What the CQC found at Trabel

Inspectors found that medicines could be checked against records and were administered as prescribed. This was an improvement since the previous inspection.

“We found all of the medicines we checked could be accurately reconciled with the amounts recorded as received and administered.” from the report

Staff completed induction, specialist training and regular support. Inspectors found they had the knowledge and skills needed for people's needs.

“This demonstrated people were supported by suitably qualified staff with the knowledge and skills to fulfil their role.” from the report

Staff supported privacy, dignity, communication and personal choice. People were encouraged to do things for themselves.

“Staff used speech, gestures, sign language, photographs and facial expressions to support people to make choices according to their communication needs.” from the report

Care plans explained people's routines, preferences, support needs and goals. People were supported to take part in activities inside and outside the home.

“Care plans were person centred and contained detailed information covering areas such as evening routine, mobility, hygiene, communication, continence, medication, decision making, money, relationships and sleep and included long term goals the person was working toward.” from the report

The provider carried out regular checks of the home, equipment, care plans and records. Actions identified in audits had named people and deadlines.

“There was evidence of internal daily, weekly and monthly quality audits and actions identified showed who was responsible and by which date.” from the report

For some people who might lack the ability to make particular decisions, the home had not recorded the required assessment and discussion about what was in their best interests. This included decisions about medicines and door or bed sensors.

“Where people may not have capacity to make these decisions, we did not always see evidence best interest processes had been followed.” from the report

Records of food and drink were not always complete. The manager checked the records during the inspection and reminded senior staff to monitor them.

“This included a record of all food consumed, including where food intake was declined and details of the food eaten, although there were some gaps in recording.” from the report

The kitchen refrigerator was slightly warmer than recommended on two days in the week before the inspection. The action taken had not always fixed the problem, and the manager planned to discuss replacing it.

“Kitchen refrigerator temperatures were slightly higher than recommended on two days in the week prior to our inspection and the action taken to reduce these had not always proved effective.” from the report

The training summary did not always show the latest information, although certificates in staff files confirmed the relevant training had been completed. Supervision was regular but not always as frequent as the provider's policy stated.

“Some information on the training matrix was not up to date; however we saw certificates in staff files to confirm the relevant training had been completed.” from the report