What the CQC found at Trevaylor Manor

The home had systems to protect people from abuse, and staff understood what to do if concerns were raised. Inspectors found safeguarding concerns had been reported appropriately.

“The provider had effective safeguarding systems in place and staff knew what actions to take to help ensure people were protected from harm or abuse.” from the report

People received prescribed medicines safely. Electronic records and regular audits were used, and extra controls had been introduced after a medicine error.

“People received their prescribed medicines in a safe way.” from the report

People had choices and their dietary needs were recorded. Staff with extra training supported people who needed help with eating and drinking.

“Specific staff, who had been given additional training, were allocated to people who had been identified as needing support with their dietary intake.” from the report

Relatives said they were kept informed about changes in people's needs and incidents. Inspectors also found families were invited to meetings and their views were considered.

“Relatives were kept informed of any changes in people's needs or incidents that occurred.” from the report

The manager and provider had a quality audit programme and worked with healthcare professionals. Inspectors found the service had improved since earlier years.

“There was a robust audit and quality assurance programme in place to measure the services' performance.” from the report

Some fire exits were obstructed, some fire doors were propped open, and rooms containing items such as sharps boxes and oxygen were not always locked. Inspectors recommended regular checks.

“We found one fire door, next to residents' rooms, which opened easily to an open descending staircase.” from the report

Inspectors found enough staff on duty during the visit, but staff reported pressure caused by short-notice absences, especially at weekends. The home also had vacant posts and used agency staff.

“Staff told us that they were being put under pressure by regular short notice staff absences, especially at weekends.” from the report

Some staff were overdue one-to-one meetings about their work and development. The manager had a plan to address this.

“Some staff were overdue for this support and the registered manager had a clear plan to address this.” from the report

Staff said electronic recording took a lot of time and could reduce the time available for people. The manager was aware of this and planned a review.

“I do feel that the priority on recording has overtaken the care provision, we spend so much time recording our actions that we don't always have the amount of time we would like to spend with people” from the report