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Inspection Summary


Overall summary & rating

Good

Updated 19 June 2021

About the service

Trevern is a 'care home' with nursing that provides accommodation for a maximum of 40 adults, of all ages with a range of health care needs and physical disabilities. At the time of our inspection there were 38 people living at Trevern. The service is situated in the town of Falmouth. The building is divided into three areas known as The Wing, The Flats and The House. Each area has its own lounge and dining area. People's bedrooms were personalised and were for single occupancy. There were a range of aids and adaptations in place including bathing facilities designed to meet the needs of the people using the service.

People’s experience of using this service and what we found

The service had changed the way staff rosters were calculated. Staff told us rosters were now consistent and they had a clearer work pattern. Additional recruitment had improved staffing levels with less reliance on agency staff. However, agency staff continued to fill gaps as they occurred.

There was a good skill mix on each shift. The service had increased the level of nurses on day shift. Where possible two nurses were on duty. This meant there was more flexibility in service delivery.

Staff were recruited safely. Staff told us they felt supported in their role. There had been gaps in supervision during the COVID-19 pandemic, but all staff had received a recent appraisal and there was a plan in place for regular one to one support. Senior managers provided on call support for out of hours and weekend cover.

Cleaning and infection control procedures had been updated in line with COVID-19 guidance to help protect people, visitors and staff from the risk of infection. Government guidance about COVID testing for people, staff and visitors was being followed.

Visiting arrangements for people’s families had been facilitated, in line with government guidance at any given time, throughout the pandemic. Nominated relatives were able to make visits to see their loved ones, and this had been welcomed.

People received their medicines safely as prescribed for them. Regular audits identified where errors had occurred. Action was taken in these instances to learn from these errors through additional training and support.

Electronic care planning provided staff with guidance to ensure people’s needs were met. Risks were identified and staff had clear instructions to help them support people to reduce the risk of avoidable harm.

Feedback from people and their relatives about the service’s performance was valued by the registered manger and any issues raised were investigated and action taken where necessary. The duty of candour was understood by the registered manager and relatives told us the service communicated with them effectively.

Rating at last inspection

The last rating for this service was Good (published 13 February 2020).

Why we inspected

We received concerns in relation to management of the service, staffing, the quality of care people received and limited staff support. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The provider had taken steps to mitigate risk by making changes to how the service was being staffed. Recruitment had increased and staff told us management support had improved.

A review of governance systems was continuing, and changes were being made where necessary to ensure they were effective.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other

Inspection areas

Safe

Good

Updated 19 June 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 June 2021

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 19 June 2021

Responsive

Good

Updated 19 June 2021

Well-led

Good

Updated 19 June 2021

The service was well led.

Details are in our safe findings below.