Archived: Trinity House Care Centre

Updated 19 November 2019

The inspection

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.

Inspection team

The inspection was completed by an inspector and an assistant inspector.

Service and service type

Trinity House Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection-

We spoke with five people who use the service and one relative. We also spoke with five members of care staff, the nurse, a member of domestic staff as well as the assistant manager, deputy manager and nominated individual.

We reviewed a range of records. This included five people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 19 November 2019

About the service

Trinity House Care Centre is a residential care home providing personal and nursing care to nine people aged 65 and over at the time of the inspection. The service can support up to 35 people.

People’s experience of using this service and what we found

Although work had been completed on the quality of monitoring systems, these were still not completed consistently. The provider had not consistently ensured a positive working relationship with external organisations to ensure the safe transfer of people moving to alternative accommodation. People spoke positively about the management in place and staff told us they felt supported.

People felt safe and staff knew how to report concerns of abuse. Risks to people’s safety and well being were being assessed. There were sufficient numbers of staff to meet people’s needs. There were effective infection control practices in place. Medicines were managed in a safe way.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 26 September 2019). At the last inspection, breaches of regulation were found. At this inspection enough improvement had not been sustained and the provider was still in breach of some regulations. The service remains rated as requires improvement. This service has been rated requires improvement for the last four consecutive inspections.

Why we inspected

We received concerns in relation to the provider not working in partnership with external agencies to ensure a safe transition to new services for people who were moving home. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection..

We have found evidence that the provider needs to make improvement. Please see the Well Led key question. You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Trinity House Care Centre on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to the management of the service at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.