Archived: Trevayler Residential Care Home

Trevayler Residential Care Home accommodates and cares for up to 23 persons with mental health needs, including people in crisis that required support to recover. There were seven people in residence when we inspected, with two people accommodated because they were in crisis.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People were safe. People were safeguarded from abuse and poor practice by staff that knew what action they needed to take if they suspected this was happening. There were recruitment procedures in place that protected people from receiving care from staff that were unsuited to the job.

People’s needs were assessed before they were admitted to the home and regularly reviewed to ensure they received appropriate and timely care. People benefited from being cared for by sufficient numbers of experienced staff that had received the training they needed to do their job safely. Staff knew what was expected of them when caring for people with complex mental health needs. Staff carried out their duties effectively and with compassion.

People’s healthcare needs were met and they received treatment from other community based healthcare professionals when this was necessary.

People’s individual preferences for the way they liked to receive their support were respected. People’s support needs had been assessed prior to admission and they each had an agreed support plan that reflected their individual needs. Their support plans were regularly reviewed and provided staff with the information and guidance they needed to do their job.

People were enabled to do as much as they were able to do for themselves by staff that were attentive to each person’s individual needs. They understood and acted upon the impact of people's mental health needs. People received support from staff that demonstrated that they understood what was required of them to provide people with the support they needed.

People were treated with dignity and their right to make choices was upheld. People and their relatives or significant others, including people’s advocates, were assured that if they were dissatisfied with the quality of the service they would be listened to and that appropriate action would be taken to resolve matters to their satisfaction.

People told us they were happy with the care and service they received, and felt that their needs were being met. Comments from people included ' I get my medication on time. It makes me feel more confident to go out; nice atmosphere. People and the environment are nice; 'I like cooking. I self-cater and cook 3 times a week for everyone; I would like more staff in the evening as there are only two on at night, and sometimes I have to wait 30 minutes or more to talk to staff if they are busy with someone else.'

We found that people experienced care and treatment that met their needs and protected their rights. They had agreed to the care and treatment they received.

People were supported to maintain their daily life skills. People cooked the meals and were involved in planning the menus, completing the food order and shopping. This helped to maintain their independence.

People were supported to have a choice of suitable and nutritious food and fluids to meet their needs. People told us they received enough to eat and drink.

People's medicines were handled safely and they received them at the times they needed them.

We found that sufficient numbers of qualified, skilled and experienced staff were available to meet people's needs. Most people said that they felt that there was usually enough staff to meet their needs, although they could do with more staff at certain times.

We found that the provider had systems in place to assess and monitor the standards at the home and meeting minutes showed that they address issues that came to their attention. Regular meetings were held with the people who lived at the home and they were asked for their opinion on the services they received.

We observed interactions between care workers and people using the service. We saw that support staff were knowledgeable about peoples needs and responded to questions and requests with consideration.

We found that staff spoke positively about working at the home and were clear about the standards that were expected of them.