The Troc Care Home

Updated 18 January 2024

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 Health and Social Care Act 2008.

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 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

The Troc is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Troc is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people living at the home and 3 relatives about their experiences of the care provided. We reviewed in part, 4 people’s care records and multiple medicine records. We spoke with 8 members of staff including care staff, activities co-ordinator, domestics, and registered manager. director, and nominated individual. We looked at 3 staff files in relation to recruitment, and a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 18 January 2024

About the service

The Troc is a residential care home providing personal care to younger and older adults with physical disabilities and those living with dementia. The home is spread across 2 floors with a purpose-built extension that can accommodate up to 64 people. At the time of our inspection there were 36 people using the service.

People’s experience of using this service and what we found

People told us they received personalised care that met their needs and reflected their choices and wishes. People used words like ‘excellent’, ‘kind’ and ‘understanding’ to describe their care and staff within the home.

People were protected from the risk of avoidable harm by comprehensive policies and procedures and by staff who were trained and knowledgeable about safeguarding risks and were confident to report their concerns.

There was a dedicated housekeeping team that ensured risks from infection prevention and control were minimised and controlled and kept standards of hygiene in the home to a high level. The provider was working on plans to modernise the original building following a recent extension to ensure these standards continued.

Staff were recruited safely and received comprehensive training to support them in their role. Staff told us they received regular supervisions and support from the management team and confirmed their feedback and ideas for improvements were acted upon.

Care plans were reviewed regularly and involved people and families. There was a robust system of audits that supported staff and the provider to identify changes in people needs and the service. We saw evidence these were acted upon appropriately and timely.

People and relatives told us the management team were approachable with an ‘open door’ policy and that they knew how to raise concerns and were confidently these would be dealt with by the registered manager.

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

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 good (Published 4 October 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service and the length of time since the last inspection.

We undertook an unannounced focused inspection. This report covers our findings in relation to the Key Questions Safe and Well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Troc on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.