You are here

Inspection Summary


Overall summary & rating

Good

Updated 13 April 2021

Trengrouse is a ‘care home’ that provides nursing care for a maximum of 41 adults, with a range of health care needs including dementia, nursing and mental health. At the time of the inspection there were 18 people living at the service. Some of these people were living with dementia.

We found the following examples of good practice.

There had been an outbreak of Covid-19 at the service, however, the service was now out of isolation. During the outbreak the registered manager had communicated with people, staff and families regularly to ensure everyone understood the measures put in place to help keep people safe.

During the outbreak the organisation arranged for caravans to be situated in the service’s car park and rented two holiday homes. Staff volunteered to move into this accommodation so that they could provide dedicated care and support to the people living at Trengrouse. This also meant they could reduce the potential ongoing risks from the virus to the people at Trengrouse, for the staff and to their own families. Staff wiliness to move into this accommodation evidenced their commitment and dedication to people in their care.

The organisation provided staff with the opportunity to receive psychological support following the outbreak. When staff needed to be absent from work, financial and emotional support was available.

The registered manager worked closely with external healthcare professionals to enable people to have access to appropriate health care and necessary equipment. During the outbreak meetings with health professionals increased to twice a day so that they could ensure that people received the most appropriate care and treatment at all times.

The service had sufficient supplies of Personal Protection Equipment (PPE) and this equipment was available throughout the service. Signage was in place throughout the service regarding the requirement for wearing PPE. Additional signage identified the PPE to be worn when a person was assessed as being at higher risk of infection. Additional PPE had been provided for staff, such as visors, to use during the outbreak. Staff put on and took off their uniforms in a designated area. This helped to reduce the risk of infection because staff did not enter areas of the home, where people lived, until appropriate infection control measures were in place.

The service was clean, hygienic and uncluttered in appearance. Additional cleaning schedules where in place to ensure all infection control risks were minimised and people were kept safe. There were supplies of anti-bacterial wipes around the service to enable staff to use to clean surfaces and bathrooms, after each use, in addition to the increased cleaning routines. There were posters around the service to prompt and remind staff about the infection control procedures in place. All high contact areas were cleaned regularly throughout the day, and night staff also had a cleaning routine.

Procedures were in place regarding self-isolation for people and staff if they showed symptoms of Covid, or who were admitted to the service from the community or other health care provision. The admission procedure had been reviewed and developed to reduce the risk of infection from Covid. The physical environment had also been changed so that there was now a dedicated admission unit so that people could safely self-isolate on arrival at the service. People’s laundry and utensils were cleaned separately to again reduce the risk of infection.

Specific Covid policies had also been developed to provide guidance for staff about how to respond to the pandemic and the outbreak. These policies were kept under continuous review as changes to government guidance was published.

Since the new Covid restriction for visitors had been changed the service had developed new guidance. This included one designated visitor for each person living in the service. All visitors were required to make appointments and a designated room was made

Inspection areas

Safe

Good

Updated 13 April 2021

Further information is in the detailed findings below.

Effective

Requires improvement

Updated 13 April 2021

Caring

Good

Updated 13 April 2021

Responsive

Good

Updated 13 April 2021

Well-led

Good

Updated 13 April 2021