Source · CQC inspection
Holly House Residential Care Home
Type Social Care Org
Region East
Last inspected 11 Sep 2015
Archived This service was archived (deregistered) by CQC on 14 Jun 2017. The ratings below are historical and do not reflect a current service.
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.