Background to this inspection
Updated
27 September 2022
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.
As part of this inspection we looked at the infection control and prevention 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 one inspector.
Service and service type
Tresillian 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. Tresillian 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
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 hold about the service and sought feedback from the local authority. We used information gathered as part of direct monitoring activity (DMA) that took place on 13 July 2022 to help plan the inspection and inform our judgements.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We spoke to four people who lived at the service, two staff members and the registered manager. We reviewed two people’s care plans, risk assessments and medicines records. We also reviewed a range of records related to the management of the service such as health and safety records, cleaning records, audits and meeting minutes. Following the site visit we spoke to three relatives and two staff members by phone as well as the provider.
Updated
27 September 2022
About the service
Tresillian Residential Home (known as, Tresillian) is a residential care home providing personal care to six people at the time of the inspection. The service can support up to seven people. The service also had the capacity to offer short stays to people. This was on a separate floor to the people who lived in the service permanently.
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 were supported to be independent and have control over their own lives. People made choices and took part in meaningful activities which were part of their planned care and support. Staff were supporting them to identify aspirations and goals.
People had a choice about their living environment and were able to personalise their rooms.
People played an active role in maintaining their own health and wellbeing. Staff supported people 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.
Right Care:
People received kind care from staff who protected and respected their privacy and dignity and understood their individual needs.
People enjoyed undertaking activities and pursued interests that were tailored to them. They were given the opportunity by staff to actively engage and try new activities. People were able to communicate with staff and understand information given to them as staff understood their individual communication needs.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Right Culture:
People received good quality care, support and treatment from trained staff. External professionals were engaged to enhance the quality of the service where possible.
People and those important to them, were actively involved in planning their care. Staff placed people’s wishes, needs and rights at the heart of everything they did. People’s quality of life was enhanced by the culture of improvement and inclusivity within the service.
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 the service under the previous provider was good, published on 26 October 2017. It was the first inspection since the provider registered with us to run the service on 24 March 2021
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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, which will help inform when we next inspect.