Edith Road (Tregona)

Updated 16 April 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:

The inspection was carried out by one inspector.

Service and service type:

3 Edith Road (Tregona) 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, We looked at both 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:

The inspection was unannounced.

What we did:

Before the inspection we looked at information we held about the service:

• We asked the provider to complete a Provider Information Return. This is key information providers are required to send about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

• The law requires providers to notify us of certain events that happen during the running of a service. We reviewed the notifications received since the last inspection.

• We contacted local authority teams engaged with the service, including clinical

commissioning groups, continuing health care groups, the local fire authority and environmental health for information to aid the planning of our inspection.

During the inspection:

• We spoke with the registered manager, the deputy manager and six members of staff.

• We spoke with a visiting occupational therapist.

• We observed care and support people received in the shared areas of the home, including the preparation and consumption of lunch.

• We looked at three people’s care records, five staff recruitment and training files, the provider’s policies, procedures, quality assurance systems and other records demonstrating how the service was managed.

After the inspection site visit:

• We spoke with three relatives of people who use the service, including one court appointed deputy and six health and social care professionals. These included a care manager, a community pharmacist, a psychiatrist, a specialist nurse assessor, a community learning disability team nurse and a speech and language therapist. In this context a care manager is a social worker who is responsible for coordinating care for people. We also spoke with one person’s appointed advocate who supported them to ensure their rights were protected.

Updated 16 April 2019

About the service:

• 3 Edith Road (Tregona) is a ‘care home’. People in care homes receive accommodation and personal care as single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided. Both were looked at during this inspection. At the time of our inspection there were three people living in the service.

• The service supported people with learning disabilities who displayed behaviours which may challenge others. Staff did not wear anything that suggested they were care staff when coming and going with people.

• For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People's experience of using this service:

We received positive feedback about the service and the care people received. The service met the characteristics of Good in all areas.

• The service effectively applied the principles and values of Registering the Right Support and other best practice guidance. These ensured that people who used the service lived as full a life as possible and achieved the best possible outcomes, that include control, choice and independence.

• People experienced high quality care that was safe, effective, caring, responsive and well led.

• People’s relatives, care managers and supporting health and social care professionals consistently provided positive feedback about all aspects of the care people received.

• People were supported by a small, consistent staff team who were kind, caring and inspired by their manager to deliver high quality, personalised care.

• People were protected from discrimination, neglect, avoidable harm, and abuse by staff.

• Staff ensured the human rights of people who lacked a voice, due to complex communication needs, were upheld and respected.

• Risks to people's safety had been identified and assessed. Staff followed people’s risk management plans to keep them safe.

• Staff felt valued and respected by the management team and consistently demonstrated high levels of morale.

• Staff had the required skills to meet people’s needs effectively, which led to good outcomes for people and promoted their quality of life.

• People’s care plans were comprehensive, providing staff with the required information about their needs and how to meet them.

• The registered manager had worked effectively with local organisations, health and social care professionals and multi-disciplinary teams and was often the driving force to improve outcomes for people, through joined up care provision.

Rating at last inspection:

• At the last inspection on 29 November 2019 the service was rated good.

Why we inspected:

• This was a planned inspection o the service.

Follow up:

• We did not identify any concerns at this inspection. We will therefore continue our on-going monitoring of the service and all information we receive. We will use this information to determine when we next inspect the service.