Archived: Trevella (Kings Heath)

Trevella – Kings Heath is a residential home registered to provide accommodation and support for up to three adults with mental health needs. At the time of our visit two people were using the service .

There was a registered manager (who is also the provider) 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 2008 and associated Regulations about how the service is run.

Systems in place to monitor and improve the quality of the service required improvement in ensuring people received a continually good and improving quality of service. The audits had not identified the issues we found and had not always been consistently applied to ensure where shortfalls had been identified, they were investigated thoroughly and appropriate action plans put into place to reduce risk of reoccurrences.

People felt safe living at the home and staff knew what action to take if they had any concerns about people’s safety. The provider had systems in place to keep people safe from the risk of harm and abuse but these were not always effective. Risks to people had been assessed but were not consistently managed to ensure people remained safe from risk of avoidable harm.

People were supported by sufficient numbers of staff, who had been safely recruited. People received their medicines, as prescribed, and there were systems in place to ensure people’s medicines were managed safely, although this did require some improvement. The home environment was clean. Improvement was required when implementing measures to reduce future risks to people following investigations into incidents.

During this inspection we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and one breach of the Care Quality Commission (Registration) Regulations 2009. You can see what action we told the provider to take at the back of the full version of the report.

There was a registered manager (who is also the provider) 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 2008 and associated Regulations about how the service is run.

Improvements to the provider’s quality monitoring processes to audit and monitor the service were required to ensure people continued to receive a safe and effective service.

People felt safe living at the home and staff knew what action to take if they had any concerns about people’s safety. The provider had systems in place to keep people safe from the risk of harm and abuse. Risks to people had been assessed and were appropriately managed and staff had a good understanding of how to reduce the risks to people. People were supported by sufficient numbers of staff, who had been safely recruited. People received their medicines, as prescribed, and there were systems in place to ensure people’s medicines were managed safely, although this did require some improvement.

People were supported by staff that were suitably trained and sought people’s consent before providing support and understood the circumstances when the legal requirements of the Deprivation of Liberty Safeguards (DoLS) should be followed.

People prepared their own food and drink at times to suit themselves and were encouraged to consider healthy food and drink options. People were supported to access health care professionals to ensure their health care needs were met.

People were supported by staff that was respectful. People were treated with dignity and staff understood people's needs well. People were encouraged to be as independent as possible and were supported to make choices and to take responsibility for their own daily routines.

People’s health and support needs were assessed and reviewed and their relatives were invited to contribute to the review process if the person wished. People were encouraged to participate in activities and interests if they wished. People knew how to complain about the support they received and felt confident their concerns would be listened to and addressed.