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Inspection Summary


Overall summary & rating

Good

Updated 17 January 2020

Trewartha is a care home with nursing and accommodates up to 37 people in one purpose built single storey building. The service provides care and support to people who need nursing care and people living with dementia. At the time of our inspection there were 36 people living at Trewartha.

People’s experience of using this service and what we found

Some people were not able to tell us verbally about their experience of living at Trewartha. Therefore, we observed the interactions between people and the staff supporting them.

People said they felt safe. There was enough staff to support people and appropriate employment checks had been carried out to ensure staff were suitable to work with vulnerable people.

Staff were highly committed to ensuring people lived fulfilling lives and were protected from social isolation. The focus of people's care was individualised and focused on promoting people's independence as well as their physical and mental well-being. People were empowered to make their own choices and staff demonstrated a 'can do' approach which meant they were able to achieve very positive outcomes for people.

People received an extensive range of meaningful activities which focused on the persons individual interests and abilities. There was a comprehensive and varied menu of activities to choose from and people benefited from the development of closer links to their local community.

People enjoyed the meals and their dietary needs had been catered for. This information was detailed in people's care plans. Staff followed guidance provided to manage people's nutrition and pressure care.

Care plans contained information about people and their care needs. People were supported to make choices and have their support provided according to their wishes.

People were supported by staff who had received training to ensure their needs could be met. Staff received regular supervision to support their role.

People had good health care support from professionals. When people were unwell, staff had raised the concern and acted with health professionals to address their health care needs. The staff worked in partnership with health and care professionals.

Staff were patient and friendly, and people's privacy and dignity were respected. Staff knew how people preferred their care and support to be provided.

People were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Effective governance systems were in place, ensuring people received consistent care.

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 29 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Inspection areas

Safe

Good

Updated 17 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 January 2020

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 17 January 2020

The service was caring.

Details are in our safe findings below.

Responsive

Outstanding

Updated 17 January 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 17 January 2020

The service was well-led.

Details are in our well-Led findings below.