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Inspection Summary


Overall summary & rating

Good

Updated 8 December 2017

The inspection took place on 8 November 2017 and was unannounced.

Trent House is a home that provides accommodation and personal care for up to five people with a learning disability. At the time of our inspection there were five people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At this inspection, we did identify areas in which the provider was not meeting their legal requirements.

Quality assurance audits were carried out and actions identified completed. Staff understood the requirements of the Mental Capacity Act 2005. Where restrictions were in place for people the proper procedures were followed. People were consulted at all stages in relation to their care. We saw evidence that people made their own decisions about what they wished to do.

People were shown respect by staff and encouraged to be independent. Staff were seen to be caring and kind to people. People were happy living in the house and we found the environment was clean, hygienic and homely. The environment was suitable for the people living there.

People’s medicines were managed safely. Important information about people’s healthcare needs and medicines were recorded in their care plans. Staff worked alongside healthcare professionals to meet people’s health needs. Where any accidents or incidents occurred staff took appropriate action in response to them.

People were cared for by sufficient numbers of staff. We did not see people having to wait to receive care or support. Appropriate checks were carried out when recruiting staff to ensure that they were suitable for their roles. Staff were aware of their responsibilities in relation to keeping people safe. Both in respect of keeping people safe from harm because individual risks had been identified and also in respect of signs of abuse. People were comfortable with speaking with staff if they had any concerns.

There was a procedure in place to help ensure that people were kept safe in the event of an emergency. People lived in a safe environment. Regular checks were made on equipment and services within the house to check they were well maintained.

People were provided with food that matched their preferences. People had access to activities that suited their needs and to help ensure they did not feel isolated. People’s individuality and what mattered to them was recognised by staff. Activities were meaningful to people and they had the opportunity to attend events outside of the house and local community.

The registered manager created a positive culture and staff felt supported by here. Staff received training appropriate to their roles and the provider’s values. Staff benefited from regular supervision and appraisals.

Inspection areas

Safe

Good

Updated 8 December 2017

The service was safe.

People received the medicines they required.

People were cared for by a sufficient number of staff who had gone through a formal recruitment process before commencing work.

People lived in a house which was free from infection.

People were kept free from harm as staff understood their safeguarding responsibilities and risks to people had been identified.

Where accidents and incidents had occurred staff took action to help ensure these did not reoccur.

Effective

Good

Updated 8 December 2017

The service was effective.

People’s legal rights were protected because staff worked in accordance with the Mental Capacity Act (2005).

People were happy with the food they received.

People had access to healthcare services when they required it.

Staff received appropriate training and supervision for their roles.

People lived in an environment that was suitable for their needs.

Caring

Good

Updated 8 December 2017

The service was caring.

People’s independence was promoted by staff.

People were treated in a respectful way by staff and people were enabled to be involved in their care.

People’s privacy and dignity was maintained by staff.

People were treated with kindness by staff and relatives were welcomed into the house.

Responsive

Good

Updated 8 December 2017

The service was responsive.

People received responsive care.

People’s concerns and complaints were listened to.

People had access to meaningful and individualised activities to help ensure they were not isolated.

Well-led

Good

Updated 8 December 2017

The service was well-led.

Quality audits were carried out and actions identified completed.

The registered manager promoted a positive culture within the staff team and staff felt supported by her.

There were systems in place to monitor the quality of the care that people received.

People and staff were involved in the running of the house and the provider recognised dedicated staff.

The registered manager was aware of their statutory requirements and duties in relation to CQC.