Trepassey Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Good. At this assessment the rating has remained Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People's needs were assessed comprehensively before they moved into the service to ensure care could be delivered safely and effectively. Assessments were holistic and considered a wide range of factors, including people's physical health, mental wellbeing, communication needs, risks, personal preferences, life histories and strengths. This enabled staff to develop personalised plans of care that reflected what was important to each person.

Assessments and care plans were kept under regular review and updated in response to changes in people's needs. Staff worked closely with people, family members and healthcare professionals to ensure information remained accurate and up to date. Records demonstrated people's views and wishes were considered throughout the assessment and review process.

People and family members told us they felt listened to and involved in decisions about care and support. Staff knew people well and used assessment information to provide personalised care that reflected individual preferences, promoted independence and supported positive outcomes. This helped ensure care remained responsive to people's changing needs and circumstances.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People's needs were assessed using recognised tools and evidence-based approaches, including MUST and Waterlow assessments where appropriate. The MUST assessment is a recognised screening tool used to identify adults who are malnourished or at risk of malnutrition. The Waterlow assessment is a risk assessment tool used to identify individuals who are at risk of developing pressure ulcers. Assessments informed personalised care plans that reflected people's health needs, risks and preferences, enabling staff to provide effective support.

Care plans and risk assessments were regularly reviewed and updated to ensure they remained responsive to people's changing needs. Staff demonstrated a good understanding of people's care requirements and followed guidance from healthcare professionals, which was clearly documented in care records. This helped ensure people received coordinated, effective care that promoted positive outcomes and supported their health and wellbeing.

Family members told us that staff knew their relatives well. Their comments included, “Staff have got to know [Name] really well”, “Staff use their humour and understand [Name] loves teasing and fun, they know her so well” and “Lovely banter between [Name] and staff which is great to see”.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked in partnership with a range of healthcare professionals, including GPs, and district nurses, to ensure people received effective, coordinated care and support. Professional advice and recommendations were shared appropriately and used to inform care delivery.

Effective communication systems helped ensure staff had the information they needed to meet people's needs. Staff completed handovers at each shift change to discuss people's wellbeing, changes in needs and any actions required. Staff described communication within the service as open and effective, supporting a consistent approach to care and positive outcomes for people.

Staff spoke positively about the support they received from team members and managers and described a positive team culture. We saw many examples of positive feedback between staff members, from family members and from residents to different staff members or the whole team.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to live healthier lives and maintain their wellbeing. Staff understood people's individual health needs and encouraged them to make choices that promoted their health, independence and quality of life. Care plans contained clear information about people's health conditions, dietary requirements and support needs, enabling staff to provide consistent care.

People had access to healthcare services when required, including GPs, dentists, opticians and specialist professionals. Staff worked proactively with healthcare providers to ensure people's changing health needs were identified and responded to promptly.

Family members told us they were confident their relatives received appropriate healthcare support. They described staff as proactive in ensuring people accessed the services they needed. This helped people to maintain their health, wellbeing and independence.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People experienced positive outcomes as staff provided care that met their individual needs and promoted their health and wellbeing. Family members described improvements in people's quality of life and health since moving into the home. One relative told us, “Mum looks healthier now than she did two years ago”.

The provider monitored people's outcomes through care reviews, audits and feedback. Staff understood people's needs and responded appropriately when changes occurred, helping to ensure care remained effective and person-centred. Feedback from family members demonstrated people received support that positively impacted their health, safety and wellbeing.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People's consent to care and support was routinely sought, and staff demonstrated a good understanding of the importance of obtaining consent before providing care. Staff supported people to make their own decisions wherever possible and consistently offered choice and respected individual preferences during interactions.

The service worked in line with the principles of the Mental Capacity Act 2005 (MCA). Staff understood the importance of presuming capacity, supporting people to make decisions, and ensuring that any decisions made on behalf of a person who lacked capacity were in their best interests and were the least restrictive option available.