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Care Services

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Holly Bank Care Home, Halifax.

Holly Bank Care Home in Halifax is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care and caring for adults over 65 yrs. The last inspection date here was 6th September 2019

Holly Bank Care Home is managed by James and Reuben Limited.

Contact Details:

    Address:
      Holly Bank Care Home
      Manor Heath Road
      Halifax
      HX3 0BG
      United Kingdom
    Telephone:
      01422368555

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Requires Improvement
Caring: Good
Responsive: Requires Improvement
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-09-06
    Last Published 2018-07-26

Local Authority:

    Calderdale

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

29th March 2018 - During a routine inspection pdf icon

This inspection took place over two days. Both days were unannounced.

Holly Bank Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Holly Bank provides residential care to a maximum of 25 people. There were 22 people living at the home at the time of our inspection. The service does not provide nursing care. Bedrooms are situated over four floors and there are three lounges and a dining room on the ground floor.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We saw Holly Bank Care Home provided a comfortable and pleasant home for people and was clean and tidy throughout. There was a relaxed friendly atmosphere and we observed caring, respectful and friendly interactions between staff and people who lived at the home.

Systems were in place to make sure staff were recruited safely but some improvements were needed to make sure staff received the training and support they needed.

There were not enough staff available at all times to safely meet the needs of people living at the home.

An analysis of peoples dependencies had been completed but this concentrated on personal care needs and did not take into consideration the support needs of people living with dementia or peoples social and recreational needs.

Systems were in place to manage medicines safely but further improvements were needed in relation to recording application of topical medicines and managing ‘as required’ medicines.

We made a recommendation about some aspects of medicines management.

People told us they felt safe at Holly Bank Care Home and we found systems were in place to report and analyse incidents which may affect people’s safety and welfare.

People we spoke with said they received good care and support. People were very complimentary of the staff.

People told us they very much enjoyed the meals at the home and had plenty of choice. There was no dedicated cook, and we saw care staff took it in turns to cook meals. We saw meals were appetising and nutritious and plenty of choice was available. We saw the dining experience was well organised and enjoyable for people. People’s nutritional needs were assessed and met.

An electronic care planning system was in place. We saw assessments of need and perceived risks were up to date and under continuous review. Care plans were in place but varied in the detail they provided and in demonstrating a person centred approach.

People had access to healthcare professionals as and when the need arose.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staffs’ understanding of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) was variable and there was a lack of reporting to demonstrate how the condition on one person’s DoLS was being met.

We made a recommendation about management of DoLS.

Although the service did not have an activities programme, we saw people were supported to engage in activities or pastimes of their choice.

People told us that any concerns they had were addressed immediately. However this was not routinely recorded.

Some systems in relation to governance and for auditing the safety and quality of the service were not always robust or effective.

We identified two breaches of regulation during the inspection. You can see what action we have told the provider to take at the back of th

12th January 2017 - During a routine inspection pdf icon

We inspected Holly Bank Care Home on 12 January 2017 and the visit was unannounced. At the last inspection on 1 June 2016 we rated the service as ‘Inadequate’ and identified five regulatory breaches which related to safe care and treatment, consent, reporting and investigating allegations of abuse, staffing levels, and good governance.

As a result of the June 2016 inspection the service was placed in ‘Special measures’. This meant we kept the service under review and if no further action was needed, would return to inspect again within a six month period.

On this inspection we found sufficient improvements had been made to take the service out of ‘Special Measures’.

This inspection was to check improvements had been made and to review the ratings. We found a number of significant improvements had been made and plans were in place to further improve. Whilst some further improvements were needed, we did not find any regulatory breaches.

Holly Bank Care Home is situated on the outskirts of Halifax town near Manor Heath park. It is registered with the Care Quality Commission to provide personal care for a maximum of 25 people. Nursing care is not provided. The accommodation is arranged over four floors and there is a passenger lift available. Bedrooms are on all four floors, there are two doubles and 21 single rooms. Five bedrooms have en-suites toilets and 13 have en-suites showers and toilets. Car parking is available at the front of the building. On the day of the inspection there were 22 people using the service.

There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found the service provided a comfortable and pleasant home for people and was clean and tidy throughout. There was a relaxed friendly atmosphere and we observed caring, respectful and friendly interactions between staff and people who lived at the home.

We found staff were being recruited safely although documentation was not in place to show how poor references had been followed up. Duty rotas had been improved to show which members of staff were on duty or in what capacity they were working. An analysis of peoples dependencies had been completed which included a detailed evaluation of staffing levels and details about how staff were deployed to meet the needs of people living at the home. This was an improvement since the previous inspection.

Improvements had been made to the way medicines were managed in the service. Although we found the systems to be safe, further improvements were needed.

Staff were receiving training which was relevant to their role although new staff were not included on the training matrix. Improvements had been made to the systems for supporting staff and a new system was in place to ensure each staff member received quarterly supervisions and an annual appraisal. These looked at the support staff required as well as addressing any performance issues.

People told us they felt safe at Holly Bank Care Home and we found improvements had been made in the way the service reported and managed incidents which may affect people’s safety and welfare.

All of the people we spoke with said they received very good care and support. They told us staff were always available when they needed them. People were very complimentary of the staff.

People told us they very much enjoyed the meals at the home and had plenty of choice. There was no dedicated cook, and we saw some of the care staff took it in turns to cook meals. We saw meals were appetising and nutritious. People’s nutritional needs were assessed and the dietician was involved in people’s care if required.

A new electronic care planning system was in place.

1st June 2016 - During a routine inspection pdf icon

We inspected Holly Bank Care Home on 1 June 2016 and the visit was unannounced. Our last inspection took place on 8 August 2014. At that time, we found the provider was meeting the regulations we looked at.

Holly Bank Care Home is situated on the outskirts of Halifax town near Manor Heath park. It is registered with the Care Quality Commission to provide personal care for a maximum of 25 people. Nursing care is not provided. The accommodation is arranged over four floors and there is a passenger lift available. Bedrooms are on all four floors, there are two doubles and 21 single rooms. Five bedrooms have en-suites toilets and 13 have en-suites showers and toilets. Car parking is available at the front of the building.

On the day of the inspection there were 22 people using the service and one person was in hospital.

There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found the home was well decorated, comfortably furnished, clean and tidy. There was a relaxed friendly atmosphere and people looked well cared for. However, we identified a number of areas where improvements were required.

We found staff were being recruited safely, however, the duty rotas did not always show which members of staff were on duty or in what capacity they were working. The registered manager was not using any formalised tool to calculate how many staff were needed, based on the dependencies of people using the service. This meant we could not assure ourselves there were always enough staff on duty to met people’s needs.

Staff were receiving training which was relevant to their role and they told us they received regular supervision. There was no appraisal system in place to ensure staff performance and developmental needs were being identified and addressed.

People who used the service and their relatives told us staff were helpful, polite, professional and caring. We saw people were treated with respect and compassion.

Although people told us they felt safe at Holly Bank Care Home we found some incidents had not been reported to the safeguarding team and the Commission. This meant the procedures to keep people safe were not being followed.

There was no dedicated cook, the registered manager told us some of the care staff took it in turns with the catering. They also told us they had no intention of employing a chef or cook in the future. Although people told us the meals were good, we saw the menus did not incorporate people’s preferences, which had been discussed at a residents’ meeting.

Care plans were not up to date, did not detail exactly what care and support people needed and were not personalised. Risk assessments were in place however, these were not always accurate and action had not always been taken to mitigate identified risks.

People’s healthcare needs were being met, however, we found medicines were not being stored or managed safely. Staff were not always signing medicine records to confirm they had administered medicines and there was no guidance for staff regarding the administration of ‘as required’ medicines.

We found the service was not meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS). We found one DoLS had expired and there was no evidence the conditions which had been in place for someone who had left the service had been met.

Some activities were organised by the care staff to keep people occupied.

People told us their visitors were made to feel welcome and if they had any concerns they would speak to the one of the staff.

We found checks being made on the overall operation and quality of the service were poor and were not identifying areas whic

11th August 2014 - During an inspection in response to concerns pdf icon

We visited the home in response to concerns about no nurse being on duty. We found the registered manager had booked an agency nurse for the shift, but they had not been able to attend for work. The night nurse stayed and did the morning medication round and the day nurse was coming on duty at 5:30pm. The registered manager had contacted Calderdale Clinical Commissioning Group (CCG) to make them aware of the problem. They agreed as an emergency measure the district nurse could be contacted if necessary.

The registered manager told us about the difficulties they had in trying to recruit suitable nursing staff and told us they were going to stop providing nursing care because of this. They have informed the commissioners of their decision and said they would be working with them to ensure the best outcomes for people living at Holly Bank.

8th August 2013 - During a routine inspection pdf icon

During our visit we spoke with seven of the people who lived at the home and two people who were visiting their relatives. Not all of the people we spoke with were able, due to complex care needs, to tell us their experiences of the home. These are some of the things people did tell us:

"I can do whatever I like"

"I would like a bit more choice of food but I'm happy with what I get"

"The staff are good and kind"

"Some staff are better than others"

"They are marvellous"

" I have everything I need here"

Both of the visitors we spoke with told us that they were happy with the care their relatives had received. One person told us that if they had any issues at all they discussed it with management who resolved the issue immediately.

We found the home provided people with a pleasant environment in which to live and saw that further improvements, including easier access, to the building were underway.

Staff were attentive to people's needs and told us they enjoyed working at the home.

We saw that staff managed safeguarding issues and complaints/concerns well.

Care documentation, although of an acceptable standard, was in need of some improvement to make sure people's clinical needs were met.

1st November 2012 - During a routine inspection pdf icon

We spoke with three people who used the service, one relative and one visiting social care professional. The people who used the service told us they were happy at Holly Bank Nursing Home and were supported by the staff. The relative we spoke with told us they came every day to the home and was very happy with the quality of care provided. They told us their relative had experienced poor care at another care home but their relative's health was now much better since coming to live at Holly Bank.

The visiting social care professional told us staff appeared happy and they had no concerns with the care of the person they were supporting.

Staff spoke highly of the care standards at Holly bank Nursing Home. They told us that they do not use unsafe moving and handling techniques such as drag lifting. One person told us, "We would get sacked." All the staff we spoke with told us they would be happy for a relative to be cared for at this nursing home. They told us they felt very supported by the management who were always available.

5th January 2012 - During a routine inspection pdf icon

We spoke with six people who live at the home. They all told us that they were very happy at the home and with the care and attention they get from staff. People said that the home was kept spotlessly clean and is always tidy. People commented about the friendly, homely atmosphere and that nothing is too much trouble for the staff. One visitor told us that they are very happy with the care at Holly Bank and told us all of the staff ‘can’t do enough for their relative.’

1st January 1970 - During an inspection in response to concerns pdf icon

People told us they like the staff that care for them and that staff are available when they need them.

 

 

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