Holly Lodge

Holly Lodge provides residential care for up to 11 younger adults with learning disabilities, autistic spectrum disorder, or mental health conditions. This report from the Care Quality Commission (CQC) details the findings of an inspection conducted in October and November 2022. The inspection focused on several key areas to assess the quality and safety of the care provided, including responses to concerns about well-being and staff conduct. The overall assessment reflects the ongoing commitment of the service to providing a supportive environment.

Regarding safety, the home ensures residents are protected from harm through robust safeguarding procedures and staff trained to identify and report concerns. Risk assessments are thoroughly maintained and reviewed, with premises safety checks regularly completed. Recruitment practices are thorough, ensuring staff are suitable. While the majority of medication management is safe, there's a recommendation to review and discontinue unused stored medicines with the GP and pharmacy to prevent potential errors. Infection control measures are strong, with the premises kept very clean and staff well-trained.

In terms of how effective the care is, Holly Lodge excels in creating person-centred care plans, developed collaboratively with residents and their families. Staff are well-trained through a combination of induction, mandatory, and bespoke courses, ensuring they have the skills to support residents' specific needs. Residents are actively involved in menu planning and meal preparation, with a focus on supporting their independence and dietary preferences. The service also demonstrates good links with healthcare professionals, ensuring timely access to medical support.

The caring aspect of the service is highlighted by staff who know residents well and use effective communication and de-escalation techniques, such as social stories and PROACT-SCIPr-UK plans, to support them through challenging situations. Residents are encouraged to make choices in their daily lives, and staff demonstrate empathy and understanding, particularly during times of crisis. The environment reflects a focus on residents, with personal touches and photos of activities contributing to a welcoming atmosphere.

Responsiveness is evident in how the service adapts to individual needs. The premises, including annexes, are designed to accommodate specific requirements, allowing residents to live safely and contentedly. Staff are proactive in planning for new admissions, ensuring their rooms are prepared to facilitate a smooth transition and make them feel at home. The service also operates within the principles of the Mental Capacity Act, ensuring residents' choices are supported and any restrictions are legally authorised and in their best interests.

Concerning how well-led the service is, the management team leads by example, fostering a culture focused on residents' needs and well-being. They actively work alongside support staff, promoting an open and collaborative environment. A strong culture of learning from incidents is in place, with thorough investigations and sharing of lessons learned through supervision and meetings. The service consistently reviews its operations and makes improvements based on feedback and audits.