Background to this inspection
Updated
17 January 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, one specialist advisor [SPA] and one Expert by Experience . A SPA is an external professional with experience in health and social care. 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
Trewartha is a 'care home'. People in care homes receive accommodation and nursing or personal care as 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 and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We also reviewed notifications. Notifications are specific events registered people must tell us about by law. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection-
We spoke with eight people, six relatives, the registered manager and deputy manager, ten staff members including, care staff, housekeeping staff, the cook, receptionist, activities person and the maintenance person. We also spoke with one visiting professional during the inspection of the service. 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 and staff supervision. 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
17 January 2020
Trewartha is a care home with nursing and accommodates up to 37 people in one purpose built single storey building. The service provides care and support to people who need nursing care and people living with dementia. At the time of our inspection there were 36 people living at Trewartha.
People’s experience of using this service and what we found
Some people were not able to tell us verbally about their experience of living at Trewartha. Therefore, we observed the interactions between people and the staff supporting them.
People said they felt safe. There was enough staff to support people and appropriate employment checks had been carried out to ensure staff were suitable to work with vulnerable people.
Staff were highly committed to ensuring people lived fulfilling lives and were protected from social isolation. The focus of people's care was individualised and focused on promoting people's independence as well as their physical and mental well-being. People were empowered to make their own choices and staff demonstrated a 'can do' approach which meant they were able to achieve very positive outcomes for people.
People received an extensive range of meaningful activities which focused on the persons individual interests and abilities. There was a comprehensive and varied menu of activities to choose from and people benefited from the development of closer links to their local community.
People enjoyed the meals and their dietary needs had been catered for. This information was detailed in people's care plans. Staff followed guidance provided to manage people's nutrition and pressure care.
Care plans contained information about people and their care needs. People were supported to make choices and have their support provided according to their wishes.
People were supported by staff who had received training to ensure their needs could be met. Staff received regular supervision to support their role.
People had good health care support from professionals. When people were unwell, staff had raised the concern and acted with health professionals to address their health care needs. The staff worked in partnership with health and care professionals.
Staff were patient and friendly, and people's privacy and dignity were respected. Staff knew how people preferred their care and support to be provided.
People were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Effective governance systems were in place, ensuring people received consistent care.
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 29 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.