CQC report explained · a residential care home
What the CQC found at Hollywood Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection prevention measures, including testing, admissions, outbreak management, cleaning and social distancing. They were only somewhat assured about visitor screening and the safe use of gloves.
- 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?
- Requires improvement
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, April 2021
Inspected but not rated; inspectors found good infection control overall, but visitor screening and glove-changing practices needed improvement.
This was an unannounced, targeted inspection on 24 March 2021. It focused only on infection prevention and control during the coronavirus pandemic.
Inspectors were assured about testing, safe admissions, outbreak management, the infection control policy, cleanliness, social distancing and the use of the premises. Visiting arrangements followed government guidance, with booked and staggered visits.
There were two weaknesses. A visitor and another healthcare professional were not screened for symptoms on the inspection day. Staff did not routinely change gloves between every interaction with residents.
The service was inspected but not rated. This means the report does not give a Good, Requires Improvement, Inadequate or Outstanding rating for the service.
Testing and admissions
The home was following whole-home testing guidance. New residents were tested and isolated for 14 days after admission.
“People who were admitted to Hollywood Rest Home were isolated for 14 days to prevent the spread of infection.” from the report
Visiting arrangements
Visits were arranged through a booking system, with visits and visiting times staggered in line with government guidance.
“A booking in system was in place to stagger visitors and visiting times.” from the report
Clean environment
Inspectors found the environment visibly clean, and cleaning schedules showed how often cleaning took place.
“The environment was visibly clean. Cleaning schedules evidenced the frequency of cleaning undertaken throughout the service.” from the report
Staff training
Staff had training in infection prevention and the correct use of personal protective equipment.
“Staff employed at the service had received training on infection prevention and the correct use of Personal Protective Equipment [PPE].” from the report
Visitor screening
seriousOn the inspection day, the inspector and another healthcare professional were not screened for symptoms of an acute respiratory infection before entering.
“However, on the day of inspection, neither the inspector nor another healthcare professional was screened for symptoms of acute respiratory infection.” from the report
Changing gloves
seriousStaff did not routinely change their gloves between all interactions with residents. Inspectors said effective hand hygiene should be used at regular intervals.
“However, on the day of inspection, staff did not routinely change their gloves between all interactions with people using the service.” from the report
- 01How do you now screen all visitors and healthcare professionals for symptoms before they enter?
- 02How do you check that staff change gloves between every interaction where this is needed?
- 03How often are staff infection prevention and PPE practices observed and reviewed?
- 04What testing and isolation arrangements are used for people admitted to the home?
- 05How are visits booked and managed when there is an infection outbreak?
This was a targeted, unannounced inspection of infection prevention and control practices only; the service was inspected but not rated. This explanation was written from the published report of 17 April 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.
What inspectors found, February 2019
Hollywood Rest Home was rated Good overall, but inspectors found that some management checks were not yet thorough enough.
Inspectors visited unannounced on 16 and 25 January 2019. They spoke with people living in the home, relatives, staff and a health professional. They also reviewed care records, medicines, staffing, complaints and quality checks.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found safer risk management, enough staff, safer medicines systems, kind care, suitable care plans and better support with food, activities and health needs.
Well-led was rated Requires Improvement. The home had made clear progress since its previous inspection in March 2018, when it was rated Requires Improvement and breached six regulations. However, some quality audits were too general, and inspectors identified several areas needing further work.
Kind and respectful staff
Inspectors saw staff treating people with kindness and respect. Staff knew people's preferred names and supported their independence.
“Staff knew people's individual needs well. They were kind and caring and treated people with dignity and respect.” from the report
Improved staff support
The home had strengthened induction, training, supervision and competency checks, including practical moving and handling training.
“Staff received an induction when they started work at the service. They received on-going training, supervision and support to fulfil their role and responsibilities.” from the report
Person-centred care plans
Care plans covered people's physical, emotional, psychological and mental health needs. They were reviewed when needs changed.
“Care plans were clear and person centred. They were up to date about people's physical, emotional, psychological and mental health needs.” from the report
Fluid targets
needs fixingFluid charts did not always show a daily target. Managers said they would take immediate steps to record and check these targets where needed.
“people's fluid intake charts did not record a 'daily target'.” from the report
Dementia-friendly environment
needs fixingThe building lacked features to help people living with dementia find their way around and identify bathroom equipment. Improvement work was planned within three months.
“Communal areas were painted the same colour and there was no signage or other items of interest to aid people to find their way around the home.” from the report
Limited activities time
minorThe activities coordinator also helped with lunchtime meals. Inspectors said this affected the time available to plan and deliver activities.
“The activities coordinator told us this impacted on their ability to plan and deliver activities.” from the report
Quality audits
needs fixingSome quality checks were too general and did not show clearly what had been examined. The home was asked to review its auditing systems.
“However, we found some audits to be generic and did not contain specific detail as to what had been looked at as part of the auditing process.” from the report
End-of-life wishes
needs fixingNot all people's wishes about end-of-life care had been formally recorded in their care plans. Managers said these plans would be reviewed.
“We noted not all people's end of life wishes had been formally recorded in their care plans.” from the report
- 01Have the planned changes to make the building more dementia friendly been completed?
- 02How do you record each person's daily fluid target, and how do you check that it is met?
- 03How much time does the activities coordinator now have for planning and delivering activities?
- 04How have you made your quality audits more detailed and thorough?
- 05Have all people's end-of-life wishes now been discussed and recorded in their care plans?
This was an unannounced inspection of all five CQC questions, including care, staffing, medicines, records, complaints and quality assurance. This explanation was written from the published report of 7 February 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.
Every inspection of Hollywood Rest Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 2 December 2010.
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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