Background to this inspection
Updated
11 March 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector on 10 February 2020.
Service and service type
Trittiford Road is a ‘care home’. People in care 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 10 February 2020 and ended on 11 February 2020.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.We used all of this information to plan our inspection.
During the inspection
Because people who lived at the home were unable to tell us about their experiences, we spoke with their relatives and observed staff working practices. We spoke with four members of staff, the registered manager, deputy manager and two personal assistants.
We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included two people’s care records and medication records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits and training.
After the inspection
We spoke with two health professionals who are involved with the service and three family members to gain their feedback on the service.
Updated
11 March 2020
About the service
Trittiford Road is a residential care home providing accommodation and personal care for up to six people.The home specialises in the care of people with a learning disability and physical disability. At the time of our inspection five people were living there.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. The building deliberately had no identifying signs, intercom, cameras, industrial bins or anything elseoutside to indicate it was a care home. Staff were also encouraged to wear their own clothes that didn't suggest they were care staff when coming and going with people.
Because people who lived at the home were unable to tell us about their experiences, we spoke with their relatives, health professionals who support the service and observed staff working practices.
People’s experience of using this service and what we found
People's needs were assessed and care plans to support their needs were in place.
Staff worked with external health and social care professionals and ensured people were
supported to access these services when they needed them to maintain their health and wellbeing.
Staff were aware of people's dietary needs and the risks associated with this.
We found people were safe at the home. Accidents and incidents are monitored and actioned appropriately.
Staff knew service users well and had received training on how to protect them from the risk of abuse.
There were robust medication systems in place to reduce the risk of errors.
We saw staff interacting well with service users, showing care, compassion and kindness.
People were offered choices and given the opportunity to respond.
Appropriate forms of communication to meet people’s individual needs were available.
People's needs were reviewed when their needs changed and care plans updated accordingly.
The service seeks feedback from people using the service and families about the service.
Staff told us they felt supported and valued by the management team.
There are robust audits in place and improvement plans to continue to develop and improve the service.
The registered manager and deputy manager know people's needs.
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.
Staff had received training and were able to tell us about the mental capacity act and how this impacts on how they provide care and support.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes, including having control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the right Support by promoting choice and control, independence and inclusion.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned inspection based on the previous rating.