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Inspection Summary


Overall summary & rating

Good

Updated 3 September 2019

About the service

Troutbeck is a residential nursing home situated in Ilkley. The home provides accommodation and personal care for up to 54 older people and people living with dementia. At the time of the inspection there were 34 people living at the home.

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

People and relatives told us the service was caring and safe. However, we found at key parts of the day staff were rushed and sometimes people had to wait for support. The system to assess and monitor staffing levels needed reviewing to ensure the registered manager was able to identify and act on any staffing issues promptly.

We have made a recommendation about monitoring and reviewing staff levels.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems supported this process.

People’s care needs were assessed, and they received good quality person centred care from staff who knew them very well. Staff were caring and compassionate. There were inclusive and person-centred activities available for people.

Medicines were generally managed safely. People’s health and dietary needs were met and there were close links with health professionals and other agencies.

The home and the grounds were accessible and well maintained. There were a range of communal areas which were spacious, light and homely.

Staff were knowledgeable about people and the topics we asked them about. They received a range of training, supervision and appraisal.

The registered manager provided the home with strong leadership and promoted a positive team culture. They maintained good oversight through communication with people and the team and a detailed scheduled of audits. They were passionate about continuing to improve the quality of the service. The atmosphere in the home was warm and inclusive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 August 2018) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Troutbeck Nursing Home on our website at www.cqc.org.uk.

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.

Inspection areas

Safe

Requires improvement

Updated 3 September 2019

The service was not always safe

Details are in our safe findings below.

Effective

Good

Updated 3 September 2019

The service was effective

Details are in our effective findings below.

Caring

Good

Updated 3 September 2019

The service was caring

Details are in our caring findings below.

Responsive

Good

Updated 3 September 2019

The service was responsive

Details are in our responsive findings below.

Well-led

Good

Updated 3 September 2019

The service was well-led

Details are on our well-led findings below.