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CQC report explained · a residential care home

What the CQC found at Tregarland

Outstandingpublished 16 June 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found suitable staffing, safe medicines systems, safeguarding training, reviewed risk assessments and safe premises.
Effective?
Good
Staff had relevant training, supervision and support. People's health, dietary needs and legal rights around consent and capacity were considered.
Caring?
Outstanding
People were treated with respect and dignity and were actively involved in decisions, staff recruitment and running the home. Staff helped people achieve personal goals and maintain relationships.
Responsive?
Good
Care plans were detailed and person-centred. People could choose activities, take part in household tasks and access the community, and there was an easy-read complaints procedure.
Well-led?
Outstanding
Inspectors found strong leadership, good staff support and very good staff retention. The home used feedback, audits and partnership working to improve people's lives.
The latest report, explained

What inspectors found, June 2018

Tregarland was rated Outstanding overall; inspectors found respectful, safe and highly personalised care, with no breaches reported.

This was an unannounced comprehensive inspection on 23 and 25 April 2018. One inspector met most people living at the home, spoke with four of them, and gathered views from family members, staff and health professionals.

The home was rated Good for Safe, Effective and Responsive care. It was rated Outstanding for Caring and Well-led. Inspectors found people felt safe, were treated with dignity, and were supported to make choices, build confidence and take part in home and community life.

The overall rating improved from Good at the previous inspection. The Well-led rating improved from Good to Outstanding, while the other four ratings remained the same.

What inspectors praised
  • Respect and dignity

    People were treated as individuals and were supported to have privacy, confidence and a say in daily life.

    “People using the service were relaxed, happy, confident and fully engaged in the running of their home and activities in the local community.” from the report
  • Personal goals

    Staff looked for practical ways to help people achieve their own goals and try new experiences.

    “People set goals and met them through the support they received.” from the report
  • Involvement and choice

    People helped with recruitment, shopping, cooking, laundry and decisions about activities and support.

    “The service is outstanding because people using the service were empowered.” from the report
  • Leadership and staff team

    Inspectors found a clear management structure, supportive leadership and excellent staff retention.

    “There was a clear, effective management structure at Tregarland.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and support my relative's specific health, communication, dietary and behavioural needs?
  2. 02If my relative lacks capacity for a particular decision, how will you involve them, their family and appropriate advocates?
  3. 03What restrictions, restraint or Deprivation of Liberty Safeguards might apply to my relative, and how are these reviewed?
  4. 04How would you support my relative during a hospital admission or other major change in health?
  5. 05Which activities and community opportunities could my relative choose, and how would their preferences be recorded?

This was an unannounced comprehensive inspection covering all five key questions, with observations, conversations, records and feedback from families, staff and health professionals. This explanation was written from the published report of 16 June 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.

The story over the years

Every inspection of Tregarland

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. June 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Tregarland →

  2. April 2016Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2010

    Registered with the Care Quality Commission on 22 December 2010.

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.

Next steps

Weigh the report against the rest

Care at home

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.”
Martin B., about Love B.
“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.”
Holly C., about Dace L.
See live-in carers near DevonProfiles, rates and reviews are free to look at.

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.