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CQC report explained · a residential care home

What the CQC found at Tresleigh

Goodpublished 16 July 2021, 5 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding, risk management, staffing, medicines systems and infection control. Accidents and incidents were reviewed so lessons could be learned.
Effective?
Good
Staff used positive behaviour support and tailored health programmes to improve people’s wellbeing, healthcare access, nutrition and independence. Staff training and competency checks were in place.
Caring?
Good
People were treated with kindness, dignity and respect. Staff understood different communication methods and supported people to make everyday choices.
Responsive?
Good
Care plans reflected people’s needs and preferences. Staff supported communication, relationships, activities and community involvement, although some preferred activities had been affected by COVID-19 restrictions.
Well-led?
Good
Inspectors found approachable management, clear responsibilities and regular audits. Relatives, staff and healthcare professionals gave positive feedback about the home.
The latest report, explained

What inspectors found, July 2021

Tresleigh is rated Good; inspectors found safe, caring and highly personalised support for autistic people.

This was the home’s first inspection. One inspector visited on 15 June 2021, met all four people living there, and spoke with managers, care staff, relatives and healthcare professionals. The inspector also reviewed care records, staff records and other management documents.

The home supported four people with autistic spectrum disorders. Inspectors found that people had choice, privacy and independence. Staff knew people well and used personalised communication and positive behaviour support plans to reduce distress and help people achieve their goals.

Inspectors found safe medicines management, suitable staffing, good infection control and appropriate risk assessments. They also found kind care, effective support with health needs, good activities and strong leadership.

The overall rating was Good. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection, so there was no earlier rating to compare with.

What inspectors praised
  • Personalised behaviour support

    Staff used detailed positive behaviour support plans to understand triggers and respond consistently. This helped reduce incidents and restrictive interventions for people.

    “This pro-active approach had reduced the number of incidents, of behaviour that challenged the service, and the need for restrictive interventions.” from the report
  • Choice and independence

    People were supported to make choices, develop skills and take part in activities suited to their interests and abilities.

    “The model of care and setting maximised people's choice, control and independence.” from the report
  • Support with healthcare

    Staff used patient, planned approaches to help people overcome long-standing anxieties about medical treatment and appointments.

    “Staff had played an essential role in helping them to live healthier lives and supported them to overcome long standing anxieties about accessing healthcare services.” from the report
  • Kind and respectful care

    Inspectors found trusting relationships between people and staff. Staff supported privacy, dignity and communication.

    “People had built caring and trusting relationships with staff.” from the report
  • Strong leadership

    Managers provided clear leadership and used audits, staff feedback and professional relationships to improve the service.

    “The management team carried out regular audits of care plans, medicines and observations of staff practice.” 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 would you develop a positive behaviour support plan for my relative, and how would you measure whether it is helping?
  2. 02How do you keep staff approaches consistent, particularly when regular staff are absent?
  3. 03How would you support my relative with medical appointments, tests or vaccinations if they were anxious about them?
  4. 04How would my relative and our family be involved in creating and reviewing the care plan?
  5. 05Which activities and opportunities to use the local community are currently available?

This was the first planned inspection and covered all five key questions, including infection prevention and control; there was no previous rating to carry over. This explanation was written from the published report of 16 July 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.

The story over the years

Every inspection of Tresleigh

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. July 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Tresleigh →

  2. July 2019

    Registered with the Care Quality Commission on 12 July 2019.

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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Most charge £980 to £1,200 a week. 8 can care for a couple. 12 years' experience on average.

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