Trowbridge Oaks Care Home

People were living in a clean home that was well maintained. Windows were left open where possible and appropriate for additional ventilation. Chairs were spaced out to support social distancing and additional staff rooms had been created so staff could have their breaks safely.

People and staff were testing regularly for COVID-19 in line with government guidance. All visits to the home were pre-booked in advance and all visitors were screened. For example, staff checked visitors' temperatures and asked screening questions about COVID-19 symptoms. Any visitor to the home also had to complete a Lateral Flow Test (LFT) prior to being able to go into the home.

Staff had been trained on safe infection prevention and control practice and we observed staff to be working in a safe way. Staff wore the correct personal protective equipment (PPE) and had specific areas in the home where they could put on fresh PPE when needed. The provider had plenty of PPE stock available.

The provider was carrying out monthly infection prevention and control audits to monitor safe systems of work. The regional director told us this was increased to weekly and daily if there was any concern or any positive cases of COVID-19. In addition, there were other quality monitoring systems in place to drive improvement and monitor quality and safety.

People had timely referrals to healthcare support they needed, and records were in place to monitor any action taken. Staff were supported by a range of healthcare professionals from the local community.

People told us they enjoyed the food on offer and had a choice of both food and drinks. Mealtimes were relaxed with staff providing support where needed in a person-centred way.

People's risks were identified, assessed and recorded in their care plans with management plans in place. These were reviewed regularly by staff and updated when required. People's needs were assessed prior to admission and staff used tools to continue assessments regularly. Staff attended handovers so they could

keep up to date with people's needs and any changes.

During our inspection we observed there were sufficient numbers of staff available although the service had experienced challenges with staff shortages. Action had been taken to try and obtain agency staff and the provider was looking at various ways to improve recruitment. Staff had been recruited safely.

People had their medicines as prescribed. Prior to our inspection we received information of concern about medicines management. We found staff had taken action to address shortfalls identified.

People were supported by staff who were trained and supported by the management and provider. Staff had access to resources to support their well-being. People and staff told us the service was well-led and the management were visible and approachable. There was a registered manager in post who made sure regulatory responsibilities were actioned.