Truscott Manor Care Home

Updated 20 August 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 11 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 20 August 2020

The inspection took place on the 4 December 2017 and was unannounced.

Truscott Manor Care Home is a nursing home. People in nursing homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Truscott Manor Care Home is a large detached property set within extensive grounds and is registered to provide care, nursing and respite for up to 39 older people. Accommodation is provided over two floors, with a passenger lift providing access between floors. On the day of our inspection 34 people were using the service.

At the last inspection on 9 November 2015, the service was rated Good. At this inspection we found the service remained Good

People and relatives told us they felt the service was safe. One person told us "I feel safe they come if I need anything, they all know what I need help with". People remained protected from the risk of abuse because staff understood how to identify and report it.

The provider had arrangements in place for the safe ordering, administration, storage and disposal of medicines. People were supported to get their medicine safely when they needed it. People were supported to maintain good health and had access to health care services.

Staff considered peoples capacity using the Mental Capacity Act 2005 (MCA) as guidance. People’s capacity to make decisions had been assessed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The provider was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

People and their relatives felt staff were skilled to meet the needs of people and provide effective care. One person told us “Staff seem to know what they are doing, they all do a very good job. No complaints at all really”. Another person said “They are great and skilled in what they do. Very helpful”.

Staff supported people to eat and drink and they were given time to eat at their own pace. People’s nutritional needs were met and people reported that they had a good choice of food and drink. One relative told us “My relative loves the food, there is always drinks coming round and they handle her very kindly”.

Staff felt fully supported by management to undertake their roles. Staff were given training updates, supervision and development opportunities. Staff spoke positively about training and supervisions they received from the management and provider and commented on how they found they could ask questions freely. One member of staff told us “I had an induction, shadowed staff and did lots of learning. I’m also doing the care certificate and a diploma in health and social care has been discussed for me”.

Feedback received showed people were satisfied overall, and felt staff were friendly and helpful. People and relatives also said they felt listened to and any concerns or issues they raised were addressed and were told any minor issue was dealt with straight away.

People’s individual needs continued to be assessed and care plans were developed to identify what care and support they required. People were consulted about their care to ensure wishes and preferences were met. Staff worked with other healthcare professionals to obtain specialist advice about people’s care and treatment.

Quality assurance audits completed by the registered manager and provider were embedded to ensure a good level of quality was maintained. We saw audit activity for areas such as infection control, care planning and training.

People, staff and relatives found the management team approachable and professional. On person told us “The nurse managers are very good and make sure it all runs well. I see them daily and always make sure I am ok”. A member of staff said “The manager and deputy manager have been here a long time which is great. There is a solid base and they know the residents well and are approachable people, they really care”.

Further information is in the detailed findings below