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CQC report explained · a residential care home

What the CQC found at Trent View

Goodpublished 7 April 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People's risks were assessed and staff knew how to support them. Medicines, safeguarding, infection control, staffing and accident reporting were found to be managed safely, although some risk records were not up to date.
Effective?
Good
This area was not assessed in this focused inspection. The report does not give a new rating for Effective.
Caring?
Good
This area was not assessed in this focused inspection. The report says care was person-centred and promoted dignity, privacy and human rights, but it does not give a new rating for Caring.
Responsive?
Good
This area was not assessed in this focused inspection. The report does not give a new rating for Responsive.
Well-led?
Good
The deputy manager was running the home while a registered manager was being recruited. Quality checks were in place, people and relatives felt listened to, and staff described the management as supportive.
The latest report, explained

What inspectors found, April 2022

Rated Good; inspectors found people were kept safe and supported, but some risk records were not up to date.

This was an unannounced, focused inspection on 2 November 2021. Inspectors looked mainly at how people's risks were assessed and monitored. They also checked infection control, staffing, medicines and management records.

The home was rated Good for Safe and Well-led. Inspectors found that people had care plans and staff understood their needs and risks. Medicines were given safely, safeguarding concerns were reported properly, and there were enough staff to meet people's needs.

Some care records were not up to date. The home was already reviewing them. Agency staff were being used while recruitment continued, although inspectors found these staff knew the people they supported. There was no registered manager at the inspection, but an application had been made and the deputy manager was running the home.

What inspectors praised
  • Staff understood people's risks

    Care plans contained information about people's needs and risks. Staff could explain how they supported people safely.

    “Staff were aware of people's individual needs and risks and knew how to support people.” from the report
  • Medicines were managed safely

    Inspectors found correct medicine stock levels and complete staff signatures. Instructions were available for medicines given only when needed.

    “We checked a range of medication files and found all stock levels were correct and all medication had been signed for by staff.” from the report
  • Safeguarding systems worked

    Staff knew the different types of abuse and what to do if they were worried. Safeguarding incidents had been reported to the relevant organisations in good time.

    “Safeguarding incidents had been reported to the local safeguarding team and to the CQC in a timely way as required.” from the report
  • Relatives were kept informed

    Relatives said they were updated and invited to reviews. They could contact the home with questions or concerns.

    “Relatives told us that they were kept informed about their family member and were invited to reviews.” from the report
What inspectors were concerned about
  • Some risk records were out of date

    needs fixing

    Not every care record had been updated. The deputy manager said the provider was already reviewing the records.

    “However not all records were up to date .” from the report
  • Agency staff were being used

    minor

    The home was using agency staff while recruitment continued. Inspectors found there were enough staff and that the agency staff had been working there for several months.

    “The deputy manager explained that agency staff were being used whilst recruitment was ongoing.” from the report
  • No registered manager was in post

    minor

    The home did not have a registered manager during the inspection. The deputy manager was responsible for day-to-day running, and an application for registration had been received.

    “There was no registered manager in post at the time of the inspection, and the service was being managed by the deputy manager.” from the report
Questions to ask them, based on this report
  1. 01Have all of my relative's risk assessments and care records now been reviewed and brought up to date?
  2. 02Which staff, including agency staff, will usually support my relative, and how are they introduced to their needs?
  3. 03Has the registered manager now been appointed and registered with the CQC?
  4. 04How are quality checks recorded, and how will I be told if they identify a problem with my relative's care?
  5. 05How will the home support my relative's choices, hobbies and independence?

This was a focused inspection of specific concerns about risks and their monitoring, Safe and Well-led, plus infection control; other key question ratings were carried over from the last inspection. This explanation was written from the published report of 7 April 2022 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.

An earlier report, explained

What inspectors found, February 2019

Rated Good; inspectors found safe, kind and personalised care, with a feedback system still being improved.

This was an unannounced inspection on 21 January 2019. One inspector spoke with five people living at the home, two relatives, six care staff and the registered manager. They also observed care and checked care records, staff files, rotas and quality records.

The inspectors rated the home Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. They found enough suitable staff, safe medicines arrangements, suitable training, good support with health needs, and care that respected people's choices, privacy and dignity.

People were involved in their care planning and supported to take part in activities and maintain relationships. The home had systems to monitor quality and act on issues. The inspection also found that the system for gathering people's feedback did not yet fully meet their communication needs, although action was being taken to improve it.

This was the first inspection of the location under this provider. A Good rating means the inspectors judged that the home was meeting the relevant standards at the time of this inspection.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs safely. Medicines were ordered, stored, given and recorded using effective systems.

    “People's medicines were managed safely.” from the report
  • Personalised support

    People helped shape their care plans, including their preferences about personal care, activities and future care.

    “People were involved in the assessment and review of their care.” from the report
  • Kind and respectful care

    Staff knew people well and supported their dignity, privacy, independence and preferred ways of communicating.

    “People were treated with dignity as their independence was promoted.” from the report
  • Activities and relationships

    People were supported to use the community, take part in activities and keep in touch with family and friends.

    “People were supported to establish and maintain relationships with their families and friends.” from the report
  • Quality monitoring

    The provider and registered manager carried out regular checks and acted when they identified problems, including updating emergency evacuation plans.

    “Frequent quality checks were completed by the registered manager and provider.” from the report
What inspectors were concerned about
  • Feedback system needed improvement

    minor

    The registered manager had identified that the formal feedback system did not meet people's communication needs. The home was reviewing how to improve it.

    “The registered manager old us they had identified that this system did not meet the communication needs of the people who used the service” from the report
Questions to ask them, based on this report
  1. 01How do you now gather feedback from people whose communication needs were not fully met by the previous system?
  2. 02How will you make sure the person's risk assessments and care plans are reviewed when their needs change?
  3. 03How will you support the person to choose activities, use the community and maintain family relationships?
  4. 04What training and competency checks will staff receive to support the person's specific health, communication and behaviour needs?
  5. 05How can the person or their family raise a concern, and how will you show what action was taken?

This was an unannounced inspection of the whole care home, including the premises and care provided, and it assessed all five CQC questions; it was the first inspection under this provider. This explanation was written from the published report of 20 February 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.

The story over the years

Every inspection of Trent View

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. April 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Trent View →

  2. February 2019Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Trent View →

  3. September 2017

    Registered with the Care Quality Commission on 4 September 2017.

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

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