26 October 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is someone who has personal experience of using or caring for someone who uses this type of service.
Service and service type
Trinity Manor 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 manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The first day of this inspection was unannounced. We arranged to return for a second day as the home was effectively ‘closed’ on the first day of our inspection due to a very small, well contained outbreak of COVID 19. Each person was being well supported to self-isolate in their own room in line with current guidance.
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 reviewed all information we had received about the service and took this into account when we inspected the service and made judgements in this report. We also used this information to plan our inspection
During the inspection-
We spoke with 15 people who lived at the home, one visitor and eight members of staff about living and working at the home. We also spoke with the registered manager and the regional director. We spent time observing care and support in communal areas, saw lunch being served on both days and watched some activities taking place on the second day of our visit.
We viewed a range of records. These included three staff recruitment files, 22 medicine records and five care and support plans.
Following the inspection
An Expert by Experience contacted 14 relatives by phone to gain their views on the quality of care provided to their family members. We also requested a range of records from the provider including examples of good practice, activities, community events, quality audits and action plans, compliments, complaints, staff and resident’s meeting minutes.
26 October 2021
Trinity Manor is a residential care home registered to provide accommodation and personal care to up to 64 people. The home specialises in the care of older people, including people living with dementia. At the time of the inspection there were 25 people living at the home.
People’s experience of using this service and what we found
People, relatives and staff told us people were safe. Risks to people were well managed in a way which respected people's rights. People’s medicines were managed safely.
Staff knew how to identify and report any concerns. People were supported by enough staff to ensure they were safe. There were safe staff recruitment processes in place. Infection control policies and procedures were up to date, including COVID 19 measures. People and their relatives were very grateful about staff keeping people safe during the pandemic.
People’s care needs were assessed and monitored. There were mixed views about people’s and relative's knowledge or sight of care plans.
People were encouraged to make their own decisions, which were respected by staff. People were well supported if they needed help making decisions and their legal rights respected. People had good health care support.
There were slightly mixed views about the meals and drinks served in the home. Most were positive but some people thought that they could be improved.
People were very complimentary about the environment and facilities in the home. It was purpose built and finished to a very high standard.
People said they were treated with kindness and respect by staff. Each person was seen as an individual and treated as such. Relatives commented on the exceptional kindness and dedication of staff. Staff said they were well trained and felt well supported.
There was a relaxed, unhurried atmosphere at the home. There was a variety of activities, social events and trips which people could take part in if they wished.
People were able to express their views and they said they were listened to. Most relatives did not have knowledge of the formal complaints procedure but would speak with managers or staff if they had a concern.
Complaints, concerns and compliments were welcomed and viewed as part of the improvement process for the home.
There was a clear ethos for the service. People and their relatives now had confidence in the management of the home. The management of the service had been through a period of change but was now stable and the service was ‘moving forward’. Good community links were being built.
People, family members and staff were involved in the service and their views were acted upon. Communication with people, relatives and staff was good.
There was an emphasis on improving the service wherever possible. There was honesty and openness about things which need to improve and if things go wrong.
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 9 December 2019 and this is the first inspection.
Why we inspected
This was the first inspection of this service since its registration.
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.