Trelana

Updated 3 November 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced inspection took place on 28 September 2017. It was carried out by two inspectors 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.

Before the inspection we reviewed information we held about the service. This included notifications we had received. A notification is information about important events which the service is required to send us by law. There was no Provider Information Return (PIR) available for us to view as we had not requested one. A PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with nine people who lived at Trelana, five relatives and a visitor to the service. We also spoke with the registered manager and area manager and eight members of staff. We looked around the premises and observed how staff interacted with people.

We looked at four records related to people’s individual care needs, three staff recruitment files, training records for all staff and other records associated with the management of the service.

After the inspection we contacted four health professionals who had experience of the service.

Updated 3 November 2017

This unannounced inspection took place on 28 September 2017. Trelana provides nursing care for up to 50 older people. At the time of our inspection 44 people were living at Trelana. The service is split into two units. One of these is situated on the lower floor of the building and is for people who are living with dementia. The service was last inspected 4 February 2016 when it was rated Good in all areas. At this inspection we found that the service remained Good overall but that improvements were required in relation to our key question; "is the service safe?"

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager was aware of their responsibilities to inform the Care Quality Commission and local authority of any safeguarding concerns or incidents where people might have been at risk. One person had recently moved into Trelana and was unsettled and could become agitated. This had left other people feeling anxious. We found that action to improve people’s experience of the service had not been taken in a timely manner and we have made a recommendation about this in the report.

A recent recruitment drive had taken place and the service was fully staffed. People were protected by the service’s safe recruitment practices. Staff underwent the necessary checks which determined they were suitable to work with vulnerable adults, before they started their employment.

People had their medicines managed safely. People received their medicines as prescribed and on time.

New staff received a comprehensive induction programme. Staff were appropriately trained and had the correct skills to carry out their roles effectively. They were supported by a robust system of supervision and regular training updates.

The registered manager and staff understood their role with regards to the Mental Capacity Act (2005) and the associated Deprivation of Liberty Safeguards. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People chose the meals they wished to eat and decided where to eat them. Special diets were available for people with particular dietary needs.

The registered manager told us of plans for improvements they intended to make. We found they acted quickly to address any issues identified during the inspection process. Staff described the management as supportive and approachable.

There were a series of quality assurance systems in place. Incidents were appropriately recorded and analysed.

Further information is in the detailed findings below.