Background to this inspection
Updated
9 February 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.
Inspection team
This inspection was carried out by two inspectors. An Expert by Experience also assisted by carrying out telephone calls to gather feedback from people living at the service and relatives. 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
Trewan House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had two managers registered with 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
This inspection was unannounced.
What we did before the inspection
We checked the information that we held about the service. This included statutory notifications sent to us by the provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send us by law. We also gathered feedback about the service from the local authority. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with seven people who lived at the service and six relatives about their experience of the care provided. We spoke with 10 members of staff including the registered managers, senior carer, carers and other staff.
We reviewed a range of records. This included two people’s care records and four people’s medication records. We looked at three 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.
Updated
9 February 2021
About the service
Trewan House is a residential care home providing personal care and accommodation for up to 44 people aged 65 and over. There were 27 people living at the home at the time of this inspection.
People’s experience of using this service and what we found
People received their medicines safely and as prescribed. One person said, “I get my medication, no worries about that at all. It is spot on.”
The home was clean and hygienic. We observed staff following the relevant guidance and best practice in relation to infection prevention and control (IPC). Staff wore the required personal protective equipment (PPE) and disposed of it safely and in line with current IPC guidance. The home had a COVID-19 testing programme in place for people living at the home and staff.
People said staff came quickly when they needed them. One person said, “They always come when I want them. I press and they come, never have to wait long.” Staff were visible around the home throughout our inspection and responded to requests for support promptly.
People told us they felt safe living at the home. Comments included, “They have people [the staff] coming around to see everything is alright. It makes me feel safe” and “Yes, it is safe. I was just having a chat with one of the carers, every one of them is nice.” There were systems in place to safeguard people from abuse.
Staff were kind, caring and committed to their roles. They had developed friendly relationships with people; in some cases over a period of many years. One person said, “I would say it’s the first choice for anybody. It is so well run and managed, and all the staff all have been lovely. They can’t do enough.”
People and their relatives were familiar with the registered managers and were very complimentary about them. Comments included, “The people manage and own it as well, it’s very good. They are about all the time you see, nice to know they are around about” and “They [the registered managers] are really lovely people, they are people I can talk to. If I have any queries I can ring.”
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 22 March 2018).
Why we inspected
We received concerns in relation to the management of medicines and infection prevention and control practice at the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has remained good. This is based on the findings at this inspection. We found no evidence during this inspection that people were at risk of harm from the concerns raised. Please see the safe section of this full report.
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.