Archived: Trinity Homecare

Every person who used the service had a full assessment of their needs to identify what assistance they required. People who use the service told us that they felt very cared for and that 'nothing is too much trouble'. They told us that care staff would not leave the person until was safe and had everything they needed until the next visit, including having a phone nearby to summon assistance.

Staff told us that they were confident in identifying additional and changing needs. They told us that they always informed the office to ensure that people are cared for properly. Relatives we spoke with confirmed this and added that the staff were very knowledgeable and took time to get to know the person really well.

Relatives told us that the felt confident that the staff would be calm in an emergency and people who use the service told us that they felt very safe. The also told us that they were happy with the way their medication was managed. They told us that staff explained what the tablets were and 'they don't rush you when you're taking them. I can't swallow very well and they are very patient'. Relatives told us that staff were very accurate and careful not to make mistakes. The majority of the staff had obtained the National Vocational Training levels two or three qualification. This was evidenced by certificates in staff files.

We found people's consent had been sought and obtained prior to any care or treatment being provided. We found the service had completed risk assessments for each person and where necessary had sought guidance from medical professionals in order to care for people safely. The service had appropriate systems in place to ensure relevant staff checks were carried out prior to staff starting work. There was an up to date statement of purpose in place and people had been provided with a copy. The service had appropriate systems in place to ensure relevant incident notifications were sent to the appropriate bodies.

They told us that they felt the staff knew them and their likes and dislikes well but that they would always ask them for their choices and give them options.

We found that the service had sought and documented people's preferred routines as well as their likes and dislikes. We saw evidence that people had been involved in the planning of their care.

We found that people's needs had been regularly assessed and reviewed and that the service had conducted several risk assessments of people's needs. We sampled seven people's care plans and found that these contained a lot of detail for staff about people's care needs and preferences.

We looked at people's daily notes and found these to contain details of people's daily food and drink intake. We found that where people had been identified as having eating or drinking difficulties risk assessments and action plans had been completed.

We looked at the accidents and incidents logs and found that where some incidents should have been notified to us (the Care Quality Commission) this had not always been done.