Trelana

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. 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.

The registered manager was aware of their responsibilities to inform the Care Quality Commission and local authority of any safeguarding concerns or incidents where people might have been at risk. One person had recently moved into Trelana and was unsettled and could become agitated. This had left other people feeling anxious. We found that action to improve people's experience of the service had not been taken in a timely manner and we have made a recommendation about this in the report.

A recent recruitment drive had taken place and the service was fully staffed. People were protected by the service's safe recruitment practices. Staff underwent the necessary checks which determined they were suitable to work with vulnerable adults, before they started their employment.

People had their medicines managed safely. People received their medicines as prescribed and on time.

New staff received a comprehensive induction programme. Staff were appropriately trained and had the correct skills to carry out their roles effectively. They were supported by a robust system of supervision and regular training updates.

The registered manager and staff understood their role with regards to the Mental Capacity Act (2005) and the associated Deprivation of Liberty Safeguards. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People chose the meals they wished to eat and decided where to eat them. Special diets were available for people with particular dietary needs.

The registered manager told us of plans for improvements they intended to make. We found they acted quickly to address any issues identified during the inspection process. Staff described the management as supportive and approachable.

There were a series of quality assurance systems in place. Incidents were appropriately recorded and analysed.

Further information is in the detailed findings below.

The five questions we ask about services and what we found