CQC report explained · a nursing home
What the CQC found at Holywell Park
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They found appropriate PPE use, cleaning arrangements, testing access and safe admission processes.
- 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.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured that the home had safe infection control arrangements.
This was an unannounced, targeted inspection on 08 December 2020. It followed information of concern about infection prevention and control.
Inspectors found the home was clean. Extra deep cleaning was taking place, including cleaning frequently touched areas. Staff used personal protective equipment appropriately, and PPE stations were available on every floor and in people's rooms.
Inspectors were assured that the home followed guidance on infection control, social distancing, shielding, testing, safe admissions and the use of PPE. The service was inspected but not rated, so this report does not give an overall quality rating.
Cleaning
The home was clean and had added deep cleaning and cleaning of frequently touched areas. Staff had clear cleaning schedules to follow.
“The service was clean and extra cleaning duties were being carried out such as regular deep cleaning and cleaning of areas that were often touched.” from the report
PPE available
Staff used PPE appropriately. PPE stations were available throughout the home and in people's rooms.
“We saw staff using personal protective equipment (PPE) appropriately.” from the report
Updated practice
The provider had followed advice from other agencies and updated staff training and practice on infection control.
“The provider and registered manager were following advice and guidance from other agencies about infection control and prevention and had updated staff training and practice accordingly.” from the report
Infection control assurances
Inspectors were assured about visiting, social distancing, shielding, admissions, testing and the safe use of PPE.
“We were assured the service were following safe infection prevention and control procedures to keep people safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How often are frequently touched areas, such as door handles, stair rails and light switches, cleaned now?
- 02Are PPE stations still available on every floor and in people's rooms?
- 03How do you keep staff training and practice up to date when infection control guidance changes?
- 04How are visitors, new admissions and testing managed now?
- 05What other inspection reports or ratings should we read alongside this targeted inspection?
This was an unannounced targeted inspection of infection prevention and control measures only; the service was inspected but not rated. This explanation was written from the published report of 25 December 2020 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, July 2019
Holywell Park was rated Good; inspectors found safe, kind and personalised care, with some improvement work still ongoing.
This was an unannounced comprehensive inspection on 9 July 2019. Inspectors observed care, spoke with people, relatives, visitors and staff, and checked care records, medicines, recruitment files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training and kind, respectful care.
People were supported to make choices and stay independent. Inspectors also found a wide range of activities, strong links with the local community and care that reflected people's interests and wishes.
The rating had improved from Requires Improvement at the previous inspection. The provider had completed an action plan, and inspectors found the home was no longer in breach of regulations.
Personalised care
Staff involved people in care decisions and tailored support to their wishes, preferences and past interests.
“People received a high standard of personalised care that was responsive to their needs, improved their wellbeing, independence and quality of life.” from the report
Kind and respectful staff
Inspectors observed warm interactions and found that staff supported people's dignity, privacy, choices and independence.
“We saw interactions which demonstrated staff had a clear compassion and respect for people.” from the report
Activities and community links
People could take part in varied activities, including hobbies, outings, religious activities and events involving the local community.
“There was a varied programme of activities organised every day.” from the report
Improved staffing
Staffing levels had increased and the use of agency staff had been substantially reduced. Staff were consistently available in communal areas.
“Recruitment had taken place and staffing levels were now ten percent over the number required.” from the report
Safe medicines
Nurses administered medicines and had regular training and competency checks. Audits covered ordering, storage, administration and disposal.
“There were robust systems in place for ordering, storing, administering and disposing of medicines.” from the report
Care plans still being improved
minorThe computerised care-planning system had been introduced, but inspectors said work was still continuing to make all care plans detailed and person-centred.
“Improvements to documentation were ongoing to ensure all care plans were detailed and person centred.” from the report
Some building work remained
minorFurther improvements to flooring and carpets were planned, and the fire-safety system was still being upgraded when inspectors visited.
“The fire safety system was in the process of being upgraded.” from the report
- 01What progress has been made with the care-plan improvements since the inspection?
- 02Have all flooring and carpets been made suitable for people living with dementia?
- 03Has the fire-safety system upgrade been completed, and are there any remaining actions?
- 04How will you make sure staffing levels remain sufficient for people who need one-to-one support?
- 05How will my relative and our family be involved in care-plan reviews and decisions about end-of-life care?
This was an unannounced comprehensive inspection covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 31 July 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 Holywell Park
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 9 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.
Weigh the report against the rest
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39 live-in carers within about an hour of Kent
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 £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
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.