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CQC report explained · a residential care home

What the CQC found at Hollyacre Bungalow

Goodpublished 17 June 2021, 5 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing and managing infection risks. They also asked about staffing pressures and were told that measures were in place to reduce their impact.
Effective?
Good
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.
The latest report, explained

What inspectors found, January 2022

Inspected but not rated; inspectors were assured about infection control and found positive staff interactions at Hollyacre Bungalow.

This was an unannounced, targeted inspection on 11 January 2022. It focused on infection prevention and control during the COVID-19 pandemic, and on whether staffing pressures were affecting the home.

Inspectors were assured that the home was managing infection risks. This included using personal protective equipment safely, regular COVID-19 testing, vaccination arrangements, safe visiting, and an up-to-date infection control policy.

The home was inspected but not rated. This was not a full assessment of all five areas of care, so the report does not give a new overall quality rating.

What inspectors praised
  • Infection control

    The home had systems to reduce the spread of infection among residents, staff and visitors.

    “Systems were in place to help prevent people, staff and visitors from catching and spreading infection.” from the report
  • Use of protective equipment

    There was enough protective equipment, and staff were using it correctly during the visit.

    “There was enough PPE such as aprons, gloves and masks. Staff were wearing this appropriately when we visited.” from the report
  • Testing and vaccination

    Residents and staff were tested regularly, and a COVID-19 vaccination programme was in place.

    “Staff and people were tested regularly for COVID-19. A COVID-19 vaccination programme was in place.” from the report
  • Staff and resident interactions

    Inspectors saw staff working together to support residents' wellbeing during the pandemic.

    “Staff had worked as a team to help promote people's wellbeing throughout the pandemic. We observed positive interactions between staff and people.” 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. 01What staffing pressures are you experiencing now, and what measures are in place to prevent them affecting residents?
  2. 02How often are residents and staff tested for COVID-19 or other infections?
  3. 03How do you check that staff and visiting professionals meet the current vaccination or exemption requirements?
  4. 04How are visits arranged when infection risks change?
  5. 05When was the infection prevention and control policy last reviewed, and how do you manage any outbreak?

This was a targeted inspection of infection prevention and control and staffing pressures; it did not provide a full rating of all five inspection areas. This explanation was written from the published report of 25 January 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, June 2021

Rated Good; inspectors found safe, respectful care and strong management, with a minor recruitment-record issue to improve.

This was an unannounced planned inspection carried out on 30 April, 11 May and 17 May 2021. The inspector spoke with people, the registered manager and care staff, contacted relatives, and reviewed care records, staff files, rotas and management records.

The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found enough staff, safe medicines management, suitable safeguarding arrangements and a clean environment. People were treated with dignity, supported to make choices and encouraged to take part in meaningful activities.

The home had systems to check the quality of care and learn from incidents or feedback. Inspectors noted that application forms did not provide enough space for applicants' full work and education history, and the manager said the form would be changed.

What inspectors praised
  • Respectful, person-centred care

    Staff valued and respected people. They supported people to make choices, be as independent as possible and pursue their own interests.

    “People were treated with dignity and respect.” from the report
  • Meaningful activities

    Staff actively supported people to take part in activities that mattered to them, including when day services were closed.

    “The staff were passionate about supporting people to engage in meaningful activities and lead lives with meaning.” from the report
  • Safe care and medicines

    Inspectors found suitable safeguarding arrangements, enough staff and safe systems for receiving, storing, giving and destroying medicines.

    “Medicines were safely received, stored, administered and destroyed.” from the report
  • Stable and knowledgeable staff

    The staff team had been stable for more than five years. Staff knew people's individual needs and preferences.

    “People were observed to be happy and settled and supported by a staff team who knew each person's individual needs and preferences.” from the report
  • Strong oversight

    The home had structured checks on quality and acted on feedback from people, relatives and staff.

    “The registered manager maintained clear oversight of the service.” from the report
What inspectors were concerned about
  • Recruitment forms

    minor

    Inspectors found that application forms did not provide enough space for applicants to record their full work and education history. The manager said the template would be reviewed and changed.

    “The application forms did not provide enough room for prospective employees to add their full work and education history.” from the report
Questions to ask them, based on this report
  1. 01Have the application forms been changed so applicants can give their full work and education history?
  2. 02How do you check that staff remain competent to administer medicines?
  3. 03How do you make sure people continue to have meaningful activities and pursue their individual interests?
  4. 04How are feedback and complaints from people, relatives and staff recorded and acted on?
  5. 05How are infection prevention arrangements kept up to date?

The report gives ratings for Safe and Well-led and included infection prevention and control checks; it does not give separate ratings for Effective, Caring or Responsive. This explanation was written from the published report of 17 June 2021 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 Hollyacre Bungalow

6 rated inspections over 6 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Hollyacre Bungalow →

  2. June 2021Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hollyacre Bungalow →

  3. May 2019Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2018Requires improvementup from Inadequate
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2018Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  6. December 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  7. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  8. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. January 2011

    Registered with the Care Quality Commission on 28 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.

Next steps

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