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CQC report explained · a residential care home

What the CQC found at Trinity Manor Care Home

Goodpublished 26 October 2021, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks, medicines, staffing, recruitment and infection control were managed safely.
Effective?
Good
People's needs were assessed and staff were trained and supported. Health care and eating and drinking support were provided, although views about meals were mixed.
Caring?
Outstanding
Staff treated people with exceptional kindness and respect. They knew people well, supported their independence and provided emotional support to relatives.
Responsive?
Good
Care was personalised and people could make choices about their routines, activities and relationships. Complaints were accepted and acted on, although most relatives had not seen the formal complaints procedure.
Well-led?
Good
The home had clear leadership, regular checks and good communication with people, relatives and staff. Earlier management changes had been difficult, but inspectors found the service was now stable and moving forward.
The latest report, explained

What inspectors found, October 2021

Trinity Manor Care Home was rated Good overall, with Outstanding caring, although some families had not seen care plans and views on food were mixed.

This was the first inspection since the home registered. Inspectors visited on 29 September and 7 October 2021. They spoke with 15 people living there, staff, a visitor and relatives, and reviewed medicines, care plans, recruitment records and other documents.

Inspectors found people were safe. Risks and medicines were managed well, staffing levels were suitable and infection control measures, including those for COVID-19, were in place. The first visit took place during a small, contained COVID-19 outbreak, so inspectors returned for a second day.

The care was found to be exceptionally kind and respectful, which led to an Outstanding rating for Caring. People had choices, personalised support and activities, while the home was judged Good for Safe, Effective, Responsive and Well-led.

The home had been through several management and staff changes, but inspectors found it was now more stable. This was the first inspection, so there was no earlier rating to compare with.

What inspectors praised
  • Kind and respectful care

    People and relatives described staff as exceptionally caring. Inspectors saw patient, considerate interactions and a relaxed, unhurried atmosphere.

    “Relatives told us they thought the caring nature of staff was exceptional.” from the report
  • Personalised support

    Staff knew people's histories, interests and wishes. They arranged individual activities and adapted support to help people remain independent.

    “Staff took a particular interest in each person, their history, interests and aspirations.” from the report
  • Safety and medicines

    Risks such as falls, poor nutrition and pressure damage were assessed. Medicines were stored, administered and recorded safely.

    “Medicine supply, storage and stock levels were well managed.” from the report
  • Activities and relationships

    People could choose from varied activities and were supported to keep in touch with relatives and the wider community.

    “People had access to a wide range of social events and activities.” from the report
  • Good environment

    The purpose-built home was described as modern, spacious, bright and welcoming, with features designed to support independence.

    “The home was purpose built and finished to a very high standard.” from the report
What inspectors were concerned about
  • Care plans were not always seen

    needs fixing

    People and relatives knew care plans existed, but not everyone had seen them. The manager said this would be addressed through review meetings.

    “There were mixed views about people's and relative's knowledge or sight of care plans.” from the report
  • Mixed views about meals

    minor

    Most people liked the food, but some thought it could be more varied or that portions could be larger.

    “Some people thought meals could be improved.” from the report
  • Earlier management changes

    needs fixing

    The home had experienced three registered manager changes in just over a year. Inspectors said this had been difficult and unsettling, although the service was more stable by the inspection.

    “This, and other staff changes, had been difficult and unsettling for people, relatives and for staff.” from the report
  • Complaints procedure not widely known

    needs fixing

    Most relatives knew who they would speak to if unhappy, but had not seen the formal complaints procedure. The home said it sent the procedure to relatives after the inspection.

    “Most relatives did not have knowledge of the formal complaints procedure but would speak with managers or staff if they had a concern.” from the report
Questions to ask them, based on this report
  1. 01Can we see and discuss our relative's care plan, and how often will it be reviewed?
  2. 02What changes have been made to the food since some people said it could be more varied and portions could be larger?
  3. 03Who is currently responsible for managing the home, and how has management stability been maintained since the inspection?
  4. 04How will our family receive the formal complaints procedure?
  5. 05How will you support our relative to choose activities, maintain independence and keep in contact with family?

This was the first comprehensive inspection of the newly registered home, covering all five CQC questions and infection prevention and control, across two visits. This explanation was written from the published report of 26 October 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.

An earlier report, explained

What inspectors found, March 2021

Trinity Manor Care Home was inspected but not rated; inspectors found strong infection-control measures during a targeted visit.

The inspection took place on 10 March 2021 and was announced. It was a targeted inspection during the coronavirus pandemic, focused on infection prevention and control.

Inspectors were assured that the home managed visitors, social distancing, admissions, personal protective equipment, testing, hygiene and infection outbreaks appropriately. Staff had relevant training and used protective equipment correctly.

The home was clean and well maintained. Staff cleaned frequently touched areas every two hours, and managers carried out audits, spot checks and regular discussions about infection control.

The home was inspected but not rated. This report does not give an overall quality rating or ratings for the other four key questions.

What inspectors praised
  • Visitor infection controls

    The home had measures to reduce the risk of visitors spreading infection. Its planned arrangements for nominated visitors followed government guidance at the time.

    “Measures were in place to prevent the spread of infection by visitors to the service.” from the report
  • Protective equipment and training

    Staff had infection-control training and used protective equipment correctly. Supplies such as masks, gloves, aprons and hand sanitiser were available.

    “Staff used personal protective equipment (PPE) correctly and in accordance with current guidance to minimise cross infection risks to people.” from the report
  • Management oversight

    Managers used infection-control audits, spot checks, staff meetings and supervision discussions to monitor practice.

    “This meant the registered manager and management team had effective oversight of infection control measures at the home.” from the report
  • Clean premises

    Inspectors found the home clean and well maintained. Frequently touched areas were cleaned every two hours.

    “The home was clean and well maintained. Staff cleaned frequent touch points such as door handles and light switches every two hours.” 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 are nominated visitors currently allowed to visit, and what infection-control steps must they follow?
  2. 02How often are residents and staff tested, and what happens if someone tests positive?
  3. 03How do you support people who cannot make their own decisions about vaccination or testing?
  4. 04How often are frequently touched areas cleaned now, and how are cleaning checks recorded?
  5. 05How do managers review infection-control audits, spot checks and staff training?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 23 March 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 Trinity Manor Care Home

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

  1. October 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read what inspectors found at Trinity Manor Care Home →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Trinity Manor Care Home →

  3. December 2019

    Registered with the Care Quality Commission on 9 December 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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