Tranby Park Care Home

Updated 30 November 2021

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.

As part of this inspection we looked at the infection prevention and control measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by three 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

Tranby Park Care Home 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 CQC. 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

The first day of our inspection was unannounced. The second day of our inspection was announced.

What we did before the inspection

We reviewed information we had received about the service since it was registered. 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. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and four people’s relatives about their experience of the care provided. We spoke with the registered manager, the provider’s clinical lead, a unit manager, a care worker and the maintenance person.

We reviewed a range of records. This included eight people’s care records and multiple medication records. We inspected two staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including audits and policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We requested and reviewed additional records including training data, staff rotas and other records relating to the management of the service.

We spoke with one person’s relative, three members of staff, and the provider’s ‘nominated individual’ by telephone. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also received feedback from five people’s relatives and six members of staff.

Updated 30 November 2021

About the service

Tranby Park Care Home is a residential care home providing personal care for up to 64 younger adults and older people who may be living with a physical disability or dementia. Accommodation is provided in one purpose-built building over three floors. ‘Haven’ on the second floor supports people living with dementia. The service was supporting 32 people at the time of our inspection.

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

The service was extremely well-led. The registered manager was committed to continually improving the service, promoting people’s wellbeing and providing support to improve their quality of life. There was a distinctive person-centred culture within the service in which feedback was actively encouraged, and used to drive improvements. People felt empowered to share their opinions and their views were at the heart of how the service was run. Robust and regular audits were used to continually identify and address any issues relating to the quality and safety of the service. The provider and registered manager were proactive and highly motivated in striving for excellence.

People received safe and effective care and support to meet their needs. Staff were kind and caring in the way they supported people to maintain their dignity.

People were protected from the risk of abuse and avoidable harm. Staff were safely recruited, and they understood their responsibility to identify and report any safeguarding concerns. The registered manager was proactive in reporting and responding to any issues or concerns.

Medicines were managed and administered safely. The environment was clean, safe and well-maintained.

People’s needs were assessed, and risks identified. Care plans and risk assessments were put in place and regularly reviewed. This ensured staff had the information they needed to provide effective care. Staff worked closely with healthcare professionals to promote people’s health and wellbeing. We made a recommendation about reviewing how monitoring charts were used to check and make sure people’s needs were met.

Sufficient staff were deployed to safely meet people’s needs, although people told us they sometimes had to wait for assistance at busy times. The registered manager continually monitored staffing levels to help identify any issues or concerns.

Staff completed a comprehensive range of training. Regular supervisions and ongoing support helped staff to feel valued, build their confidence and support them to continually improve and develop their practice.

People benefitted from a spacious purpose-built environment, which was specifically designed to meet their needs.

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.

People had the opportunity to participate in a wide range of meaningful activities.

Staff were compassionate, respectful and kind in their approach to planning and meeting people’s needs at the end of their life.

For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.

Rating at last inspection

This service was registered with us on 22 August 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on when the service was registered.

Follow up

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