CQC report explained · a residential care home
What the CQC found at Treelands Home Ltd Main Site and Treelands Atrium
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found that risks were reviewed, medicines were managed safely, infection controls were in place and visitors were welcomed.
- Effective?
- Good
- This question was not rated in this inspection.
- Caring?
- Good
- This question was not rated in this inspection, although inspectors observed positive interactions and heard that staff cared about people.
- Responsive?
- Good
- This question was not rated in this inspection.
- Well-led?
- Good
- Inspectors found friendly and approachable leadership, regular audits, staff support and systems for listening to people and relatives.
What inspectors found, April 2023
Treelands Home Ltd Main Site and Treelands Atrium was rated Good; inspectors found safe care, enough staff and strong management systems.
This was an unannounced, focused inspection on 1 March 2023. One inspector spoke with people, relatives, staff and health professionals. They also observed care and checked care plans, risk assessments, medicines, staffing, recruitment, training and quality records.
The home was rated Good overall. Inspectors rated Safe as Good and Well-led as Good. They found people felt safe, risks were reviewed, medicines were managed safely, and there were enough suitably trained staff.
The home had effective systems for checking quality and acting when things went wrong. People and relatives were asked for their views. The previous overall rating was Good, while the Safe rating had improved from Requires Improvement and Well-led remained Good.
Risk management
Risks were reviewed and updated when people's needs changed. Inspectors found that falls assessments and other safety information were current.
“We found risk assessments to be up to date and inclusive of all necessary information required to keep people safe.” from the report
Staffing and recruitment
There were enough staff with suitable skills and training. Recruitment checks, including DBS checks, had been completed.
“There were enough suitably trained and qualified staff to meet people's needs in a timely way.” from the report
Safe medicines
Medicines were given as prescribed by trained staff whose competence had been checked. Storage arrangements were also suitable.
“We witnessed part of a medicine round and observed medicines being consistently and safely administered to people.” from the report
Listening to people
People and relatives could give feedback through meetings and surveys. Inspectors found that issues raised were reviewed and resolved.
“Where any issues were raised, the registered manager reviewed and resolved them.” from the report
Learning from incidents
The home reviewed accidents and incidents, updated care records and shared changes with staff to reduce the chance of problems happening again.
“The registered manager logged, investigated and reviewed each incident and communicated changes in daily handovers, staff meetings and staff supervisions.” from the report
Inspectors raised no specific concerns in this report.
- 01How will the planned move to electronic care plans affect relatives' access to information?
- 02How are falls risks reviewed for a new resident, and what preventative equipment is currently being trialled?
- 03How often are staffing levels changed when a person's needs increase, such as during end-of-life care?
- 04What is the current position on reviewing the continued use of masks?
- 05How will you involve our family member in meetings and decisions about their care?
This was a focused inspection of Safe and Well-led, including infection prevention and control; Effective, Caring and Responsive were not rated in this report. This explanation was written from the published report of 18 April 2023 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, December 2017
Treelands Home Limited was rated Good overall; inspectors found kind, personalised care, but some environmental safety checks needed improvement.
This was an unannounced comprehensive inspection on 25 October and 2 November 2017. Inspectors spoke with people living at the home, relatives, staff and health and social care professionals. They also observed care and checked care plans, medicines records, staff files and other documents.
The home was rated Good overall. Effective, caring, responsive and well-led were rated Good. Safe was rated Requires Improvement because some parts of the environment were not checked regularly enough. Inspectors found an unlocked storeroom containing cleaning chemicals, a broken window restrictor, a fire door that did not close properly and a fire guard that could be opened.
The immediate safety problems were dealt with during the inspection. People had individual risk assessments, medicines were generally managed safely, and there were suitable recruitment, staffing and safeguarding arrangements. Inspectors also found improvements since the previous inspection in how staff followed the Mental Capacity Act and Deprivation of Liberty Safeguards.
Kind and respectful care
People were treated with dignity and compassion. Staff knew people well and supported them gently and patiently.
“People were treated with dignity, respect and compassion.” from the report
Safe medicines support
Medicines were stored securely and usually given calmly and safely. One recording gap was found, but inspectors said it was not a medicine error.
“People received their medicines on time and in a safe way.” from the report
Personalised support
Care plans included people's health needs, capacity and preferences. Staff knew how to meet individual needs.
“People received personalised care which matched their individual needs.” from the report
Learning from previous inspection
The home had improved staff training and understanding about consent and restrictions on people's freedom. The previous legal requirements in this area were now met.
“At this inspection we found that improvements had been made to staff training and understanding.” from the report
Quality monitoring
The home used several checks and acted on findings. Inspectors gave an example where monitoring led to fewer falls in one area.
“This was a good example of effective quality assurance monitoring leading to an improvement in the quality of the service.” from the report
Environmental safety checks
seriousSome parts of the building and equipment were not checked regularly enough. Inspectors found accessible chemicals, a broken window restrictor, a faulty fire door and an unsecured fire guard. These issues were dealt with during the inspection.
“People were not always protected from avoidable harm.” from the report
Staffing pressure at busy times
needs fixingSome staff and a health professional felt staffing was stretched, particularly in the afternoon and early evening. The provider had reviewed this and identified a need for more staff between 5 pm and 8 pm.
“Afternoons seem to be the worst time… we need more staff in general” from the report
Activities and time outdoors
minorSome people said there was not enough to do or that they could not go outside without support. A new activities coordinator and timetable were being introduced, but this work was still developing.
“I do want to do things, but there's nothing to do.” from the report
- 01Have the environmental safety checks identified in this report been completed regularly since the inspection?
- 02How do you make sure staffing is sufficient between 5 pm and 8 pm, when the report found pressure at busy times?
- 03How many activities are now offered for people living with dementia, including one-to-one activities?
- 04How do you support residents who want to go outside or take part in gardening?
- 05How are medicines records checked now, following the recording gap found during this inspection?
This was an unannounced comprehensive inspection covering all five service areas, including checks of care, records, medicines, staffing and the environment. This explanation was written from the published report of 15 December 2017 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 Treelands Home Ltd Main Site and Treelands Atrium
3 rated inspections over 7 years: the service has held its Good rating throughout.
- April 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Treelands Home Ltd Main Site and Treelands Atrium →
- December 2017Goodstayed GoodSafe: Requires improvementWell-led: Good
Read what inspectors found at Treelands Home Ltd Main Site and Treelands Atrium →
- December 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 24 January 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.
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17 live-in carers within about an hour of Devon
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 £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.
“She is such a warm and gentle person while being professional and competent at the same time.”
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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.