Trianon

Updated 3 February 2022

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 COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 17 January 2022 and was announced. We gave the service 24 hours' notice of the inspection.

Updated 3 February 2022

About the service:

Trianon is a care home that provides personal care for up to six people with learning and physical disabilities. The service is provided in two semi-detached bungalows which have been adapted into one. All bedrooms are for single occupancy. At the time of the inspection, five people were living at the home.

What life is like for people using this service:

We were introduced to people throughout our visit and made to feel welcome. Although people were not fully able to tell us about their experiences, we had brief conversations and everyone looked comfortable and relaxed in the presence of staff.

People were cared for by a consistent and motivated staff team who had received sufficient training to carry out their roles. Staff demonstrated an excellent understanding of safeguarding and whistle-blowing and knew how to report concerns. Medicines were well managed and people received their medicines as prescribed. Robust checks were in place to identify and take actions when shortfalls were identified.

People were helped to exercise support and control over their lives. Staff supported and encouraged people to be as independent as they could be. The service has been developed and designed in line with values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

People were supported to access health care services and regular visits were undertaken by the GP. People’s dietary needs were comprehensively assessed and people received support to eat and drink.

People received care that was kind, compassionate, respectful and responsive to individual needs. Care plans were detailed and reviewed each month. People and relatives were asked for feedback and knew how to complain. No-one was receiving end of life care at the time of our inspection visit.

The registered manager had a clear vision which they expressed with great enthusiasm about the quality of care and service they aimed to provide.

The service worked in partnership with other organisations to make continuous improvements and develop best practice.

Everyone we spoke with told us how much the service had improved since the registered manager had been in post. Comments included, “She’s just marvellous” and, “We started to see significant improvement in short timescales under her management.”.

The service met the characteristics of Good in all of the key questions we inspected. Therefore, our overall rating for the service after this inspection was Good.

More information is in detailed findings below.

Rating at last inspection:

Requires Improvement (report published in February 2017).

Why we inspected:

Services rated "requires improvement" are re-inspected within one year of our prior inspection.

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

We will monitor information received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.