CQC report explained · a residential care home
What the CQC found at Tremona Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured about PPE, testing, social distancing, cleaning, safe admissions and the prevention and management of infection outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Outstanding
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Outstanding
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, April 2021
Tremona Care Home was inspected but not rated; inspectors were assured about its COVID-19 infection prevention and control measures.
This was a targeted, announced inspection on 11 March 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full range of care provided.
Inspectors were assured that the home was using protective equipment safely, arranging testing, managing admissions, and following shielding and social distancing rules. They were also assured about cleaning, laundry, visiting arrangements and managing possible outbreaks.
The home was not given an overall rating or a rating for safe care at this inspection. This report therefore does not show whether the wider service was good or poor.
Protective equipment
The home had enough PPE, and staff had been trained to put it on and remove it safely. Used PPE was disposed of as clinical waste.
“The home had purchased adequate amounts of personal protective equipment (PPE) to ensure that staff could protect themselves and people living in the home.” from the report
Contact with family
When in-person visits were not taking place, staff helped residents stay in touch by phone, tablet and window visits. A visiting suite had also been prepared.
“Currently visitors were unable to visit in person so staff had set up different ways in which people could stay in touch with those who are important to them.” from the report
Cleaning and laundry
High-touch areas were cleaned frequently, including during night shifts. Inspectors also found good oversight of laundry and suitable cleaning products.
“Cleaning schedules had been updated by the housekeeper in light of COVID-19 risks and frequent cleaning of high touch areas was undertaken by all staff, both day and night.” from the report
Staff testing and support
Staff had PCR and lateral flow tests. Staff who needed to isolate were supported to do so and continued to be paid.
“All staff undertook both PCR and lateral flow tests in order to protect the people they cared for.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the current arrangements for in-person visits and use of the visiting suite?
- 02How are staff currently trained and checked on putting on and removing PPE?
- 03How often are residents and staff tested, and what happens when someone tests positive?
- 04How does the home prevent and manage an infection outbreak now?
- 05What was the home's latest full CQC rating for areas not covered by this inspection?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it did not rate the wider service. This explanation was written from the published report of 23 April 2021 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, March 2019
Rated Outstanding overall; inspectors found kind, safe care, with especially strong activities, responsiveness and leadership.
The inspection was unannounced and took place on 21 January 2019. Inspectors spoke with people living at the home, relatives, staff and healthcare professionals. They observed care and activities, and checked care plans, risk assessments, medicines, recruitment, training and audits.
The home was rated Good for Safe, Effective and Caring. Inspectors found enough staff, safe medicines management, suitable training, clean surroundings and support for people's health, choices, dignity and independence.
The home was rated Outstanding for Responsive and Well-led. Inspectors praised the wide range of personalised activities, strong links with the local community, detailed care plans, feedback systems and exceptionally positive leadership.
The overall rating improved from Good at the previous inspection on 31 May 2016. The home remained Good in Safe, Effective and Caring, and improved to Outstanding in Responsive and Well-led.
Personalised activities
Activities were designed around people's interests and included community events, a toddler music group, an art exhibition and events celebrating diversity.
“There was a range of interesting and innovative activities on offer at the service, which were uniquely catered to people's needs.” from the report
Respect and independence
Staff supported people to make choices, maintain their independence and have their privacy and dignity respected.
“People's privacy and dignity was respected at all times.” from the report
Detailed care planning
Care plans gave staff clear information about how each person wanted to be supported and were updated regularly.
“People's care plans were accurate and contained detailed information about how they liked to be supported.” from the report
Strong leadership
The management team was visible, welcomed feedback and used audits and meetings to identify and act on improvements.
“The service was exceptionally well-led.” from the report
Community involvement
People were encouraged to take part in local events and the home welcomed the public through coffee mornings and other activities.
“People were supported to be active members of the local community.” from the report
Safe medicines
Inspectors observed medicines being given with gentle prompting and found the medicines records complete.
“Medicines administration records (MARs) were fully completed, indicating people received their medicines as and when they needed them.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you adjust staffing levels when residents need different levels of support or want to join activities?
- 02How do you use falls information to change a person's care and reduce the chance of further falls?
- 03Which activities and community events would be available for someone with my relative's interests and abilities?
- 04How often are care plans reviewed, and how will relatives be involved when needs or wishes change?
- 05How would you support my relative's end of life wishes, and could family members stay with them if needed?
This was an unannounced inspection of the whole care home, including both the accommodation and care, and all five CQC questions were assessed. This explanation was written from the published report of 28 March 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 Tremona Care Home
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015
Registered with the Care Quality Commission on 31 March 2015.
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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