Trinity View Care Home

Updated 28 February 2020

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.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Trinity View 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

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. 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 used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and three relatives about their experience of the care provided. We spoke with five members of staff including the provider, registered manager, deputy manager and care staff. We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with a cook employed at an adjacent service who provided meals for people living at Trinity View.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 28 February 2020

About the service

Trinity View Care Home is a residential care home providing personal care and accommodation to six people with dementia at the time of the inspection. The service can support up to eight people.

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

This was the services first inspection since registration. Systems in place to ensure robust oversight of the service were not always effective. Although the provider took action when we brought matters to their attention, their own systems had not identified these issues. Risks had not always been fully assessed to keep people safe and protected.

Staff had received safeguarding training and knew how to escalate suspicions of abuse. People were supported by staff who knew their needs. There were enough experienced and trained staff on duty to meet people’s needs and people received their medication at the right time.

Most people using the service at the time of the inspection could not tell us about their experiences of using the service. However, we observed positive interactions between people and staff and people looked comfortable with the way they were being supported. Relatives were positive about the quality of care and support provided and felt confident their family members were safe and happy when staying in the home.

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

Staff understood and felt confident in their role. They told us they felt well supported and that they could talk to management at any time, feeling confident any concerns would be acted on promptly. Staff liaised with other health care professionals to ensure people's safety and meet their health needs.

People were treated with dignity and respect by staff. Staff supported people to make decisions on how they spend their time. Care plans included people’s likes, dislikes and preferences about their care. People could maintain friendships and contact with families, and when needed had access to advocates.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 11 January 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on the registration date.

Enforcement

We have identified a breach in relation to good governance at this inspection. The provider responded to the concerns on the day of the inspection and provided additional information after the inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.