What the CQC found at Tryfan House

Inspectors observed helpful, reassuring interactions. Relatives said staff treated people with respect and knew them well.

“People were treated with respect and kindness by staff.” from the report

Medicines were given safely and kindly, at the right time. Audits were described as thorough and effective.

“Medicines were administered safely and in a kind way. Records showed people received their medicines at the right time.” from the report

People's nutrition and hydration needs were assessed and monitored. Staff took action when people were at risk of weight loss.

“People's nutritional and hydration needs were well managed.” from the report

People were offered regular group and one-to-one activities based on their preferences. The home also supported people to maintain important relationships.

“There was a regular and varied programme of indoor and outdoor activities to promote people's wellbeing and interaction.” from the report

Records did not always explain people's triggers, the purpose of distressed behaviour or the techniques staff should use. Monitoring after falls or physical restraint was also limited.

“Risk assessments and care records did not always detail the function of the behaviour, triggers or de-escalation techniques staff should use.” from the report

Staff working in the other homes on the same grounds could access care records for people at this home. The report says work was under way to address this.

“Staff working in those homes had access to care documentation related to people living at Tryfan house.” from the report

Audits did not identify issues found by inspectors, including stained cups and bowls, care plan gaps and recruitment record problems. The provider was asked to review its quality assurance and management oversight.

“We recommend the provider reviews their quality assurance and management oversight processes to ensure these are effective in identifying and addressing areas for improvement.” from the report

Some plans lacked important details, including equipment instructions and a person's updated diet. The manager said the plans would be reviewed.

“Some areas of the care plan were accurate and others still mentioned their previous dietary requirements.” from the report

Some areas needed redecorating and were not always dementia friendly or homely. Inspectors also found stained cups and a stained bowl that needed immediate action.

“Although there was ongoing cleaning happening, we found examples of some areas at the home or objects used by people were not being clean.” from the report