We carried out a review of the data available to us about Tryfan House 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 Tryfan House, you can give feedback on this service.
Tryfan house is a care home that can accommodate up to 30 people who require support with nursing or personal care needs, some of whom were living with dementia. At the time of our inspection, 22 people were living at the service.
People’s experience of using this service and what we found
Relatives told us their loved ones received safe care and, in our observations, we saw people were relaxed and being supported by staff who knew them well.
Most risks to people’s care were assessed and measures put in place to manage these, such as risk of falls or weight loss. However, we saw examples of documentation not always being detailed or completed when people required additional support due to displaying distressed behaviour or evidence of monitoring following an incident or physical restraint. Although there was ongoing cleaning happening, we found examples of some areas at the home or objects used by people not being clean. Most areas of recruitment were managed safely but we found examples of additional improvements required. Medicines were well managed. Staffing levels were safe.
The environment was not always dementia friendly or homely; there was an ongoing programme of redecoration at the home. Staff asked consent before supporting people with care tasks. 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. People were supported to maintain a balanced diet and had access to the relevant healthcare professionals to meet their needs.
The service was located on the same grounds as another 5 care homes owed by the same provider and we saw care documentation related to people living at Tryfan house or any of the other care homes could be accessed by any staff working in those services. This posed a risk to people’s confidentiality. People were supported by staff that were caring, compassionate and respectful. People's independence was promoted.
Most care plans were centred around people’s needs and preferences however, we also found inconsistencies and areas that required additional detail. People were offered a regular programme of activities tailored to their needs. People who required end of life care received the care they needed. The service had not received any complaints, but the necessary policies and procedures were in place to manage these.
Some areas of the management of the home needed improvement. Quality assurance systems were in place and happening regularly, however these had not always been effective in identifying or addressing in a timely way the issues found at this inspection. We have made a recommendation in relation to ensuring quality assurance processes are effective to ensure adequate management’s oversight. We saw evidence of good partnership work with other professionals, to meet the needs of people using the service. There were plans to continue developing the service. The management team supported this inspection, were receptive to findings and told us the actions they would take to address issues identified.
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 14 February 2023 and this is the first inspection.
The last rating for the service at the previous premises was Inadequate, published on 10 June 2022.
Why we inspected
This was a planned inspection.
Enforcement and Recommendations
We made a recommendation in relation to good governance.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.