CQC report explained · a residential care home
What the CQC found at Tremanse House Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, July 2023
Rated Good; inspectors found safe, supportive care, but recruitment checks and staff-training records needed improvement.
The inspection took place on 27 June 2023. One inspector reviewed three care plans, risk assessments, staff training and management records. They spoke with three people, four staff, the manager and deputy manager, and contacted five healthcare professionals.
The home had enough staff, effective safeguarding arrangements and safe medicines systems. People said they felt safe and were positive about staff and management. Care plans were up to date, people were supported to make choices, and staff helped some people develop skills for more independent living.
The home was clean and well furnished. People helped choose meals, furniture and décor. Managers used audits and action plans to oversee the service, but the electronic staff-training system could not show when training updates were due. Recruitment records did not always include and check previous employment dates.
The overall rating was Good, as were Safe, Effective and Well-led. The report does not give current ratings for Caring or Responsive. The previous overall rating was also Good in 2019.
Enough staff
Inspectors found enough staff to meet people's assessed needs and keep them safe. Staff worked as a team and covered rota gaps.
“There were sufficient numbers of staff employed and on duty to meet people's assessed needs.” from the report
People felt safe
The home had safeguarding systems and staff knew how to report concerns. People told inspectors they felt safe.
“People told us they felt safe.” from the report
Choice and independence
People were involved in decisions and supported to manage parts of their lives. Some were developing skills to move towards independent living.
“Staff supported people to stay safe and independent.” from the report
Recruitment records
needs fixingThe provider did not always record the start and end dates of previous jobs or check them against references. Inspectors made a recommendation to improve recruitment processes.
“However, the provider was not always ensuring the manager recorded the start and end dates of previous employment and then verified these with the references received.” from the report
Training records
needs fixingA fault in the electronic system meant managers could not see a complete overview of staff training or when refresher training was due. A manual record was produced during the inspection.
“The electronic system was indicating a fault and could not generate a report providing the manager with an overview of all staff training and when updates were due.” from the report
Smoking-related fire risk
minorSome people smoked inside the home. The risk had been assessed and controls were in place, but the home still planned further steps to reduce the risk of unsupervised smoking.
“There was a plan to further reduce the potential fire risk from people smoking alone and unsupervised.” from the report
- 01How do you now record and verify the start and end dates of new staff members' previous employment?
- 02How are you currently tracking all staff training and the dates when updates are due?
- 03What further steps have you taken to reduce the fire risk from people smoking alone and unsupervised?
- 04How would you support my relative to build independence or prepare for living with less support?
- 05Has the manager's application to register with CQC now been completed?
This inspection reported ratings for Safe, Effective and Well-led only; the report does not give current ratings for Caring or Responsive. This explanation was written from the published report of 22 July 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, June 2019
Rated Good; inspectors found safe, kind care, but some staff training records and independence opportunities needed improvement.
This was an unannounced inspection over two days. The inspector spoke with seven people, three care staff and a regional manager. They reviewed care records, medicine records, five staff recruitment files, training records and management documents.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable safeguarding, risk assessment, staffing, medicine and infection control arrangements. People said staff were kind, respectful and responsive, and people were involved in choices about their care.
The inspection followed a previous Requires improvement rating. The provider had made improvements and met earlier concerns about health and safety checks, staffing, dignity and quality assurance. Some staff training records still had gaps, and the home could do more to help people build independence skills.
Safe medicines
Medicine systems were organised and staff were trained and assessed as competent. Inspectors observed respectful support and found that people received medicines on time.
“The medicines system was well organised and staff received suitable training. People received their medicines on time.” from the report
Kind and respectful care
People were treated with kindness and their dignity and privacy were respected. Staff knew people well and involved them in everyday choices.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Activities and community links
People could take part in quizzes, arts and crafts, cooking, trips and one-to-one activities. They could also use nearby shops and community facilities.
“People had the opportunity to participate in activities and to spend time with the wider community” from the report
Improved management systems
The provider had improved its quality checks since the previous inspection. Audits covered medicines, cleanliness, accidents, incidents and care planning.
“There were effective systems in place to identify concerns with the quality and safety of care and the environment.” from the report
Training records
needs fixingMost staff had evidence of suitable induction and training, but some records were incomplete. The manager said the identified staff would receive the appropriate training shortly.
“However, there were some gaps in records kept.” from the report
Building independence
needs fixingSome people helped with shopping and preparing meals, but the home could provide more opportunities to develop budgeting, shopping and cooking skills.
“There was however some scope to develop people's independence skills in these areas” from the report
Redecoration needed
minorThe buildings were maintained to a satisfactory standard, but some toilets and bathrooms needed redecoration and refurbishment.
“However some areas, for example toilets and bathrooms, were in need of some redecoration and refurbishment.” from the report
- 01Which staff training records had gaps, and has all the required training now been completed?
- 02What new opportunities are available for people to practise budgeting, shopping and cooking?
- 03What work has been done, or is planned, to redecorate and refurbish the toilets and bathrooms?
- 04Has the manager's application to become registered with the CQC been completed?
- 05How are care plans and risk assessments reviewed when incidents or accidents happen?
This was an unannounced inspection covering the care, accommodation and all five CQC questions, carried out to check improvements after the previous Requires improvement rating. This explanation was written from the published report of 14 June 2019 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 Tremanse House Care Home
5 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2019Goodup from Requires improvementSafe: GoodEffective: GoodWell-led: Good
- May 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Registered with the Care Quality Commission on 10 June 2014.
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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10 live-in carers within about two hours of Cornwall
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 £1,200 a week. 8 can care for a couple. 12 years' experience on average.
“He had been a little anxious before she arrived, but has since stated that he would be very happy for her to care for him again”
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.