CQC report explained · a residential care home
What the CQC found at The Hollins Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- The person said they felt safe. Inspectors found suitable staffing, safe recruitment, risk plans, safeguarding knowledge and good infection control, but recommended better recording of medicines.
- Effective?
- Good
- Staff knew the person's needs and supported their health, nutrition and access to professionals. Some training was still needed, including food hygiene.
- Caring?
- Good
- Inspectors observed kind and reassuring interactions. The person was treated with dignity, involved in choices and encouraged to develop independence.
- Responsive?
- Good
- Support was planned around the person's wishes, communication needs, relationships, interests and religious needs. A complaints system was in place, although no complaints had been received.
- Well-led?
- Requires improvement
- The provider understood the person well and promoted person-centred care. However, there were no daily records or health monitoring records, and the lack of recording created a risk of inconsistent care if the provider was unavailable.
What inspectors found, December 2019
Rated Good overall; inspectors found safe, kind and person-centred care, but the home's leadership and record-keeping needed improvement.
This was a planned inspection on 7 November 2019. One inspector reviewed information, spoke with the person living there, the provider and a staff member, and checked care records, medicines records and quality checks.
The home was supporting one person and could support up to two people with a learning disability. Inspectors found enough safely recruited staff, good support with health needs, safe medicines storage and a clean home.
The person was treated with kindness and respect. They were involved in decisions, supported to be independent, and helped to take part in activities, relationships and church. The home was rated Good for Safe, Effective, Caring and Responsive.
The Well-led rating fell from Good at the previous inspection to Requires Improvement. Records did not show consistently how care, health monitoring and medicines had been provided. Inspectors recommended improvements, but did not record any breached regulations or enforcement action.
Kind and respectful support
The person told inspectors they felt cared for. Inspectors also observed caring interactions and found that privacy, dignity and independence were promoted.
“We observed caring interactions between the person, provider and staff member.” from the report
Choice and independence
The person helped make decisions about their daily life and was encouraged to cook, clean and carry out other activities independently.
“The provider encouraged the person's independence.” from the report
Good links with health services
The home supported the person to see health professionals and followed the advice received about their health and diet.
“The records showed the provider and staff gained advice from health professionals, which ensured the person's health and wellbeing was maintained.” from the report
Activities and relationships
The person was supported to go shopping, attend a community centre and church, maintain friendships and enjoy holidays.
“The person told us they were involved in activities which they enjoyed.” from the report
Incomplete care records
needs fixingThere were no daily records or health monitoring records to show how support had been delivered. Inspectors said this could lead to inconsistent care if the provider was unavailable.
“However, there was a lack of recording to show how the person had been supported.” from the report
Medicines were not recorded
needs fixingThe person received medicines as prescribed, but the provider did not record when they had been given. Inspectors recommended following current guidance for medicines records.
“The provider did not record the medicines administered, because the service was small and they were the only staff member who administered the person's medicines.” from the report
Some training still needed
minorInspectors found that staff needed up-to-date training in some areas, including food hygiene.
“There were still some areas of training needed to ensure staff had up to date knowledge to support people effectively, such as food hygiene.” from the report
- 01How are medicines recorded now, including the time each dose is given?
- 02What daily care and health monitoring records are completed, and who checks them?
- 03What happens to the person's care and records if the provider is unavailable?
- 04Has staff food hygiene training been completed and kept up to date?
- 05What changes have been made in response to the recommendation about recording and monitoring care?
This was a planned inspection covering all five CQC questions; the home was supporting one person at the time and the previous overall rating was Good. This explanation was written from the published report of 17 December 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, May 2017
Rated Good; inspectors found safe, kind and personalised care, and said improvements required at the previous inspection had been made.
The inspection was announced and took place on 31 March 2017. One inspector reviewed care, medicines and quality records, spoke with the person living there, the provider and one staff member, and contacted commissioners.
The home was supporting one person at the time, although it was registered for up to two people with a learning disability. Inspectors found that the person was safe, involved in decisions, treated with kindness and supported to live an active life in the home and local community.
The previous inspection, in December 2015, had required improvements. This inspection found that systems for safeguarding, accidents, medicines, risk checks, legal decision-making and quality monitoring had improved. All five areas were rated Good.
Personalised support
The person was involved in decisions about their care and daily life. Their support plan included their history, likes and dislikes, and they helped to keep their daily diary.
“The person was fully involved in deciding how their care and support should be provided.” from the report
Kind and respectful care
Inspectors saw that staff treated the person with kindness, respect and dignity. The person could choose where to spend time and could have privacy in their own room.
“We saw that the person was treated with respect and with dignity throughout the inspection.” from the report
Community life
The person was supported to maintain friendships and take part in activities such as shopping, visiting cafes, bingo and going to the local church.
“The person was well known in the local community and enjoyed going out to the shops and cafes nearby.” from the report
Improvements made
The provider had acted on the previous inspection findings. Systems for medicines, safeguarding, risk checks and quality monitoring were now in place.
“We saw that, on this inspection, improvements had been made in all areas.” from the report
Inspectors raised no specific concerns in this report.
- 01How are safeguarding concerns, accidents and incidents recorded and reported now?
- 02How are medicines checked and recorded, and who can give them if the provider is away?
- 03What training have staff completed about the person's needs, safeguarding and decision-making rights?
- 04How will you support my relative to choose their routines, activities, friendships and time in the community?
- 05How do you check the quality and safety of care, and how are any problems followed up?
This was an announced inspection covering all five questions, based on speaking with the one person using the home, the provider and one staff member, and reviewing care, medicines and quality records. This explanation was written from the published report of 11 May 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 The Hollins Residential Care Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at The Hollins Residential Care Home →
- May 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Hollins Residential Care Home →
- January 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- June 2011
Registered with the Care Quality Commission on 19 June 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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