Trinity Community Centre

Updated 16 November 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 13 September 2017 and was announced. The provider was given three days' notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. The service was last inspected in February 2016 when it was rated Requires Improvement.

The inspection team consisted of one inspector and an interpreter who carried out telephone interviews with relatives of people who used the service.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed this information and other information we held about the service. We sought feedback from the local authority with responsibility for commissioning care from the service to seek their views.

During the inspection we spoke with one person who used the service and one relative. We spoke with four members of staff including the registered manager, the nominated individual, the service manager and a care worker. We reviewed one care file including care plans, risk assessments and medicines records. We reviewed three staff files including recruitment, supervision and training records. We also reviewed various other policies and documents relevant to the management of the service.

Updated 16 November 2017

This inspection took place on 13 October 2017 and was announced. The service was last inspected in February 2016 when breaches of two regulations regarding the safety of medicines management and governance of the service were identified. The provider had taken effective action to address these concerns and was no longer in breach.

Trinity Community Centre is a domiciliary care service providing personal care to people living in their own homes. The organisation also provides day opportunities to people with learning disabilities. At the time of our inspection one person was receiving personal care.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

A person and their relative told us they felt staff supported them safely. There were clear policies and procedures in place to ensure staff had information about how to escalate any concerns about abuse, and staff had received training about safeguarding adults from harm. There were clear plans in place to ensure risks to people were mitigated. People were supported to take medicines and this was managed safely.

The service’s recruitment practices were effective in ensuring that only suitable staff were employed to support people. Staff received the training and support they needed to perform their roles and relatives told us they were confident staff were trained.

People were supported to prepare and eat their meals in line with their cultural and health needs. People were supported to attend healthcare appointments and the provider followed the advice of healthcare professionals.

People were offered choices during their care and their decisions were respected. The service applied the principles of the Mental Capacity Act 2005 and ensured people were given information in formats that facilitated their ability to make decisions.

People’s care plans were detailed and personalised. People’s religious and cultural needs were considered and sensitively supported by staff. Care was reviewed regularly and relatives told us it was easy to make changes if needed.

People and relatives told us staff were caring. People had developed strong, trusting relationships with their care workers and other staff at the service.

People and relatives spoke highly of the registered manager. The registered manager completed audits and surveys to monitor and improve the quality of the service.

The service held regular meetings for staff who were involved in planning the future of the service.