Source · CQC inspection
Holly House Residential Care Home
Type Social Care Org
Region East
Last inspected 11 Sep 2015
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate
Earlier inspection findings
Must-do actions (8)
Must-do action 1 of 8
Must do
Safe
The provider must ensure there are sufficient staff to support people in a way that ensures their continued safety.
Must-do action 2 of 8
Must do
Safe
The provider must ensure medicines are managed safely, including securing medicines and ensuring timely detection and response to incidents.
Must-do action 3 of 8
Must do
Safe
The provider must ensure that plans for managing risks to people's health and well-being are addressed and clearly state how risks are managed or mitigated.
Must-do action 4 of 8
Must do
Safe
The provider must have adequate arrangements in place to respond appropriately to people’s changing needs and emergencies.
Must-do action 5 of 8
Must do
Effective
The provider must ensure people receive appropriate support to eat and drink sufficient amounts to maintain their health and well-being, including effective monitoring of nutritional needs, provision of adequate and in-date food, and clear instructions for staff.
Must-do action 6 of 8
Must do
Well-led
The provider must ensure effective governance arrangements are in place, including clear roles and responsibilities, effective communication, robust recruitment and contingency planning, and comprehensive quality monitoring and auditing.
Must-do action 7 of 8
Must do
Well-led
The provider must inform the Care Quality Commission (CQC) of important events that happen in the service in a timely way.
Must-do action 8 of 8
Must do
Well-led
The provider must ensure that staffing rotas accurately demonstrate staffing numbers, reflect all shifts worked, and reconcile with payroll records and actual hours worked.
Should-do actions (3)
Should-do action 1 of 3
Should do
Caring
The provider should ensure people are always supported in a way that maintained their dignity, especially with expressing their sexuality, and that people have choices about how their care and support is provided.
Should-do action 2 of 3
Should do
Responsive
The provider should ensure people's care is responsive to their needs, including providing planned one-to-one support, ensuring care plans are up-to-date and accurately reflect current needs, and offering a range of activities that reflect people's choices.
Should-do action 3 of 3
Should do
Responsive
The provider should ensure the complaints system is effective and that people feel comfortable complaining and that their concerns are listened to and dealt with.