CQC report explained · a residential care home
What the CQC found at Trezela House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, safe medicines systems, up-to-date risk assessments and effective safeguarding arrangements. A missing protocol for some as-required medicines was completed by the end of the inspection.
- Effective?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- Inspectors found detailed, person-centred care plans, support for communication needs, a wide range of activities and help to maintain important relationships.
- Well-led?
- Good
- Inspectors found clear management responsibilities, regular audits, good communication and a culture where people, relatives and staff could raise concerns.
What inspectors found, August 2023
Rated Good; a focused inspection found safe, personalised care, with one medicines paperwork issue corrected during the visit.
The inspection visit took place on 28 June 2023 and was unannounced. One inspector spoke with people using the service, staff and relatives, observed care, and checked care, medicines, recruitment and management records.
The home was rated Good overall. Safe, Responsive and Well-led were rated Good. Inspectors found enough trained staff, safe medicines practice, up-to-date risk assessments, respectful care, personalised support and activities that helped people stay independent and connected.
The inspection was prompted by concerns about the service and the care provider. Inspectors found no evidence that people were at risk of harm from those concerns. They found that protocols for some medicines used only when needed were missing at first, but these were completed by the end of the inspection.
This was a focused inspection of Safe, Responsive and Well-led. Effective and Caring were not inspected on this visit, so their previous ratings were used when calculating the overall rating.
Enough trained staff
Staffing levels were judged sufficient to meet people's needs. Recruitment checks and staff training were in place.
“People were supported by enough staff on duty who had been trained to do their jobs properly.” from the report
Personalised support
Care plans recorded people's routines, preferences, backgrounds and health needs. Staff knew how to support people's mental health and communication.
“Care plans were person centred and detailed people's likes and dislikes and how best to deliver care and support.” from the report
Safety systems
Risk assessments, safeguarding arrangements, fire checks and accident reviews were in place. Inspectors found people were protected from avoidable harm.
“Risk assessments were up to date which meant staff had guidance on how to manage people's care safely.” from the report
Activities and relationships
People were supported to keep important relationships and take part in activities such as work, gardening, swimming and day-centre visits.
“People living in Trezela House had a wide range of activities.” from the report
Open management
Inspectors found clear responsibilities, regular audits and staff who felt able to speak up about concerns.
“The ethos of the service was to be open, transparent, and honest.” from the report
As-required medicines paperwork
minorProtocols explaining when some as-required medicines should be used were not in place at the start of the inspection. The report says this was corrected by the end of the visit.
“People prescribed 'as required' medicines did not have protocols in place detailing the circumstances in which these medicines should be used.” from the report
- 01What protocols are now in place for each medicine used only when needed?
- 02How do you check that medicines are given as prescribed and that records remain complete?
- 03How are changes in a person's mental health identified and managed?
- 04What activities and community opportunities would be available for my relative?
- 05How would you involve our family if my relative's needs or risks changed?
This was a focused inspection of Safe, Responsive and Well-led only; Effective and Caring were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 1 August 2023 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, July 2019
Trezela House was rated Good; inspectors found safe, kind and well-organised care, with some scope to build independence skills.
This was an unannounced inspection on 24 and 25 June 2019. One inspector spoke with people, relatives and staff, and checked care plans, medicines records, recruitment files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable safeguarding, risk assessment, staffing, medicines and infection control arrangements.
People were supported with their health, food, daily choices and activities. Staff were described as caring and respectful. People could take part in community activities and some could go out independently.
The overall Good rating was the same as at the previous inspection, published in March 2017. This means inspectors found the service consistently met the expected standards at this inspection.
Safe staffing and medicines
There were enough staff, recruitment checks were completed and medicines were administered safely and on time.
“Systems for administering, storage and monitoring medicines were safe.” from the report
Kind and respectful care
People were treated with dignity and involved in choices about their care, routines and future.
“People were treated respectfully and staff were committed to providing the best possible care for people.” from the report
Activities and community life
People took part in activities, outings and community events. Some people could go out independently using public transport or walking into town.
“People had activity plans and staff supported people to participate in a range of activities such as attending lunch clubs, an art class, visiting the cinema, swimming, as well as other social and recreational trips.” from the report
Good staff support
Staff received induction, training, supervision and appraisals. Inspectors found staff knowledgeable about people's conditions and the legal framework for care.
“Staff appear well trained and appear to be knowledgeable in areas concerning the clients conditions and the legal framework around caring for vulnerable adults.” from the report
Positive management
Staff and relatives had confidence in the management. The home used handovers, meetings and audits to support consistent care and improvement.
“The service had satisfactory quality assurance procedures.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's particular mental health needs before they move in?
- 02How would you help my relative build budgeting, shopping and cooking skills?
- 03What activities and community opportunities would be available to my relative, including any support to go out independently?
- 04How do you check that medicines remain safe and are given on time?
- 05How are decisions made if my relative cannot make a particular decision for themselves?
This was an unannounced inspection covering all five CQC areas, including the premises and the care provided; all ratings remained Good from the previous inspection. This explanation was written from the published report of 19 July 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 Trezela House
4 rated inspections over 8 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019Goodstayed GoodSafe: GoodResponsive: GoodWell-led: Good
- March 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 17 February 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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10 live-in carers within about two hours of Cornwall
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.
Most charge £980 to £1,200 a week. 8 can care for a couple. 12 years' experience on average.
“He had been a little anxious before she arrived, but has since stated that he would be very happy for her to care for him again”
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