the unit, other than fire exits.” from the report
Maintenance records lacked detail
minorThe maintenance schedule did not always show when work had been completed. Inspectors could see that some work had taken place.
“This did not always give the detail of when some work had been completed” from the report
More activity training being sought
minorThe home was looking for additional courses to improve activities for people with memory problems. It had already included reminiscence sessions.
“Staff were trying to access some more courses to help them plan a programme of social activities for those with problems with their memory.” from the report
- 01What directional signs are now in place in the unit for people with memory problems?
- 02What extra training or courses have staff completed to plan activities for people with memory problems?
- 03How are staffing levels reviewed when a person's needs become more complex?
- 04How do you now record when maintenance work has been completed?
- 05Are any applications for Deprivation of Liberty Safeguards still awaiting authorisation?
This was an unannounced inspection covering all five key questions, with observations, discussions and checks of care, staffing and service records. This explanation was written from the published report of 7 February 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 Tree Lodge Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- August 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 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.
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9 live-in carers within about an hour of 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.
8 can care for a couple. 10 years' experience on average.
“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.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.