Background to this inspection
Updated
11 November 2015
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.
Two inspectors completed this unannounced inspection of Trent View on 7 October 2015.
The provider was not asked to complete a provider information return (PIR). This 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. We looked at information received from the public, from the local authority commissioners and the statutory notifications the registered manager had sent us. A statutory notification is information about important events which the provider is required to send to us by law. Commissioners are people who work to find appropriate care and support services which are paid for by the local authority.
We spoke with five people who lived at the home and with three relatives about their experience of the service. We spoke with five members of staff, including two care staff, two team leaders and the registered manager.
We observed how staff interacted with people who used the service and looked at two people’s care records to check that the care they received matched the information in their records
We reviewed two staff files to see if they were regularly supported and that recruitment procedures were followed to check that staff were safe to work with people.
Updated
11 November 2015
We inspected Trent View on 7 October 2015, this was an unannounced inspection. We last inspected the home 18 July 2013 and found they met the requirements.
Trent View is a care home providing accommodation support for up to nine people with learning disabilities. The home had a registered manager in place. 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.
People were kept safe by staff who understood their responsibilities to protect people living with learning disabilities. Each person had a key worker who assisted them to learn about safety issues; such as, how to evacuate the building in an emergency and who to speak with if they felt unsafe. People were able to tell us what actions they took to keep themselves safe and how they were supported to do that. Staff had received training about protecting people from abuse and understood and followed the safeguarding procedures.
We saw that there were enough staff working at the home and that those staff had been recruited following procedures to check that they were safe to work with people.
People told us that they really liked the staff and that they helped them to learn new skills and lead more independent lives. Staff received supervision and training to develop their own skills so that they could provide a good service to people. New staff were given an induction to ensure that they were confident and competent before they worked with people on their own. Staff were trained about the safe management of people with behaviours that may harm themselves or others.
We observed that staff had developed positive relationships with the people who used the service. Staff were kind and respectful and spent time with them having conversations and sharing jokes. People told us that private space was important to them at times and that staff recognised this and respected their privacy.
People told us how they made their own choices and how they were supported to reach their goals. They had a keyworker who worked closely with them to plan their care. Relatives were consulted and included. People had active lives and also planned holidays and days out.
Staff supported people to maintain their health. We saw that individual preferences were included in menus and that people were given choice about their food and drink. People were supported to manage their weight and healthy food recipes were being followed following advice from dieticians.
People were supported to understand their health conditions and how the medicines that they took helped to keep them well. Medicines were given to people safely and records were well maintained and managed.
People and staff told us that the registered manager was approachable and listened to people. We saw there was a senior member of staff on duty that staff could go to for advice.
The registered manager had implemented a range of systems to monitor and improve the quality of the service. People told us that if they were not happy they would know how to complain and this information was displayed with photographs and contact information.