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Inspection report

Date of Inspection: 12 May 2014
Date of Publication: 5 June 2014
Inspection Report published 05 June 2014 PDF | 85.35 KB


Inspection carried out on 12 May 2014

During a routine inspection

The inspector gathered evidence against the outcomes we inspected to help answer our five key questions: Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led? We gathered information from people who used the service by talking with them.

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people who used the service, the staff supporting them, a visiting healthcare professional, comments left on the website about Trewartha and from looking at records.

Is the service safe?

People told us they felt safe. Complaints and reporting procedures were robust. Systems were in place to make sure that managers and staff learned from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced the risks to people and helped the service to continually improve. Staff showed a good understanding of the care needs of the people they supported.

People were not put at unnecessary risk, but also had access to choice and remained in control of decisions about their care and lives. The registered manager and deputy managers wrote the staff rotas and took people’s care needs into account when making decisions about the numbers, qualifications, skills and experience required.

Trewartha alerted the local authority and the Care Quality Commission when notifiable events occurred or when they had any concerns regarding people who used the service.

Trewartha had policies and procedures in relation to the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DOLS). This helped to ensure that people’s needs were met.

Is the service effective?

People’s health and care needs were assessed with them, and it was clear that they were involved in writing their plans of care. We saw people, or their representatives consistently signed care plan reviews to show they had read and agreed to the content of the care plan. During our inspection it was clear from our observations and from speaking with staff, and relatives of people who used the service, that staff had a good understanding of people’s needs.

We saw that there was good liaison and communication with other professionals and agencies to ensure people’s care needs were met.

Is the service caring?

We spoke with one person who lived at Trewartha, a visiting healthcare professional and also received comments from relatives of people at Trewartha. We asked them for their opinions about the staff that supported them. Feedback from people was positive, for example “X is treated with love and care, and staff are so kind and thoughtful nothing is too much trouble”, “Excellent and thoughtful care on all counts” and “X has always received the very best treatment from very caring and thoughtful staff”. When speaking with staff it was clear that they genuinely cared for the people they supported.

There was a complaints procedure for people who used the service, their relatives, friends and other professionals involved with the service. Where shortfalls or concerns were raised these were taken on-board and dealt with. People’s preferences, interests, aspirations and diverse needs were recorded and acted upon.

Is the service responsive?

Many people who lived at Trewartha had complex health needs and were either not able, or chose not to join in group activities. The records showed people were routinely offered one-to-one or group activities.

The service worked well with other agencies and services to make sure people received care in a coherent way. Trewartha gave opportunities for people, their relatives and staff to express views and opinions about the service.

Is the service well-led?

Trewartha had regular support from the district nursing team and GPs from the local GP practices. This ensured people received appropriate care in a timely way.

We saw that the registered manager monitored staffing to ensure it was effective and sufficient, such as, evidence to show that planned and/or unplanned events (such as sickness or training absence) had been managed appropriately ensuring a good quality service and safe service.

We saw minutes of regular meetings held with the staff. This showed the management consulted with staff regularly to gain their views and experiences and used their views to improve support for people who lived at the service. Staff told the inspector that Trewartha was a happy place to work.

The service had a quality assurance system, and staff were clear about their roles and responsibilities. Staff had a good understanding of the ethos of the home and the quality assurance processes that were in place. This helped to ensure that people received a good quality service at all times.