Tramways

Updated 4 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 16 February 2021 and was announced.

Updated 4 March 2021

About the service

Tramways is a residential care home providing personal care for up to eight people with a learning disability. At the time of the inspection there were seven being supported. The service provides care in one domestic style property.

There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

The service had been open for some years and therefore had not been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People were protected from the risk of abuse. Risks to people had been assessed and were managed safely.

There were enough staff to safely meet people's needs. Staff knew to report any incidents or accidents and the registered manager reviewed incident records to look for trends and reduce the risk of repeat occurrence.

Staff received good training and support to carry out their roles effectively. Staff were positive about working in the service. Staff worked with other professionals to ensure people's healthcare needs were met.

People and their relatives (where appropriate) had been consulted about their care and support needs. The service had a complaints procedure in place.

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 in the service supported this practice.

People were supported to maintain a balanced diet and told us they enjoyed the choice of meals and snacks.

Staff treated people with dignity and respected their privacy. People were involved in making decisions about the support they received. Staff were caring and compassionate in their approach.

The home was well led. Systems and checks were in place to ensure that the home was operating well.

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 on 11 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.