Archived: Trimley Residential Home

Updated 4 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 undertaken by 1 inspector.

Service and service type

Trimley Residential Home 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. Trimley Residential Home is a care home without nursing care. 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

The provider was not asked to complete 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. We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

During our visit to the service, we spoke with 2 people who used the service and 2 relatives. We also spoke with 4 staff members, including care staff, the registered manager and the nominated individual, who was also a director of the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records, including meeting minutes, safety checks, 3 staff recruitment files, medicine administration records and records relating to the governance of the service such as falls and incident analysis, audits, and audit action plan. We also observed part of the morning medicine round and the staff interactions and care and support provided to people in the shared lounge.

Following our visit, we reviewed some records which the registered manager sent to us securely. These records included staff training records, 4 people’s care records, and incident reports. We also received electronic feedback from 3 relatives and 7 staff, including senior staff, care staff and activities staff.

We fed back our findings of the inspection on 29 March 2023 to the registered manager and nominated individual.

Updated 4 April 2023

About the service

Trimley Residential Home is a residential care home providing accommodation and personal care to up to 26 people. The service provides support to older people and people living with dementia in one adapted building. At the time of our inspection visit there were 10 people using the service.

People’s experience of using this service and what we found

There were systems in place to reduce the risks of avoidable harm and abuse. People’s care records included risk assessments and guidance for staff in how to mitigate them. People were provided with their medicines safely. The registered manager had reviewed the processes to ensure when people were supported with creams were being recorded. The service was visibly clean and good infection control processes followed. Relatives told us they could visit their family members when they chose to.

There were enough staff to meet people’s needs and recruitment was done safely. Staff were trained to meet people’s needs effectively and received guidance and support in supervision and staff meetings.

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.

Prior to people using the service their needs were assessed, which informed the care plan. People and, where appropriate, their representatives were consulted about the care provided. People’s care plans identified their individual needs and preferences and guided staff in how people’s needs should be met. Care plans included, where people had chosen to discuss, their end-of-life decisions. People had access to activities to reduce the risks of boredom.

The registered manager and provider had systems in place to monitor and assess the service, identify shortfalls and address them. There was a complaints procedure in place.

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 under the previous provider was requires improvement (published 25 October 2022).

This service was registered with us under the current provider on 8 November 2022 and this is the first inspection.

Why we inspected

This comprehensive inspection was undertaken because there was a new provider and the service had not yet received a rating under this provider.

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.

During our inspection we were told by social care professionals that a concern had been raised, which was in the process of being investigated. As a result, this inspection did not examine the circumstances of the concern. One the concern has been investigated we will consider a regulatory response, if required. However, the information shared with CQC about the concern indicated potential concerns about the management of risk. This inspection examined those risks. We found no evidence during this inspection that people were at risk of harm from this concern.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.