10 November 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was carried out by two inspectors.
Service and service type
Trymview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a newly appointed manager who was intending to register with the Care Quality Commission. Once registered, they and the provider would be legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave a short period notice of the inspection so that we could be sure there would be senior staff in place to support the inspection.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used information available to us, such as information shared with us from relatives and notifications. Notifications are information about specific events and incidents, which the provider is required to tell us about by law.
During the inspection
We spoke with four people using the service and three relatives. We spoke with the regional director, newly appointed manager, six members of staff including a nurse, team leaders, care assistants and chef. We viewed a range of records, including three people’s care records, medicine administration records and complaints.
After the inspection
We spoke with the manager and regional director online to complete our discussions and gather further evidence. We viewed further records such as audits and staff medicines competencies.
10 November 2021
About the service
Trymview is a residential care home providing personal and nursing care to 31 people aged 65 and over at the time of the inspection. The service can support up to 66 people. The home had plans in progress to deregister nursing care and provide residential care only.
The home accommodates up to 66 people in a purpose-built building. Rooms are located over two floors.
People’s experience of using this service and what we found
People and their relatives were happy with the care they received. One person told us, “the staff are nice and kind”. Staff talked fondly about the people they supported and understood their needs well.
People told us they felt safe and there were clear measures in place to manage risk. This included individual risk assessments which were reviewed regularly. There were infection control measures in place to manage the risk around spread of infection. This included measures related to the Covid pandemic. Medicines were managed safely and people received their medicines as prescribed.
The service was effective, staff received training and support to carry out their roles effectively. Supervision was being prioritised by the new manager to ensure all staff were up to date and receiving good support. People were supported nutritionally and in accordance with their needs. The midday meal was a pleasant experience with people being given choice and plenty to drink.
People experienced good care as reflected in feedback from them and their relatives. We observed caring and respectful interactions between staff and people throughout the inspection; staff for example checked if people had enough to drink and asked them where they preferred to have their meal.
The service was responsive to people’s needs. Planning took account of people’s individual needs and preferences. Staff clearly knew people they supported well and spoke with kindness and respect about how they supported them.
The home had been through a period of disruption in relation to management. However, there was a sense that staff morale was improving. There was a new manager in post who was intending to register with CQC. It was evident that they intended to include people in the running of the service by seeking their involvement wherever possible. The home was supported by the regional director and managers from other services within the organisation. There was a programme of audits and checks to help identify areas for improvement.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
This service was registered with us on 20 November 2019 and this is the first inspection.
Why we inspected
This was a planned inspection in order to give the home a rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.