What the CQC found at Trinity View Care Home

Inspectors observed friendly and kind interactions. Relatives were positive about the care, and people appeared comfortable with staff.

“We observed interactions between staff and people were friendly, discreet and kind.” from the report

There were enough experienced staff on duty, and people had a consistent staff team. Recruitment checks were generally completed before staff started work.

“There were sufficient numbers of staff to meet people's needs and the provider ensured people had a consistent staff team.” from the report

People received their medicines at the right time. Records were accurate, medicines were stored safely and staff competence was checked.

“People received the right medication at the right time. Medicines were stored safely and people's medicines administration records (MAR) were completed accurately.” from the report

Care plans included people's likes, dislikes and preferences. Staff supported people with activities, choices and contact with their families.

“Care records included information about people's likes, dislikes and what was important to them.” from the report

Staff monitored people's health, worked with other professionals and supported people to eat and drink enough.

“Where people were at risk of poor nutrition and dehydration, care plans detailed actions such as monitoring the person's food and fluid intake and liaising with other professionals.” from the report

One person's care plan did not explain in enough detail how restraint should be used. Restraint records did not always show that less restrictive options had been tried or that use had been monitored.

“The records of restraint incidents needed improvement to show that less restrictive strategies had been considered prior to the use of restraint and that there was sufficient monitoring of the use of restraint.” from the report

The home's audits did not identify several issues found during inspection, including gaps in care records and an external lighting problem. This contributed to the breach of Regulation 17.

“Audits undertaken had failed to identify the issues we found on inspection and in some instances, for example in relation to the use of restraint there was no evidence of effective monitoring systems in place.” from the report

A safeguarding matter reported to the local authority had not been reported to CQC as required. The notification was submitted retrospectively.

“One safeguarding issue that had been reported to the local authority prior to the inspection but not notified to us.” from the report

One care plan lacked detail about a health need that could affect the person's wellbeing. Some records were undated and some took time to locate.

“Some records were not dated and for some records there were delays in locating them.” from the report

Some Disclosure and Barring Service checks were completed under the company name of another service. The manager said future checks would use the correct employer.

“Some DBS checks had been completed under the company name for another service managed by the registered manager.” from the report