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CQC report explained · a nursing home, run by Only Care

Hollybank House

Chesterfield Road, Oakerthorpe, Alfreton, DE55 7LP

Goodpublished 26 January 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, safe medicines systems, regular risk reviews and effective infection control.
Effective?
Good
This area was not rated in this inspection report. Inspectors did record that staff worked with health and social care professionals to manage people's health.
Caring?
Good
This area was not rated in this inspection report. People, relatives and professionals gave positive feedback about the kindness of staff and the person-centred approach.
Responsive?
Good
This area was not rated in this inspection report. Inspectors said people's needs and preferences were considered, and feedback was used to make improvements.
Well-led?
Good
The home had a positive culture, open communication and effective quality checks. People, relatives and staff felt able to raise concerns and suggestions.
The latest report, explained

What inspectors found, January 2024

Hollybank House is rated Good; inspectors found safe, caring and well-managed support, with no registered manager in post at the time.

This was an unannounced inspection on 28 and 29 November 2023. Inspectors spoke with people, relatives, staff and health and social care professionals. They observed care and checked care records, medicines, staff training and quality checks.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found enough staff, safe medicines practice, clean surroundings and suitable checks for risks. People and relatives said they felt safe and listened to.

The service had a positive and caring culture. Staff knew people well and worked with other professionals to support their health. The inspection only gave ratings for Safe and Well-led. The other three areas were not rated in this report.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to meet people's needs, including when people needed help with eating, reassurance or activities. Staff turnover was described as low, helping staff know people well.

    There were enough staff to keep people safe.from the report
  • Safe medicines

    Medicines were stored, given and recorded safely. Staff were trained and checked as competent, including in the use of medicines given when needed.

    People received their prescribed medicines safely.from the report
  • People felt safe

    People and relatives said they felt safe. Staff knew how to recognise and report abuse and felt able to speak up.

    People felt safe living at Hollybank House, and relatives also felt their family members were supported safely.from the report
  • Open management

    People, relatives and staff felt able to raise concerns or suggest improvements. The provider used audits and feedback to identify and act on changes.

    People and relatives told us they felt able to raise concerns or make suggestions for improvement and felt confident they would be listened to.from the report
  • End of life care

    Inspectors noted a team approach to end of life care and positive feedback from professionals. The provider had received a local award recognising this work.

    The whole staff team approach to end of life care meant people and their relatives could be assured of a compassionate person-centred approach at this most difficult time.from the report
What inspectors were concerned about
  • No registered manager

    minor

    There was no registered manager in post when inspectors visited. The manager had applied to register, and the application was still being assessed.

    At the time of our inspection there was not a registered manager in post.from the report
Questions to ask them, based on this report
  1. 01Has the manager's application to become registered been approved, and who is currently responsible for the service?
  2. 02How are staffing levels reviewed when people's needs change?
  3. 03What actions have been taken to reduce falls and the risk of pressure sores?
  4. 04What refurbishment work has been completed since the June 2023 feedback about the décor?
  5. 05How are relatives involved in care planning and decisions about end of life care?

This inspection rated Safe and Well-led only; Effective, Caring and Responsive were not rated in this report. This explanation was written from the published report of 26 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Hollybank House

3 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hollybank House

  2. October 2017Goodup from Requires improvement
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2012

    Registered with the Care Quality Commission on 9 February 2012.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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