Treetops Court Care Home

This inspection was carried out to follow up on concerns identified at the previous inspection, where the provider was in breach of regulation relating to good governance. At this inspection, improvements had been made and the provider was no longer in breach.

This report only covers our findings in relation to the key questions safe, caring and well-led.

There was a positive culture of safety within the service, with staff demonstrating a good understanding of safeguarding and reporting concerns appropriately. Systems were in place to monitor risks, learn from incidents and ensure people were supported safely while maintaining their independence. The environment was clean, well maintained, and effective systems were in place for infection control and medicines management. People and relatives told us they felt safe. There were sufficient numbers of staff on duty at the time of inspection to meet people’s needs safely, although some staff raised concerns about staffing levels. The provider had systems in place to review staffing levels and had taken steps to provide staff with support and opportunities to raise concerns.

People received care that was assessed, planned and reviewed regularly to ensure it remained effective and responsive to their changing needs. Staff worked in partnership with people, relatives and healthcare professionals to deliver coordinated care and support positive health outcomes. For example, the service had supported one person to transition from the home into supported living. This demonstrated effective partnership working and a planned approach to meeting people’s changing needs.

People’s needs, including nutrition, hydration and wellbeing, were monitored, and staff applied the principles of the Mental Capacity Act to support decision-making. However, people’s wider wellbeing needs, including opportunities for meaningful engagement, were not always consistently met.

The management had a positive vision and values, and governance systems were effective in monitoring quality, identifying learning and improving care. Feedback from staff was mixed, with some expressing concerns about communication and staffing. Further work was needed to ensure a fully open, supportive and inclusive culture across the service.