Trinity Healthcare Limited

Updated 24 November 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 11 October 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and we needed to ensure staff were available to speak with us and provide the information we needed. The inspection was completed by one adult social care inspector.

We contacted the local safeguarding team and Healthwatch prior to the inspection and used their feedback to aid our planning. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We looked at information we held about the provider including statutory notifications relating to the service. Statutory notifications include information about important events, which the provider is required to send us. We used this information to help us plan this inspection.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and what improvements they plan to make.

During the inspection we spoke with the person who used the service, two company directors, one of whom was the registered manager, and two members of staff. We looked at the person’s care plan and records relating to the care they received. These included medicine records, daily notes and accident and incident monitoring. We also looked at a selection of documentation relating to the running of the service. This included staff recruitment, induction, training records, communication with staff and quality assurance processes.

Updated 24 November 2018

Trinity Healthcare Limited is a domiciliary care agency that provides personal care to people living in their own homes in the community. The care service has been developed and designed in line with the 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 and autism using the service can live as ordinary a life as any citizen. At the time of the inspection, one person was using the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff continued to protect the person from avoidable harm and abuse by assessing risks and using appropriate strategies to minimise them. Staff had the skills and knowledge to identify and address safeguarding concerns and manage the risks of infection. Staffing levels were appropriate to meet the person’s needs and recruitment processes ensured only suitable staff were employed. The person received their medication as prescribed.

Staff assessed the person’s needs and put plans in place so they could provide consistent care. Staff received relevant training and supervision, which ensured best practice was embedded. The person was supported to have meals of their choice and their health needs were met. The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were kind, caring and supported the person through emotionally difficult times and helped them maintain important relationships. The person’s independence was promoted and their privacy and dignity was respected. The person was supported by staff with similar interests who worked flexibly to meet their needs.

The person received their care in the way they wanted. Staff respected the person, challenged discrimination and helped them engage in a wide variety of activities in the local community. Care plans were person-centred and were reviewed and updated as the person’s needs changed. Staff sensitively supported the person to discuss their end of life wishes. The complaints procedure had been adapted to enable the person to raise concerns.

An open and honest culture was in place and staff worked to ensure the person had a good quality of life. The provider continued to use quality assurance systems to monitor and address any quality shortfalls. The person was included in how to improve the service.

Further information is in the detailed findings below