Working at Tryfan House

Managers oversee too many homes at once, and quality checks miss problems like dirty cups or care record gaps until inspectors spot them.

The registered manager for Tryfan House was also responsible for the management of another 5 nursing homes and several tasks linked with day-to-day management of the service were delegated. We found examples where management oversight and quality assurance processes were not always effective.

Staff numbers are safe but recruitment records have gaps like missing job end dates and undated references.

Most areas of recruitment were managed safely but we found examples of additional improvements required such as some staff's employment histories not showing when past jobs had ended and references not being dated.

Risk records sometimes lack details on handling distressed behaviour or checks after falls, and there were unclean items like stained cups.

we saw examples of documentation not always being detailed or completed when people required additional support due to displaying distressed behaviour or evidence of monitoring following an incident or physical restraint. Although there was ongoing cleaning happening, we found examples of some areas at the home or objects used by people not being clean.