Inspection on 16/01/07 for Trewartha House
Also see our care home review for Trewartha House for more information
This inspection was carried out on 16th January 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Trewartha House provides a safe and comfortable home for older people. Service users and their representatives reported that Trewartha House provides good quality care and accommodation. Comments made by residents included `they listen to me` and `good as gold`. Residents and their representatives felt that that their health needs were well monitored and appropriate assistance sought when required. The managers ensure that they have obtained a sufficiently detailed assessment to determine if the home can meet the prospective resident`s needs. Residents felt that they were supported to follow their preferred daily routine. They reported that there were sufficient activities and enough to do. The home has a recently appointed activities worker. Residents felt their visitors were welcomed to the home. Residents, relatives and staff said that they were confident that they could approach the registered manager with any concerns and issues. Residents expressed satisfaction with the quality and quantities of the meals provided. The home is well maintained, generally tidily decorated and clean and hygienic. Residents made positive comments about the staff`s kindness and caring qualities. Staff stated that the informal and formal supervision supported them to do their jobs well. Cornwall Care has a well-established training programme for staff which covers required areas. The company supports staff in their training and development so that residents and their representatives can have confidence in a well trained and supervised staff team. Staff were satisfied with the training they receive and with the support from the management team.
What has improved since the last inspection?
Cornwall Care Ltd has produced an adult protection policy and procedure which reflects the local multi-agency code of practice. The company has also introduced refresher training for staff in adult protection. These measures improve the safeguarding of vulnerable residents. The home now has an activities co-ordinator for weekdays. Patio doors have been installed which access via a ramp a large paved area with garden furniture. This will allow residents to access a safe and pleasant area of garden in good weather.
What the care home could do better:
Care plans need to give staff more precise and specific directions about the assistance that residents need. It can be important for people with dementia to receive consistent care and support on a daily basis. This includes directions for staff in supporting people to retain skills and maintain their independence. Risk assessments are not consistently completed, for example, for falls and for some behaviours that may carry a risk. Care staff should have clear directions to manage risks and protect the health and well being of residents. The decorative state of the windows to the residents` bedrooms is becoming poor and this is detracting from the generally well maintained and comfortable environment provided by the home. The walls and paintwork in the central communal sitting room are also showing wear and tear. The provider should review the age and condition of the sluicing facilities to ensure the maintenance of good hygiene in the home.