About the service
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.
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.