CQC report explained · a residential care home
What the CQC found at Trenant House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection prevention and control arrangements. They were only somewhat assured that shielding and social distancing rules were being met.
- Effective?
- Good
- This area was not covered by this targeted inspection.
- Caring?
- Good
- This area was not covered by this targeted inspection.
- Responsive?
- Good
- This area was not covered by this targeted inspection.
- Well-led?
- Good
- This area was not covered by this targeted inspection.
What inspectors found, February 2021
Inspected but not rated; inspectors found mostly good infection control, but were only somewhat assured about shielding and social distancing.
This was an unannounced, targeted inspection on 22 January 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full range of care quality.
Inspectors found checks for visitors, testing for staff and residents, infection control training, and regular checks of staff practice. They were assured about most infection control arrangements, including PPE, admissions, hygiene, outbreak management and the infection control policy.
The home had created a separate outside facility for changing uniforms, putting on PPE and staff testing. Inspectors were only somewhat assured that shielding and social distancing rules were being met, and signposted the provider to resources to develop its approach.
The service was inspected but not rated. This means the report does not give an overall quality rating or a full rating for the five areas of care.
Visitor checks and testing
The home checked visitors and tested staff and residents in line with guidance. This was intended to reduce the risk of infection entering or spreading within the home.
“Checks were completed on visitors to reduce the risk of them transmitting the virus into the home.” from the report
Staff infection control training
Staff had training about infection control and their role in keeping people safe. The provider also gave staff the latest guidance and checked their practice.
“The provider had ensured staff were trained in respect of infection control and, their role to keep people safe at this time.” from the report
Purpose-built changing area
The home had built a separate outside facility for changing uniforms, putting on PPE and testing staff. This was intended to reduce the risk of transmission.
“This area would also allow personal protective equipment (PPE) to be put on before staff entered the building and, for the testing of staff.” from the report
PPE and outbreak arrangements
Inspectors were assured that PPE was being used safely and that the home could prevent or manage infection outbreaks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Shielding and social distancing
needs fixingInspectors were only somewhat assured that shielding and social distancing rules were being met. The provider was signposted to resources to develop its approach.
“We were somewhat assured that the provider was meeting shielding and social distancing rules.” from the report
- 01What changes have you made to improve shielding and social distancing since this inspection?
- 02How is the separate outside facility used for changing uniforms, putting on PPE and testing staff?
- 03How do you currently check visitors and manage the risk of infection entering the home?
- 04How often are staff and residents tested, and what happens after a positive result?
- 05How do you keep the infection prevention and control policy up to date?
This was an unannounced targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide a full assessment or ratings for the other areas of care. This explanation was written from the published report of 25 February 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, January 2019
Trenant House Care Home was rated Good; inspectors found kind, safe care, with some care records still needing improvement.
Inspectors visited on 11 and 12 December 2018 without notice. They spoke with 16 people, 10 staff members and the management team. They reviewed eight care files, medicines records, recruitment checks, training records, incidents and quality audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, a clean environment, good access to health services and respectful care.
This was an improvement from the Requires Improvement rating in October 2017. The earlier concerns about the environment, staffing, activities, care planning and quality monitoring had mostly been addressed. Care planning was still being improved, including the move to electronic records.
Kind and respectful staff
People said staff were kind and respectful. Inspectors saw staff protect privacy, offer reassurance and support people to remain as independent as possible.
“Everyone said the staff were kind, caring and treated them with respect.” from the report
Better management checks
The provider had improved quality audits and used feedback, complaints and incidents to make changes. People, staff and other agencies described the manager as accessible and responsive.
“The providers quality monitoring audit had been improved to help ensure it covered all areas of the service and fed into an overall service improvement plan.” from the report
Activities and community links
People could take part in activities, spend time with staff and go out into the community. Activities included trips, music and visits from local groups.
“People said, "We play cards, go out to the garden centre and the pub” from the report
Care plans were not equally detailed
needs fixingSome care plans were more personalised than others. People's goals, background information and preferences were not always fully recorded, although staff generally knew people's needs.
“We saw that the quality of people's care plans varied across the service. Some contained more detail and were more personalised than others.” from the report
Some risk information was out of date
needs fixingSome risk assessments included historical information that could confuse staff. Inspectors also found that some important information about behaviour and support was not written down.
“It was noted that some people's risk assessments included historical information, which could be confusing for staff providing care.” from the report
Incident records needed sign-off
needs fixingSome incident reports had not been signed off by the manager. This meant the records did not always show that the action taken had been checked and approved.
“It was noted that some incident reports had not been signed off by the manager as required” from the report
- 01How has the new electronic care-record system improved the personal detail in each person's care plan?
- 02How do you make sure risk assessments contain only current information and include guidance about behaviours that may become unsafe?
- 03How are incident reports checked and signed off by the manager, and how do you make sure lessons are acted on?
- 04How are people's individual goals, preferences and health needs, including conditions such as diabetes, recorded and reviewed?
- 05What activities and one-to-one time are currently available for my relative?
This was an unannounced comprehensive inspection covering all five question areas and the overall rating. This explanation was written from the published report of 16 January 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 Trenant House Care Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- May 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 14 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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9 live-in carers within about an hour of Plymouth
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.
8 can care for a couple. 9 years' experience on average.
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