28 September 2018
During a routine inspection
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Trinity House had a well-established staff team and management support structure. There was effective communication between the registered manager and staff. Staff were well supported and motivated. Regular checks were carried out on the quality of the service which improved the service people received.
There were enough safely recruited staff to meet people’s needs. Where people’s needs changed the registered manager reviewed the staffing and the skills of the staff team and made the necessary adjustments to maintain a good quality of support.
Staff knew what steps to take if they were concerned about a person. Senior staff carried out detailed assessment of peoples’ needs and risks to their safety and effective plans put in place to keep them safe and promote their wellbeing. People chose what they ate and drank, and received support to remain healthy. Staff worked well with outside professionals to meet people’s health and social care needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The provider had a dedicated maintenance team and staff helped people reduce the risk of infection. The age and the layout of the building provided some challenges which the registered manager addressed effectively on an ongoing basis.
Staff knew people well and treated them with kindness. There was a relaxed friendly environment at Trinity House, which felt like a home rather than an institution. People were encouraged to remain independent, taking part in household tasks. Support was person centred and flexible, ensuring people had fulfilling lives. Care plans were cumbersome, but provided staff with the necessary guidance to meet people’s needs.
The provider promoted an open culture where people, families and staff felt able to speak out. Complaints and concerns were investigated in detail and used to improve the service.
Further information is in the detailed findings below