Background to this inspection
Updated
9 February 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by four inspectors.
Service and service type
Trinity Court Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave 24 hours notice of the inspection, this was because we wanted to be assured that no one at the home was symptomatic in light of the COVID-19 pandemic.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed all the key information providers are required to send us about their service, including statutory notifications. We used all of this information to plan our inspection.
During the inspection
We spoke with relatives of five people using the service. We also spoke in-person with various managers and staff who worked at the service, including the registered manager, the deputy manager, the head of operations, two nurses, five health care workers, a physio-therapist, an activities coordinator and two domestic staff.
We looked at a range of records, including five care plans, medicines records, four staff recruitment files, rotas, complaints, policies and audits.
After the inspection
We contacted five healthcare professionals with experience of working with the service. We continued to seek clarification from the provider to validate evidence found. We looked at governance audits, feedback surveys and training records.
Updated
9 February 2021
About the service
Trinity Court Nursing Home provides care for up to 50 people. The home is arranged over three floors and accommodates people with nursing care needs. At the time of the inspection, there were 27 people using the service.
People’s experience of using this service and what we found
Relatives of people using the service told us their family members were safe and they had no concerns about their safety or wellbeing. Risk assessments were reviewed and updated on a regular basis which helped to ensure people’s safety and wellbeing. Recruitment procedures were robust and there were enough staff employed to keep people safe. People received their medicines as prescribed. The premises were kept clean and staff followed relevant current best practice guidelines regarding infection control and prevention.
Staff cared for people in a respectful manner which promoted their independence and maintained their dignity. Person centred care plans were in place which helped staff to care for people in an individual way. People were supported to maintain relationships that were important to them. Staff communicated with people in a way that they could understand. The provider listed when concerns were raised and responded in a timely manner after carrying out appropriate investigations. People were supported according to their wishes in relation to end of life care.
Audits were in place to monitor the quality of service and there was evidence the provider was proactive in making improvements where necessary. Feedback from relatives, staff and healthcare professionals was positive, they told us there was an open culture within the home. There was good evidence of collaborative working with healthcare professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 11 June 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 30 April, 02 May & 03 May 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve fit and proper persons employed, person-centred care and governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Caring and Well-led which contain those requirements and Key Question Responsive.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Trinity Court Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.