Holly Park Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment, the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. Some improvements were required to ensure records relating to people's capacity and consent were improved. People received support to access health and social care support and their needs were monitored. Teamwork was effective and there were good links with other relevant professionals. Effective systems were in place to support people moving into the home.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. They used this information to formulate plans of care. People and relatives spoke positively about their experiences moving into the home. They felt this was well planned and supportive. One relative told us on the day of their arrival the staff were very welcoming, the room was all prepared and everything was explained clearly to them.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care records provided evidence to show good practice guidance was followed. For example, processes were place to analyse and audit people's weights and falls. Records showed action had been taken to mitigate falls risks and where people were losing weight, referrals had been made to the GP and dietician and actions taken to increase people's nutritional intake. One relative complimented the home as their relative had gained weight since moving into the home.

We observed good meal-time experiences over the course of the assessment. People were shown taster plates to support them with their choices. There was a varied choice of refreshments, meals and snacks. Everybody we spoke with said the quality of the meals had significantly improved and there were more fresh and homemade options. We spoke with the chefs and they told us they received clear information about people’s needs and wishes and incorporated this into the menu. They spoke passionately about their role and how it helped people to live healthy lives.

The registered manager worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. People and relatives commented they had seen recent improvements in teamwork. Comments included, “Staff work well together and enjoy having a laugh with residents and relatives.” Staff spoke very highly about positive changes motivated by the new registered manager and valued working with other agencies. Comments included, “The care is excellent and we are a good team now.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Processes were in place to ensure people were supported to access health and social care specialists for advice and guidance. People's care records showed input from GPs, district nurses, chiropodist, and other relevant health and social care professionals. We spoke to a health care professional and they confirmed staff knew how to respond to changes in people’s health and followed treatment plans effectively. They said, “Staff are kind and caring and know people very well.”

People and relatives said they felt well supported with their health needs and received support when this was required.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Processes were in place to ensure people's care and treatment was monitored. Charts were in place to monitor people's care relating to food and fluids, repositioning and hygiene needs. Records showed people who had recently moved into the service had made improvements, including increased mobility and gaining weight. One relative told us their relative had become much more sociable since they moved into the service. We saw staff were conscientious when recording details about people’s care and support.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people lacked capacity, assessments were in place. Improvements were required to records relating to best interest decisions, to ensure relevant documentation was robust and captured views and discussions fully.

People and relatives reported staff asked for consent before offering care and support. We observed staff routinely offering choices and options to people and taking time to listen to their wishes. A relative told us staff always asked their relative before providing care and checked they were happy.