Archived: Tremona Care Home

Updated 10 February 2016

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 inspection took place on 21 December 2015 and was unannounced. It was carried out by one inspector. Before the inspection we reviewed the information we held about the service. This included previous inspection reports, statutory notifications (issues providers are legally required to notify us about) other data and enquiries. We looked at the information in the Provider Information Return (PIR) completed by the provider prior to the inspection. 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. At the last inspection on 5 November 2013 the service was meeting essential standards of quality and safety and no concerns were identified.

We spoke with both people who lived at the home. They had limited verbal communication skills, and one expressed their views using pictures and sign language. We also relied on our observations of care to help us better understand people’s experience of the service they received. We spoke with the provider, who was also the registered manager and main carer, and one external health professional. We reviewed two care plans and other records relevant to the running of the home. This included medication records, financial records and feedback questionnaires.

Updated 10 February 2016

This inspection took place on 21 December 2015 and was unannounced.

The service provides accommodation and support for two people, who live as part of the provider’s family. The service is intended for younger adults with a learning disability.

The service had a registered manager. At this service the registered manager was also the registered provider and main carer. No other staff were employed. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of the inspection the service was not fully meeting its requirements in relation to protecting people’s human rights, where people lacked the mental capacity to make certain decisions about their care and welfare.

People at the home lived as part of the provider’s family, and were encouraged to participate in the running of the household and family events and activities. One person told us, “I do like living here”.

People were supported to be independent and make decisions for themselves as far as possible. They chose what clothes they wanted to wear and how they wanted to spend their time. The provider ensured important information was shared in a way that was meaningful to people with communication and literacy difficulties. This meant they could make informed decisions about aspects of their care, and provide feedback about the quality of the support provided.

People participated in a wide range of activities, both at home and in the community, which helped them to maintain their fitness as well as develop other skills and interests.

Care and support was provided in line with care plans. Risks were assessed and managed effectively, which meant that people were safe. People’s nutrition and health needs were met with the support of the provider, who encouraged healthy food choices and ensured that all health appointments were attended.

People’s privacy was respected and they were treated with dignity and kindness.

The provider worked in partnership with the other agencies that supported the people living at the home, to ensure they had a shared understanding of their needs and the care provided was consistent. They were committed to maintaining their own skills and knowledge through ongoing training.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.