CQC report explained · a residential care home
What the CQC found at The Troc Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, safe medicines systems, infection control and recruitment checks.
- Effective?
- Good
- This question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Caring?
- Good
- This question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Responsive?
- Good
- This question was not inspected during this visit. Its rating was carried over from the previous inspection.
- Well-led?
- Good
- The management team was open, approachable and responsive to feedback. Audits, staff support and incident reviews were used to identify and make improvements.
What inspectors found, January 2024
The Troc Care Home is Rated Good; inspectors found safe, personalised care and strong management, while plans were under way to modernise the original building.
This was an unannounced focused inspection on 20 December 2023. One inspector and an Expert by Experience spoke with people, relatives and staff. They reviewed care records, medicine records, staff recruitment files and management records.
The inspectors looked only at Safe and Well-led during this visit. They found people were protected from abuse and avoidable harm, medicines were managed safely, infection risks were controlled and staff were safely recruited and trained.
People and relatives described kind, personalised care. The management team was seen as approachable and open to feedback. Both Safe and Well-led were rated Good. The other ratings, which were not inspected, carried over from the previous inspection in 2018, giving an overall rating of Good.
Personalised care
People said their care met their needs and reflected their choices. Staff had information about people's histories, routines and preferences.
“People told us they received personalised care that met their needs and reflected their choices and wishes.” from the report
Safety systems
The home had clear safeguarding procedures and staff knew how to recognise and report concerns. Risks such as falls and pressure care were assessed and managed.
“The provider had robust policies and procedures in place to ensure people were protected from the risk of avoidable harm and abuse.” from the report
Clean environment
A dedicated housekeeping team maintained cleanliness and hygiene. Inspectors saw staff using protective equipment effectively.
“There was a dedicated housekeeping team that ensured risks from infection prevention and control were minimised and controlled and kept standards of hygiene in the home to a high level.” from the report
Open management
People, relatives and staff could give feedback through meetings and questionnaires. The manager used a 'You said, we did' approach to show how feedback led to changes.
“People, relatives and staff were provided with numerous opportunities to provide feedback, such as meeting and questionnaires.” from the report
Safe medicines
Medicine records were accurate and medicines were stored and disposed of safely. Staff had competency checks and regular reviews took place.
“Medicines were stored correctly and disposed of safely. Staff kept accurate medicine records.” from the report
Modernisation still planned
minorThe provider was planning renovation and modernisation of the original building after an extension had been built. Families may want to check what work has been completed and what remains.
“The provider was working on plans to modernise the original building following a recent extension to ensure these standards continued.” from the report
- 01What modernisation work has been completed in the original building, and what work is still planned?
- 02How are families told about changes to a person's health, care needs or risks?
- 03How often are medicines reviewed and staff checked as competent to support people with medicines?
- 04How does the 'You said, we did' process show that feedback has led to changes?
- 05What was covered by the previous ratings for Effective, Caring and Responsive, which were not inspected this time?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection published on 4 October 2018. This explanation was written from the published report of 18 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2018
The Troc Care Home was rated Good; inspectors found kind, personalised care, but medicines were not always managed safely.
Inspectors visited the home without warning on 30 August 2018. They spoke with people living there, relatives, staff and a health professional. They also checked care records, medicines records and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff on the inspection day, suitable training, good support with food and health, respectful care and a range of activities.
There were problems with medicines records. Some signatures were missing, some bottles were not dated when opened, fridge temperature checks were missing and guidance for medicines given when needed was lacking. The manager sent information after the inspection about steps to improve this.
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw people being treated with dignity and supported to remain independent.
“People were supported by a caring group of staff who listened to their views and ensured their choices and preferences were met.” from the report
Activities and social contact
The home offered group and one-to-one activities, including outings. Activities were planned ahead and information was shared with relatives.
“People were supported to take part in a range of social activities.” from the report
Food and health support
People were offered choices and enough food and drink. Staff worked with health professionals and responded to changes in people's health.
“People's nutritional needs were well managed and people received diets appropriate to their needs.” from the report
Visible management
The manager was available during the inspection and was described as approachable. Quality audits covered areas such as care plans, falls, weights, medicines and the environment.
“The quality assurance systems in place were used effectively to monitor performance and quality of care.” from the report
Medicines records and checks
seriousInspectors found missing administration signatures, bottles without opening dates, incomplete fridge temperature checks and insufficient guidance for medicines given when needed. The manager said they had started increasing audits after the visit.
“Some medicines should be used within a specific time frame once opened, and we found bottles of medicines had not been dated when opened.” from the report
Staffing when the home is full
needs fixingPeople said call bells were answered, but some relatives felt staff were very busy. A staff member said it was difficult to meet needs when the home was full, although inspectors saw people's needs being met on the day.
“One member of staff told us when the service was full it was difficult to meet the needs of people on the present numbers of staff.” from the report
Odour in one area
minorOne relative raised concerns about cleanliness, and inspectors noticed a smell of urine near the lounge patio doors. The manager said new flooring was planned because the odour could not always be removed.
“We noted that there was a smell of urine in the area towards the lounge patio doors.” from the report
- 01Have all missing medicines signatures, opening dates and fridge temperature checks been corrected, and can we see the latest audit results?
- 02What written guidance is now in place for medicines given when needed, such as pain relief?
- 03How are staffing numbers decided if the home is full, and how quickly are call bells answered during busy periods?
- 04Has the flooring near the lounge patio doors been replaced, and has the odour been resolved?
- 05How are our relative's care plan, preferences and communication needs reviewed with the family?
This was an unannounced comprehensive inspection covering all five areas, and the report says both the premises and the care provided were looked at. This explanation was written from the published report of 4 October 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of The Troc Care Home
4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- January 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- May 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 17 March 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
75 live-in carers within about an hour of Nottinghamshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.