Tregenna House

The premises were clean. Some areas of the service required maintenance. We shared this with the provider and registered manager. We have made a recommendation about this in the safe domain of the report.

The service had effective systems to monitor equipment and utilities. There were certificates in place to support this. Systems were in place to support people in the event of an emergency.

Staff had been recruited safely and during the inspection we observed there were enough staff to respond to people's needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Peoples medicines were managed safely. Staff responsible had the necessary skills to administer medicines. Oversight was in place to ensure medicines were managed safely.

People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately. Two health professionals told us the registered manager and clinical staff worked closely with them.

Incidents and accidents were managed safely. The managers took necessary actions to keep people safe and minimise the risk of reoccurrence. Steps were taken to learn lessons if things went wrong.

The registered manager provided clear direction and good leadership. Feedback about the service was consistently positive. The management team maintained oversight of complaints, accidents and incidents and safeguarding concerns. The management team engaged well with health and social care professionals. The service had clear and effective governance systems in place.

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