Archived: Trinity Street

Updated 12 July 2018

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.

This was a comprehensive inspection. It took place on 31 May 2018 and was unannounced. The inspection team consisted of one adult social care inspector.

Before our inspection visit we reviewed the service's inspection history, current registration status and other notifications the registered person is required to tell us about. Notifications are when registered providers send us information about certain changes, events or incidents that occur within the service. We contacted commissioners of the service, safeguarding and Healthwatch to find whether they held any information about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information was used to assist the planning of our inspection and inform our judgements about the service.

We used a number of different methods to help us understand the experiences of people who lived in the home. We spoke to one person who lived at the home and one relative of someone who lived at the home. We spoke with the manager, the locality manager and three staff members. We reviewed three staff files, three people's support records and a variety of documents which related to the management and governance of the home. We also spoke to a visiting professional. We looked around the building and saw the communal kitchens, dining rooms, lounges and bathrooms and a vacant bedroom.

Updated 12 July 2018

Trinity Street is a residential care home providing support and accommodation for up to nine people who have mental health related support needs. Accommodation is provided on the ground floor of three interlinked bungalows. Each bungalow offers communal use of a kitchen, laundry, lounge, dining room, bath and shower rooms and individual bedrooms for up to three clients. At the time of this inspection there were three people living at Trinity Street.

The registered manager had recently been recruited to another post in the organisation and had retained their registered manager status for this service. The incoming manager was in the process of registering. 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. There was a new manager in place who had made an application to be the registered manager.

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 on-going 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.

The manager and staff understood how to keep people safe. There were clear policies and procedures to follow for staff to raise concerns and staff were aware of these. There were good reporting and robust auditing mechanisms in place. Risk assessments were comprehensive and people’s support plans were centred around their safety.

Staff were trained to give medicines safely, all training was monitored and competencies in all aspects of care and support were thoroughly checked. Staff received regular support from the manager through supervision, appraisals and regular team meetings.

People could chose what to eat, they were supported to develop healthy menus and shop accordingly. They chose when and where they ate their meals. People were encouraged to eat healthily and their nutritional intake was monitored.

People were involved at all stages in developing their support plans and in reviewing their progress on a weekly basis. People chose their own goals and how they wanted to be supported to meet these. People were supported to have choice and control of their lives in the least restrictive way possible. Mental capacity assessments were in place.

The manager was known throughout the home. Staff said management was approachable and supportive. The home had thorough governance processes in place.

Further information is in the detailed findings below.