Background to this inspection
Updated
18 April 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008. As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by one inspector.
Service and service type
Treelands is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection. The provider also completed a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with 10 staff including the registered manager, care co-ordinator, administrator, provider and a director, care staff and a domestic. We spoke with 10 people living at the service and we undertook a range of observations as some people were unable to communicate with us. We spoke with 2 relatives visiting the service on the day of inspection and 2 visiting health professionals and attended a relatives’ and residents’ meeting with 3 staff, 1 relative and 9 people. We reviewed a range of records about people's care and how the service was managed. This included 4 care plans and risks assessments, staffing rotas and recruitment files, a range of medicines and training records and quality assurance audits and reviews. We also received feedback from 5 staff via email following the inspection and 2 relatives.
Updated
18 April 2023
About the service
Treelands Home Ltd Main Site and Treelands Atrium (thereafter known as Treelands) is a residential care home providing personal care for up to 60 people, some of whom are living with dementia. At the time of our inspection there were 56 people using the service. Treelands is situated in an easily accessible rural area and is purpose built. The main site can accommodate 36 people with the Atrium building across the drive for 20 people. There were wide ranging country views and large, safe open spaces for people to use.
People's experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People felt safe living at Treelands. People received safe care and were protected from the risk of abuse. Staff were aware of their responsibilities for keeping people safe and received safeguarding training. Peoples’ comments included, “It’s lovely here, I’m absolutely fine and I have everything I need. I’m getting a sun lounger so I can sit on my patio in the summer". Relatives were happy and felt safe leaving their loved ones at Treelands. They said, “We thank all the lovely staff. Dad had a lovely respite week and made some very nice friends. He is hoping for another holiday there soon”, “[Staff] truly care for the residents and make each one feel part of the family” and “Mum has made genuine friends with so many of the care staff and maintenance crew that I can relax.”
People were supported by enough suitably experienced and trained staff who were safely recruited. Staff worked with health and social care professionals to help people maintain their health and wellbeing.
Medicines were safely managed by trained staff.
Risks associated with people's care had been regularly reviewed and were well managed.
Visitors were welcomed into the service and their views were sought, considered and respected.
There were robust systems and processes in place to monitor the quality of the service. When required actions were taken, and the necessary improvement made. The registered manager was supported by the provider to identify concerns and learn lessons when things went wrong.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 14 December 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service and length of time since the last inspection. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Treelands Home Ltd Main Site and Treelands Atrium on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.