Trinity Court

Updated 11 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was completed by one adult social care inspector.

Service and service type:

The service is a 'care home'. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at on 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.

Inspection site visit activity started on 8 May 2019 and ended on 9 May 2019.

What we did:

We reviewed information we had received about the service. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

We spoke with five people who used the service and met with two health care professionals. We received feedback from two relatives via the telephone.

We spoke with the registered manager, deputy manager and area manager. We met with seven staff including nurses, support workers and domestic staff. We reviewed four people’s care files, four Medicine Administration Records (MAR), policies, risk assessments, health and safety records, incident reporting, consent to care and treatment and quality audits. We looked at three staff files, the recruitment process, complaints, and training and supervision records.

We walked around the building and observed care practice and interactions between support staff and people.

Updated 11 June 2019

About the service:

Trinity Court is a specialist mental health recovery service. It provides accommodation, personal care and nursing care for up to fifteen people who have mental health needs. At the time of the inspection six people were living at the home and one person was in hospital.

Rating at last inspection:

There have not been any published ratings or inspections against this location.

Why we inspected:

This inspection was a scheduled inspection based on the date the service first registered with us.

People’s experience of using this service:

People told us they were happy, felt safe and that staff had a good understanding of their needs and preferences. However, concerns were raised about how staff could summon support within the home should an incident occur. Risk assessments for people had not always been completed. For example, risks associated to people, staff and public had not been identified or measures put in place for people who required 1:1 and 2:1 support in the community. These areas were discussed with the management team and addressed during the inspection.

Staff listened to what people wanted and acted quickly to support them to achieve their goals and outcomes. Staff looked to offer people solutions to aid their independence and develop their skills.

Medicines were managed safely and administered by registered nurses. Staff were well trained and skilled. They worked with people to overcome challenges and promote their independence. The emphasis of support was towards enabling people to learn essential life skills. Equality, Diversity and Human Rights (EDHR) were promoted and understood by staff.

People, professionals and their families described the staff as caring, kind and friendly and the atmosphere of the home as relaxed and engaging. 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.

People received pre-admission assessments and effective person-centred support during transition between services. The service was responsive to people’s current and changing needs. Regular review and Multi-Disciplinary Meetings (MDT’s) took place which ensured people were at the centre of their support.

Leadership was visible and promoted good teamwork. People, professionals and staff spoke highly about the management and staff had a clear understanding of their roles and responsibilities. The registered manager, deputy manager and staff team worked together in a positive way to support people to achieve their own goals and to be safe. Checks of safety and quality were made to ensure people were protected. Work to continuously improve was noted and the registered manager was keen to make changes that would impact positively on people's lives.

A full description of our findings can be found in the sections below.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.