Care Home: Trinity Fold

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What the care home does well The home is well maintained and furnished and fitted to a high standard. Everybody has an individual bed sitting room which is spacious and comfortable. The home is clean and fresh throughout and people said that this is always the case. There is a warm and welcoming atmosphere in the home. People said that they enjoyed living at Trinity Fold and one person said "it`s a lovely place". There are a wide range of activities on offer for people to join in with if they choose to do so. People living at the home are encouraged to suggest ideas for entertainment which means that people can follow their own interests. There are sufficient staff employed at the home to meet people`s needs. Staff have time to sit and talk to people and spend time with them individually. The staff team are well trained and over half of the care staff hold the National Vocational Qualification (NVQ) in care. This means that they are qualified and competent to care for people. Everyone that we spoke to said that staff listen to them, and act on what they say and people said they like the meals and enjoy the activities. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. The staff said that they enjoyed working at Trinity Fold and said that they work well together as a team. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home`s recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home What has improved since the last inspection? The care planning system has been improved and now contains much more detail about people`s care needs and how they are to be met. The care plans are reviewed on a regular basis which makes sure that they are up to date and reflect people`s changing needs. What the care home could do better: The home continues to provided a good standard of care and attention to people who live there. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Trinity Fold Blackwall Halifax West Yorkshire HX1 2BZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Cheryl Stovin     Date: 1 2 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Trinity Fold Blackwall Halifax West Yorkshire HX1 2BZ 01422350887 01422361947 angela.harding@anchor.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Anchor Trust care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category Old age, not falling within any other category - Code OP, maximum number of places 50 Date of last inspection Brief description of the care home Trinity Fold is owned and managed by Anchor Trust and is registered to provide accommodation and care for up to 50 older people. The establishment is situated very close to the town centre of Halifax with easy access to public transport facilities. The property is purpose built and provides accommodation consisting of 50 individual bedsitting rooms, with all having the provision of en-suite facilities. Communal areas are spacious and comfortable with sufficient space for social and recreational activities to take place. Externally, there are well maintained and accessible garden areas and sufficient parking space for staff and visitors. The current weekly charges at the home are between £530 and £550 per week. Care Homes for Older People Page 4 of 27 Brief description of the care home Additional charges are made for personal toiletries, personal newspapers, hairdressing and chiropody. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report brings together evidence of the key inspection of Trinity Fold which included a visit to the service on 11th May 2009. During this visit a full tour of the building took place, we looked at records and talked to people living at the home, visitors and to management and staff. The home completed an Annual Quality Assurance Assessment (AQAA) which was returned promptly and gave useful information about the service provided and the people living and working at the home. The document was completed very well and gave plenty of details. We have reviewed our practice when making requirements, to improve national Care Homes for Older People Page 6 of 27 consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are between £530 and £550. People pay their own personal expenses, such as chiropody and hairdressing. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Trinity Fold. The visit to the home was carried out over one day by one inspector. A total of 7 hours were spent at the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 27 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. Evidence: The care records of five people living in the home were seen. All contained detailed pre-admission assessments which makes sure that the home is suitable for them and that the staff have the necessary skills to care for them. People are encouraged to visit the home as many times as they like before making a decision to move in. This gives people the opportunity to meet the staff and other people living at the home and to sample the daily life in the home. One person told us that they had been unsure about what to expect a care home to be like and said I never expected a place as nice as this, I wanted to move in straight away. Care Homes for Older People Page 11 of 27 Evidence: Everybody is given detailed written information about the home which contains details of the services and facilities provided and details of the key staff. This makes sure that people know what to expect when they move into Trinity Fold. Contracts were seen which detail what is and is not included in the weekly fees and the rights and responsibilities of everybody. Intermediate care is not provided at the home. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health needs are met and personal care is given in accordance with their preferences. Evidence: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each persons needs and preferences. The staff make sure they provide the help people need in the way they prefer. Five care and support plans were looked at, to make sure that peoples health and personal care needs are being met in the way the person prefers. The plans cover each area of the individuals care needs, emphasising any special needs the person may have. Each person is assisted to draw up a lifestyle choices plan which details their preferences of daily living and of any social interests and people that are important to them. This makes sure that people are treated as individuals. The care plans are reviewed regularly and a formal review meeting is held twice a Care Homes for Older People Page 13 of 27 Evidence: year. Before this meeting takes place staff consult with the person concerned and their relatives to identify any issues that need to be discussed. This makes sure that peoples views are taken fully into account. Healthcare visits and treatments are recorded in detail and everyone who commented said they always receive the healthcare they need. One person said I feel so much better since coming to live here, its a lovely place, another person told us they treat us well its a very good home. People were seen to be treated with privacy and dignity at all times and staff were seen to be meeting peoples needs in a sensitive manner. Four members of staff are qualified as Dignity Champions and registered with the Department of Health. This makes sure that peoples dignity is promoted at all times. Any medication held in the home is securely stored. All staff who are responsible for administering medication have received training which makes sure that it is handled safely. Medication Administration records were seen to be accurately completed and stocks of medication reconciled with records held. Nobody is currently handling their own medication but arrangements would be put in place, with appropriate monitoring, if anybody wished to do so. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a wide range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. Evidence: The home has a warm and welcoming atmosphere and people living at the home and visiting relatives confirmed that this was always the case. There are a wide range of activities provided for people to participate in, if they choose to do so. People told me that they had particularly enjoyed a Serbian evening which had been held the previous week, to which families and friends had also attended. The programme of activities is displayed and during the week of the visit had included a visiting banjo player, a show high society, a cinema evening and religious services. Activities take place also on an individual basis depending on peoples interests. At the time of the visit some people were decorating cakes for tea, this activity was obviously enjoyed by those taking part. Two people living at the home run a shop Care Homes for Older People Page 15 of 27 Evidence: twice a week. The shop was open during the visit selling a range of sweets, toiletries, greeting cards and small items such as tights and slippers. People who find it difficult to get out to the local shops told me they really appreciate the facility and the people running it told us that they enjoyed the experience. Some people, who had previously been dog owners, also told us that they enjoyed being entertained by the PAT dogs that visit the home twice a week. A fully equipped hairdressing salon is open twice a week offering a full range of grooming services. Visitors told us that they are always welcomed into the home and are encouraged to participate in the social activities on offer and are encouraged to have their say on the way the home is run. They also told us that they are always kept informed of important issues regarding their friend or relative. People said that they enjoyed the meals served at the home and lunchtime during the visit was seen to be a relaxed social occasion. The home employs a hospitality organiser who ensures that mealtimes are a special occasion. The dining tables were seen to be attractively set with vegetables served in tureens for people to help themselves to. There is always a choice of meals and on the day of the visit the luncheon served was: chicken pie or fish in a cheese sauce, served with creamed potatoes, cauliflower and cabbage, followed by a choice of either ginger sponge and custard or milk pudding. Everbody was offered a choice of juices or a glass of sherry to accompany their meal. The majority of people take their meals in the communal dining room, however, some people choose to dine in their own rooms. People told us that they enjoyed living at Trinity Fold and one person said its not home, but the next best thing. Another person said I dont want to live anywhere else, this is as good as it gets. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. Evidence: The home has a complaints procedure which is given to people who live at the home and their relatives. The document clearly states the procedure to follow and the contact details of all the people to approach if they are unhappy about anything in the home. A complaints log is held which details any complaints received and the outcomes. All complaints are recorded, even minor comments, and details are recorded of the investigation and the outcome. No complaints have been made directly to the Commission. People we spoke to said that they knew who to speak to if they were unhappy about anything in the home and confirmed that this had been discussed at residents meetings. One person told us How could you complain about anything here they are all smashing. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. All the new staff take adult protection and whistle blowing training as part of their induction Care Homes for Older People Page 17 of 27 Evidence: training. Discussions about theses subjects are included in the staffs one to one supervision meetings. The records showed that all members of staff have had adult protection training and they also have regular refresher training, to make sure they are kept up to date. All the appropriate policies and procedures are in place to guide staff. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, clean and hygienic environment. Evidence: The home is purpose built and situated very close to the town centre of Halifax. The accommodation consists of 50 individual bed sitting rooms all equipped with en-suite facilities. All of the bedrooms have their own letter box and door bell which adds to the feeling of privacy and independence. The majority of the bedrooms are highly personalised reflecting peoples interests and tastes. People said that they were happy with their private accommodation and said that they had everything they need. One person told me that they particularly appreciate having enough space in their room to entertain their entire family in comfort. Communal areas are spacious and bright and welcoming, with sufficient space for social activities to take place. There are well maintained and accessible garden areas which are well used by people living at the home in the warmer weather. There is ample car parking facilities for staff and visitors which is useful as the home is in the centre of the town. Care Homes for Older People Page 19 of 27 Evidence: The kitchen is well equipped and has recently been awarded a three star rating by environmental health inspectors. This means that the food hygiene standards have been assessed as adequate. The bathrooms have been recently refurbished and new assisted bathing facilities installed. The bathrooms are warm and welcoming and one person told us that they liked a good soak in comfort. The laundry facilities are well organised and peoples clothing looked well cared for. One person told us that they look after my clothes beautifully and are taken back to my room quickly. There are infection control measures in place and all staff are provided with the necessary equipment to prevent the risk of cross infection. A full tour of the building showed that all areas of the home are clean and tidy. People told me that this was always the case. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Evidence: People who live at the home said there was enough staff and they didnt have to wait long for staffs attention if they needed them. Staff were seen to be attending to peoples needs promptly and cheerfully. Information in the homes Annual Quality Assurance Assessment (AQAA) stated that no agency staff had been used during the last twelve months. This enhances peoples quality of life as they receive care from people they know and are used to. Staffs interactions with people who live at the home were very respectful, caring and gentle. They showed they had respect for peoples individual needs and dignity. They showed they had good communication skills. They were patient and gave people time to respond in whatever way they could. One person described that staff as they are all smashing. Staff said they received good training and felt well prepared for their job. One said, Care Homes for Older People Page 21 of 27 Evidence: Really good training, and we are always encouraged to do it. There is a programme of National Vocational Qualification (NVQ) in place and all of the care assistants are expected to complete the award. Over half of the care staff already hold the award. This makes sure that the care staff are qualified to meet peoples needs. The homes recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed, in the best interests of the people who live there. Evidence: The Registered Manager of the home is qualified and experienced to run the home competently. There is a strong management team at the home and they demonstrate an open and positive style of leadership. Staff said that the manager is approachable and listens to what they have to say. The records and the staff confirmed that all staff have one to one supervision meetings with their line manager. Supervision meetings support staff to plan their personal and professional development and give them the opportunity to discuss any areas of concern in a confidential setting. There are health and safety policies and procedures in place and all staff receive training in safe working practices. Health and safety records seen confirmed that all Care Homes for Older People Page 23 of 27 Evidence: the required checks are carried out and that people are kept safe. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors and regular meetings with the people who live at Trinity Fold and their relatives. The manager is always available to talk to people. The information and comments that are received are used to improve the quality of the service offered. A senior manager from the organisation visits the home regularly and compiles a report each month on their findings. The homes manager lets us know about any significant incidents that affect the well-being of people who live at Trinity Fold. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. We received the homes annual self assessment. It contained information about the home and the services that are provided, the improvements they have made and their plans for the coming twelve months. This document was completed very well and gave plenty of detail. The home supports some people to manage their money and accurate records are kept of all transactions made on their behalf. The monies that are held for people are securely stored. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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