The Hollies

This assessment was prompted as the location had not been assessed since 2019. The provider was also previously in breach of the legal regulation in relation to premises and equipment. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.

We assessed the service against ‘Right support, Right Care, Right Culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence, and good access to local communities that most people take for granted.

Right Support:

People were encouraged to lead their lives in their chosen way and took control of decisions about their care. Independence was encouraged and supported. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were enough staff with the right skills, qualifications, and experience. Managers made sure staff received training and regular supervision to maintain high-quality care. Staff managed medicines well and people had regular health checks and medicine reviews.

Right Care:

People received dignified care that respected their privacy and human rights. Care and support was person-centred. Individualised care and support plans were in place that enabled staff to provide appropriate and safe care for each person. People’s preferred communication styles were known and respected.

Care plans provided information about people’s lives prior to moving into the service, including information as to their work history, family life, hobbies and interests. Care plans reflected people’s care needs, including plans for the future. Potential risks were assessed, with care records providing guidance for staff on how to mitigate risk and support people well. Staff were very kind and caring towards people. Staff knew people well and cared for them in a person-centred way.

Right Culture:

The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive, and empowered lives. Staff were being supported by a positive behaviour support practitioner who worked with them to understand individual’s specific needs.

Leaders were committed to providing a non-discriminatory environment for people using the service and staff. Practices ensured people’s consent to care was obtained for all health and care interventions. Where people lacked capacity to make informed decisions, best interest decisions were made and documented.

The provider had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risk while supporting people to take part in activities in their local community and try new things. The facilities met people’s needs, were clean and well-maintained and any risks mitigated. Governance was effective and identifying areas to improve. Regular audits were being completed to monitor quality and safety.