Tramways

Updated 29 August 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Tramways 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

Prior to the inspection we reviewed all information available to us including notifications. Notifications are information about specific events the service is required to send us by law.

During the inspection-

We spoke with four people who use the service.

We spoke with three care staff and the shift leader. We reviewed two care plans and looked at other records relating to the running of the home such as audits, medicines records and meeting minutes.

After the inspection – We continued to seek clarification from the provider to validate evidence found. This included training records, employment records and quality assurance information.

Updated 29 August 2019

About the service:

Tramways is a residential care home providing personal and nursing care to up to 14 people with long term mental health needs. At the time of the inspection there were 12 people at the home

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

People were well supported to stay safe. People continued to receive safe support with their medicines. These were stored safely with systems in place to check stock levels on a regular basis. There were enough numbers of staff to care for people safely and to meet their needs. Staff told us staffing levels worked well and meant they could spend time with people on a one to one basis.

People were supported effectively with their healthcare needs. This was because staff continued to liaise with other healthcare professionals to meet people's needs. These included district nurses and community psychiatric nurses. Support plans contained clear ways for staff to support people with their mental health needs.

Staff received training and support to enable them to carry out their roles. Staff felt able to approach senior staff and the registered manager. Staff were aware of where to find policies and procedures when needed.

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.

There was an effective management structure in place. There was a team of support workers, team leaders and the registered manager. Staff spoke positively about management at the home.

There were systems in place to monitor and improve the quality of the service. Audits were carried out and people's views were sought. Where shortfalls were picked up the registered manager was using the information to improve 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

The service was rated Good at our last inspection in March 2017.

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