Background to this inspection
Updated
26 November 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.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 5 November 2020 and was announced.
Updated
26 November 2020
About the service
Trinity Fold is a residential care home providing personal care for up to 50 older people, some of who may be living with dementia. There were 48 people using the service when we inspected.
People’s experience of using this service and what we found
At this inspection we found improvements had been made in many areas. Leadership and management had improved with the recent appointment of a new manager, which resulted in better outcomes for people and an increase in staff morale. More thorough quality assurance systems had been implemented and issues identified had been addressed.
People were happy with the care and support they received and told us they felt safe. One person said, “I like it here. [Staff] are all very good, I oversee them you know. I'm happy here.” Care records had improved and reflected people’s needs and preferences.
People felt although there were a lot of events at Christmas, overall there was a lack of activities compared to what had been provided in the past. The manager was looking at ways in which this could be improved.
Medicines were managed safely. Staff were aware of risks to people and knew how to keep them safe. The manager was monitoring accident and incidents and taking action to prevent re-occurrences. For example, staffing levels had been increased and there was better teamwork which had improved outcomes for people. A new call system had been installed which helped keep people safe.
Staff were recruited safely, were well trained and had the required skills to meet people’s needs. Staff told us they felt well supported.
The home was clean and well maintained. There was an ongoing refurbishment plan which included improvements to make the environment more dementia friendly.
People and relatives praised the staff for their kind and caring approach. We saw staff treated people with respect and maintained their privacy and dignity. People had access to healthcare services. Most people were happy with the choice and quality of the food and said they received plenty to eat and drink.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 9 January 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.