Trabel

Updated 1 February 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.

Inspection team

The inspection team consisted of 2 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.

Service and service type

Trabel 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. Trabel 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 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 6 people who used the service, 2 relatives and 4 members of staff including the registered manager. We reviewed a range of records. This included 4 people's care records and multiple people's medicine records. We looked at 3 staff recruitment files and a variety of records relating to the management of the service. We observed people’s care and support and carried out a visual inspection of the premises.

Updated 1 February 2024

About the service

Trabel is a residential care home providing accommodation and personal care for up to 12 people. The service provides support to people with learning disabilities or autistic spectrum disorder. At the time of our inspection there were 12 people using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

People received the care and support they needed to be safe. People had a choice about their living environment and were able to personalise their rooms. Staff communicated with people in a way that met their needs. People were supported with their medicines in a way that promoted their independence and achieved the best possible health outcome.

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 supported people to access health and social care support in the community.

Right Care:

Staff understood how to protect people from poor care and abuse. Care was provided in line with people’s preferences and choices. Staff had training on how to recognise and report abuse. People's care and support plans reflected their needs. Care records contained risk assessments with clear guidance for staff to follow. The service worked together with healthcare professionals to ensure people's needs could be met.

Right Culture:

The registered manager promoted a person-centred environment and people experienced good outcomes. People received compassionate and empowering care that was tailored to their needs. Staff understood people's needs. People and those important to them were involved in planning their care. staff had completed relevant training required for their role.

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

Rating at last inspection

At the last inspection we rated this service as good (published on 1 November 2017).

At our last inspection we recommended that appropriate records were maintained in relation to the Mental Capacity Act. At this inspection we found the provider had acted on the recommendation and had made improvements.

Why we inspected

We inspected due to the length of time since the last inspection.

This report only covers our findings in relation to the Key Questions Safe, Effective and Well Led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Trabel on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information, we may inspect sooner.