20th March 2015
During a routine inspection
This was an announced inspection that took place on Friday 20th March 2015.
Trinity House provides care in people’s own homes in the Copeland area. On the day of the inspection care was being delivered to one person. The company also run a nursing agency from this location. Nursing agencies are not registered with the Care Quality Commission.
The service has a registered manager. 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 and associated Regulations about how the service is run.
We judged that people who used this service were safe because therey were suitable arrangements in place to safeguard vulnerable people from harm, abuse or neglect. Staff understood how to keep people safe.
The office was secure and confidential files were kept locked away. Good recording systems were in place so that any accidents or incidents would be monitored appropriately.
We judged that staffing levels were suitable. Staff were recruited appropriately with checks on candidates’ background made prior to the staff member having access to people in the community. There were suitable disciplinary procedures in place.
We checked on medicines management for the service user. This was being done appropriately. The registered manager ensured that staff had suitable training and guidance on management of medicines.
We checked on the files of two members of staff and we saw that they received appropriate training, induction, supervision and appraisal. We judged that staff development was important to the registered manager.
The registered manager was aware of her responsibilities under the Mental Capacity Act 2005.
The agency's office needed some decorative improvements and we were told that this was being dealt with. The office had suitable secure, fireproof storage. Telephone and IT systems were in place.
We had evidence to show that the person who used the service found the staff who visited to be kind, caring and respectful. We learned that privacy, dignity and confidentiality were important in this agency.
We had evidence to show that good assessments of need were completed before the new service started. We read a detailed care plan and saw a copy of tasks to be completed in the person’s home. We noted that staff were supporting this person to be less socially isolated.
The agency had a registered manager who had suitable training and experience.
There was a suitable quality monitoring system in place and we had evidence to show that the registered manager made weekly checks on the quality of care delivery. Training, risk management, management of medicines and delivery of care were all monitored closely. There was a quality monitoring plan in place and a business development plan.