Tregolls Manor

Updated 13 October 2022

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 carried out by two inspectors.

Service and service type

Tregolls Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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 registered manager completed an action plan identifying how they were going to address the shortfalls identified at the previous 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 took this into account when we inspected the service and made the judgements in this report.

We reviewed information that we held about the service including information shared by people, relatives and/or staff. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service about their experience of the care provided and two visiting relatives. We spoke with one health and social care professional. We spoke with five members of staff including the registered manager, care staff and cook.

We reviewed a range of records. This included two people’s care records and medication records. We looked at a staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We spoke with the deputy manager by phone following the inspection visit. We sent a survey to staff so they could share their views with us, but none were returned.

Updated 13 October 2022

Tregolls Manor is a residential care home providing personal care to up to 25 predominantly older people. At the time of our inspection there were 19 people using the service.

The service is a detached property that has accommodation over three floors. A lift enables people to access all parts of the service. Some bedrooms have ensuite facilities and people share communal lounges and have access to a garden. Tregolls Manor is in the city of Truro in Cornwall.

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

People told us they were ‘happy’ living at Tregolls manor and their care needs were met by caring and skilled staff. Comments included “I feel safe and well cared for”, “Staff are lovely” and “Marvellous”.

Relatives were complimentary about the care their family members received. Comments included “The care here is excellent. Not just the material care, they are very caring, very passionate” and “[Person’s name] enjoys the company and the stimulation, [Person name] said they had been spoilt rotten” and “ I think they have got it really right here. It is a patient, caring environment”.

Since the last inspection there had been a successful recruitment campaign. A deputy manager, care staff, housekeeping and catering staff had all been employed. Staffing levels were appropriately managed, and people received care from consistent, regular staff

People, relatives and staff were all positive about the management team. Comments from people included, “We have good managers here”.

Safeguarding processes were in place to help safeguard people from abuse.

The deputy manager had reviewed every person’s care plan and risk assessment to ensure they were clear and up to date. This meant guidance was in place for staff to follow.

Medicines were administered and managed safely. Staff maintained accurate medicines administration records.

The service was clean and there were additional cleaning procedures in place to limit infection control risks within the service.

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.

The management team maintained oversight of complaints, accidents and incidents and safeguarding concerns. The management team engaged well with health and social care professionals.

Peoples care records were stored securely.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 15 October 2021).

At our last inspection we found breaches of the regulations in relation to medicines, notifying us of incidents they were legally required to do, and governance systems. The registered manager 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 now meeting these regulations.

Why we inspected

We carried out an unannounced inspection of this service on 7 September 2021. Breaches of legal requirements were found in relation to medicines, notifying us of incidents they were legally required to inform us of and governance systems.

We undertook this focused inspection to check if the provider had made improvements and if they were now meeting the legal requirements. This report only covers our findings in relation to the key questions safe, responsive and well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tregolls Manor on our website at www.cqc.org.uk.

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.

Follow up

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