We carried out a review of the data available to us about Trafalgar House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Trafalgar House, you can give feedback on this service.
Trafalgar House is a residential care home providing accommodation and personal care to up to eight people. The service provides support to people with a learning disability and/or autistic people. At the time of our inspection there were 7 people using the service.
People’s experience of using this service and what we found
Systems were in place to ensure people remained safe. Risks to people were assessed and well managed. Staff supported people to live full and busy lives. Infection control measures were in place to protect people. There were enough staff working at the home and people’s medicines were managed safely.
Staff received the training and support they needed to care for people effectively. People were supported to eat and drink what they wished. A healthy diet was encouraged and people were supported to make their own decisions.
We observed staff talking and engaging with people. People enjoyed staff company and were comfortable and confident around staff that were supporting them. Staff knew people well and understood what was important to each person. Staff were passionate about supporting people in line with their individual preferences and unique abilities.
The service was well led by a registered manager and regional manager who inspired and supported their staff team. They ensured that people, staff and those important to people worked in partnership. The culture of the service empowered people to improve their independence and make their own decisions about how they wanted to spend their time and live their lives.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were underpinning principles of Right support, right care, right culture.
Right support: Model of care and setting maximises people’s choice, control and Independence;
Staff worked with people to increase their independence and confidence to try new things and make their own decisions. People were supported to be involved in the running of the service. One person told, “This is our home, it’s up to us.”
Right care: Care is person-centred and promotes people’s dignity, privacy and human rights; People were supported in the way they chose and were treated as an individual by staff. Staff knew people well and understood how to support them. Staff told us about the rapport they had built with people which enabled them to provide the appropriate support even when people were anxious of distressed.
Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives; The home had been through a period of change. There was a new registered manager who, along with staff was passionate about supporting people to be as independent and live as least restrictive lives as possible. Staff advocated for people’s rights to ensure they had the freedoms and choices they were entitled to Staff were positive about the registered manager, the support they received and the positive changes at the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 1 December 2020 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 10 April 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
During the 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. This included checking the provider was meeting COVID-19 vaccination requirements.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.