8 November 2017
During a routine inspection
Trent House is a home that provides accommodation and personal care for up to five people with a learning disability. At the time of our inspection there were five people living at the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At this inspection, we did identify areas in which the provider was not meeting their legal requirements.
Quality assurance audits were carried out and actions identified completed. Staff understood the requirements of the Mental Capacity Act 2005. Where restrictions were in place for people the proper procedures were followed. People were consulted at all stages in relation to their care. We saw evidence that people made their own decisions about what they wished to do.
People were shown respect by staff and encouraged to be independent. Staff were seen to be caring and kind to people. People were happy living in the house and we found the environment was clean, hygienic and homely. The environment was suitable for the people living there.
People’s medicines were managed safely. Important information about people’s healthcare needs and medicines were recorded in their care plans. Staff worked alongside healthcare professionals to meet people’s health needs. Where any accidents or incidents occurred staff took appropriate action in response to them.
People were cared for by sufficient numbers of staff. We did not see people having to wait to receive care or support. Appropriate checks were carried out when recruiting staff to ensure that they were suitable for their roles. Staff were aware of their responsibilities in relation to keeping people safe. Both in respect of keeping people safe from harm because individual risks had been identified and also in respect of signs of abuse. People were comfortable with speaking with staff if they had any concerns.
There was a procedure in place to help ensure that people were kept safe in the event of an emergency. People lived in a safe environment. Regular checks were made on equipment and services within the house to check they were well maintained.
People were provided with food that matched their preferences. People had access to activities that suited their needs and to help ensure they did not feel isolated. People’s individuality and what mattered to them was recognised by staff. Activities were meaningful to people and they had the opportunity to attend events outside of the house and local community.
The registered manager created a positive culture and staff felt supported by here. Staff received training appropriate to their roles and the provider’s values. Staff benefited from regular supervision and appraisals.