CQC report explained · a residential care home
What the CQC found at Trinity Fold
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visiting, social distancing, admissions, PPE, testing, hygiene and outbreak management. No rating was awarded because this was a targeted inspection.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Requires improvement
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, November 2020
Inspected but not rated; inspectors were assured that infection prevention and control measures were in place.
This was an announced, targeted inspection on 5 November 2020. Inspectors checked infection prevention and control measures because of coronavirus outbreaks in care homes.
Inspectors were assured about visitor controls, shielding, social distancing, admissions, personal protective equipment, testing, hygiene and managing outbreaks. They were also assured that the infection control policy was up to date.
The home was inspected but not rated. This visit looked at infection control only, so it does not give a new rating for the wider quality of care.
Testing arrangements
The home was using the government testing scheme for people living there and staff.
“The service was accessing the government testing scheme.” from the report
Keeping families in touch
Staff helped people maintain contact with relatives and friends by phone and video call. The registered manager also shared information about visiting decisions and restrictions.
“Staff supported people to stay in contact with relatives and friends via phone and video calling.” from the report
Clear information about restrictions
People were given pictorial guides to help them understand the restrictions in place.
“People had been provided with pictorial guides to help them understand the restrictions in place.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control measures are in place now, and how are they checked?
- 02How are visitors managed if there is an infection risk or outbreak?
- 03How are people living here and staff tested when testing is needed?
- 04How will the home help my relative keep in touch with family if visiting is restricted?
- 05What information can you provide about the wider quality of care, which this inspection did not rate?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and no new ratings were given for the other areas of care. This explanation was written from the published report of 26 November 2020 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, February 2020
Rated Good; inspectors found safe, kind care and better management, but activities were not always enough.
Inspectors visited unannounced on 7 and 10 January 2020. They spoke with people, relatives, staff and healthcare professionals. They also checked care records, medicines, recruitment files and management records.
The home was rated Good for Safe, Effective, Caring and Well-led. People generally felt safe and were happy with the care. Staff were kind, trained and respectful. Medicines, staffing, infection control and healthcare support were managed well.
Responsive was rated Requires Improvement. People said there were fewer activities after the activity organiser left. Inspectors also found that some end of life care plans did not contain enough detail. The overall rating improved from Requires Improvement at the previous inspection, and the earlier breach of Regulation 12 had been resolved.
Improved management
Inspectors found stronger leadership, better staff morale and more effective quality checks than at the previous inspection.
“Leadership and management had improved with the recent appointment of a new manager, which resulted in better outcomes for people and an increase in staff morale.” from the report
Safe staffing and medicines
There were enough staff, risks were understood and medicines were ordered, stored and given safely.
“Medicines were ordered, stored, administered and disposed of safely.” from the report
Better care records
Care plans had improved and gave staff more detailed information about people's needs, choices and preferences.
“Care plans had improved since the last inspection providing detailed information about people's needs and preferences and the support they required from staff.” from the report
Too few activities
needs fixingPeople said activities had reduced after the activity organiser left. Inspectors found that, for much of the time, people had little to do apart from watching television.
“However, for the majority of the time people had little to occupy or interest them apart from the television, which some people could not see or hear due to the layout of the room.” from the report
End of life plans varied
needs fixingSome end of life care plans did not record enough detail about people's preferences or wishes.
“However, some of these varied in the amount of detail recorded about the person's preferences or wishes in relation to end of life care.” from the report
Some checks needed clearer follow-up
minorThe audits identified issues, but some records did not make clear whether the required actions had been completed.
“However, in some audits it was not always clear whether actions had been completed.” from the report
- 01What activities are now available each day, including in the morning?
- 02How will you make sure people who cannot see or hear the television have suitable activities and social contact?
- 03How do you record and review each person's end of life wishes and preferences?
- 04How do your audits show that identified actions have been completed?
- 05What improvements have been made since the inspection to activities and end of life care planning?
This was an unannounced planned inspection covering all five CQC questions, including the premises and care provided; the previous overall rating was Requires Improvement. This explanation was written from the published report of 20 February 2020 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 Trinity Fold
4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- January 2019Requires improvementdown from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
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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