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Inspection Summary


Overall summary & rating

Good

Updated 4 January 2019

We carried out an unannounced inspection of Trevarna on 28 November 2018. Trevarna is a care home with nursing which provides care and support for up to 53 predominantly older people. People living at Trevarna had physical health needs and mental frailty due to a diagnosis of dementia. At the time of this inspection there were 52 people living at the service. At the last inspection in July 2016 the service was rated Good. At this inspection the service remains overall Good.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Trevarna is a single storey purpose built service. It is a service divided into five separate domains known as ‘households’, each named after a flower. They all contain an open plan living and dining area with people’s rooms leading off the main connecting corridors. There is a secure central courtyard garden and side garden area. There are fifteen en-suite facilities and there are sufficient numbers of bathrooms and toilets. Some bathing facilities had been modified to support people who had restricted mobility.

The service is required to have a registered manager and at the time of our inspection a registered manager was in post. 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 and associated Regulations about how the service is run.

Since the previous inspection in 2016 the service had developed a model of care specifically designed to promote quality of life outcomes for people living with dementia and a mental health diagnosis.

Without exception families told us the service was the best place for their relatives to live. Comments included, “I know [relatives name] gets the best possible care at Trevarna” and “I have total piece of mind as soon as I leave that [relatives name] is being well looked after. I can stay and that’s made such a difference for us.” A professional told us, “The manager and staff are totally committed to doing their very best for my clients.”

The registered manager was committed to ensure the services management systems were completely effective by completing auditing systems and acting swiftly to address any identified issues. They spoke passionately about their commitment to the development of the service and had oversight of care provision, service quality and everyone's safety.

Since the last inspection staffing levels had been reviewed. In response to feedback and an analysis of incidents an additional shift had been created to make sure people’s needs were being met in a timely manner. Staff were deployed effectively within the service.

Staff completed a thorough recruitment process to ensure they had the necessary skills for their role. Formal systems for supporting care staff were in place.

Risks to people were assessed and actions were identified and implemented to keep people safe. Staff understood people's psychological and emotional needs and appropriate support was provided to meet them.

People had regular access to healthcare professionals and staff worked collaboratively with them.

Safeguarding procedures were in place and staff had a good understanding of how to identify and act on any allegations of abuse.

People's medicines were managed and administered in line with best practice and staff had received medicines training and their competency had been assessed.

Staff understanding of ensuring people’s legal rights were protected had improved because staff had been trained and supported by the management team to understand the legal requirements of the Deprivation of Liberty Safeguards (DoLS). Most people lacked the mental capacity to recognise the decl

Inspection areas

Safe

Good

Updated 4 January 2019

The service remains Good.

Effective

Good

Updated 4 January 2019

The service remains Good.

Caring

Good

Updated 4 January 2019

The service remains Good.

Responsive

Good

Updated 4 January 2019

The service remains Good.

Well-led

Good

Updated 4 January 2019

The service remains Good.