We carried out a review of the data available to us about Trymview Hall on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Trymview Hall, you can give feedback on this 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.
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.
Trymview Hall is a care home providing accommodation, nursing and personal care for up to 66 people. At the time of the inspection there were 21 people living at the home. The home was purpose built with bedrooms and en-suite facilities over three floors. There were various communal lounges and dining rooms and we saw the library, cinema, salon and beauty room. On entry to the home there was a large reception area and a café restaurant facility.
People's experience of using this service and what we found
People received a service that was safe. The registered manager and staff understood their role and responsibilities to keep people safe from harm and processes to follow when raising concerns had improved. Work to support staff when whistle-blowing continued so that they felt comfortable and confident to do this.
People were protected by the homes infection control policy and procedures. On our arrival we were greeted by the receptionist and had our temperature taken, we were asked to sanitise our hands and to wear a mask. Everyone visiting provided contact details to support the track and trace system. Visitors were shown to the area of the home they were visiting, by the shortest and most direct route.
The emotional wellbeing of people and their families had been supported throughout the pandemic. The registered manager and staff ensured contact was maintained through various initiatives. They were sensitive to people’s feelings including anxiety, sadness and loss.
All staff recognised their responsibility to protect the people they cared for and how crucial it was that when they were not at work, they respected and followed government guidelines to reduce their own exposure to risks. The regional director and registered manager were very proud of all staff and recognised and celebrated their efforts and sacrifices during the pandemic.
The home was exceptionally clean. The head housekeeper and their team were proud of their contribution to keep people safe during the pandemic. Staff were aware of the need for enhanced cleaning of frequently touched surfaces and regular spot checks took place.
The whole staff team were clear and focused on continually seeking to improve the service people received. Everyone demonstrated strong values and, a desire to learn about and implement best practice throughout the service. Good quality assurance systems were in place and based upon regular, scheduled audits, which identified any action required to make improvements. This meant the quality of service people received was monitored on a regular basis and, where shortfalls were identified they were acted upon. The need for further promotion of team building and cohesive working was recognised and ongoing.
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 CQC on 20 November 2019 and this is its first inspection activity. Because this was not a comprehensive inspection the service remains unrated.
Why we inspected
This targeted inspection was prompted in part due to an influx of whistle-blowers since the service was registered. We wanted to check why staff were not raising their concerns by following the providers whistle-blowing policy. In addition, there had been circumstances where the providers safeguarding process had not always been followed correctly. Given these concerns and that this is an unrated service we looked at some areas in safe and well led.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about.
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 coronavirus and other infection outbreaks effectively.
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.