We carried out a review of the data available to us about Trinity Manor Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Trinity Manor Care Home, you can give feedback on this service.
People’s experience of using this service and what we found
People, relatives and staff told us people were safe. Risks to people were well managed in a way which respected people's rights. People’s medicines were managed safely.
Staff knew how to identify and report any concerns. People were supported by enough staff to ensure they were safe. There were safe staff recruitment processes in place. Infection control policies and procedures were up to date, including COVID 19 measures. People and their relatives were very grateful about staff keeping people safe during the pandemic.
People’s care needs were assessed and monitored. There were mixed views about people’s and relative's knowledge or sight of care plans.
People were encouraged to make their own decisions, which were respected by staff. People were well supported if they needed help making decisions and their legal rights respected. People had good health care support.
There were slightly mixed views about the meals and drinks served in the home. Most were positive but some people thought that they could be improved.
People were very complimentary about the environment and facilities in the home. It was purpose built and finished to a very high standard.
People said they were treated with kindness and respect by staff. Each person was seen as an individual and treated as such. Relatives commented on the exceptional kindness and dedication of staff. Staff said they were well trained and felt well supported.
There was a relaxed, unhurried atmosphere at the home. There was a variety of activities, social events and trips which people could take part in if they wished.
People were able to express their views and they said they were listened to. Most relatives did not have knowledge of the formal complaints procedure but would speak with managers or staff if they had a concern.
Complaints, concerns and compliments were welcomed and viewed as part of the improvement process for the home.
There was a clear ethos for the service. People and their relatives now had confidence in the management of the home. The management of the service had been through a period of change but was now stable and the service was ‘moving forward’. Good community links were being built.
People, family members and staff were involved in the service and their views were acted upon. Communication with people, relatives and staff was good.
There was an emphasis on improving the service wherever possible. There was honesty and openness about things which need to improve and if things go wrong.
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 9 December 2019 and this is the first inspection.
Why we inspected
This was the first inspection of this service since its registration.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.
We found the following examples of good practice.
Measures were in place to prevent the spread of infection by visitors to the service. The registered manager explained the process they were implementing to allow nominated visitors to visit their relatives. This was in line with the current government guidance.
Staff had received infection control training and followed up to date infection prevention and control guidance to help people stay safe. Staff used personal protective equipment (PPE) correctly and in accordance with current guidance to minimise cross infection risks to people.
There were sufficient stocks available including masks, gloves, aprons and hand sanitiser. Staff were required to change into their uniforms when they arrived on duty and change their footwear at the home to minimise the risk of cross infection. Staff breaks had been staggered to allow for social distancing to be maintained in the staff room.
Staff and people were regularly tested in line with the government's current testing programme. They supported people with social distancing and frequent handwashing to protect against Covid 19. Staff ensured people had the information they required to give consent to have the vaccine and partake in testing. Where people did not have capacity, best interest decisions had been taken and for one person this had involved an advocate.
Staff had their hand washing competency assessed to see how effective they had been in cleaning their hands. The home was clean and well maintained. Staff cleaned frequent touch points such as door handles and light switches every two hours. Cleaning chemicals used at the home were effective against Covid-19.
Infection prevention and control audits took place and spot checks were carried out. The registered manager had met with all of the staff and discussed the importance of infection prevention control (IPC) and the correct use of PPE. Staff had also had the opportunity to discuss IPC at their regular supervisions. The registered manager and management team met regularly to discuss any areas of concern. This meant the registered manager and management team had effective oversight of infection control measures at the home.