Trevayler

About the service

Trevayler is a residential care home, registered to support up to 15 people. The service supports people with mental health conditions within 2 houses. One was a transitional house that offered a 12-week placement. This was for people who had one or more recent hospital admissions.

A crisis house was also on site offering an alternative discharge route for people having difficulty transitioning back into the wider community; where continued inpatient treatment was no longer thought to be beneficial.

At the time of our inspection there were 4 people using the service.

Part of the criteria for using the service was for people to have capacity, insight and be able to safely conduct themselves in a supported environment.

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

People were supported by staff who understood their role in protecting them from the risk of harm. People were supported to take reasonable risks, so that they could do things they enjoyed and be part of the local community. Incidents were reviewed to help identify lessons learnt.

People were supported in a safe way to take their prescribed medicine. Staff suitability to work with people was established before they commenced employment. Enough trained staff were available to support people.

The service was kept clean, and people were protected from the risk of an acquired infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The quality and safety of the service was monitored on an ongoing basis. People’s views were gathered to help improve the service. The registered manager and staff team worked well with health and social care professionals.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 07 June 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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 infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

There was 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 2008 and associated Regulations about how the service is run.

Trevayler is a 'care home'. 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.

The inspection was a first rating inspection following a change of registration.

The provider carried out quality monitoring checks in the home supported by the registered manager and home’s staff. The provider had a clear management structure within the home, which meant that the staff were aware who to contact out of hours if an emergency arose, or an equipment repair was necessary. Staff had access to the maintenance diary to manage any emergency repairs. The provider had developed opportunities for people to express their views about the service. These included the views and suggestions from people who used the service.

We found that no applications were required to be made to the local authority to legally deprive people of their liberty, as all people admitted had capacity. The registered manager and care staff had been trained in the Mental Capacity Act (MCA) 2005. They were also aware where best interests meetings would be planned to ensure people’s treatment was in line with the MCA and Deprivation of Liberty Safeguards. People were asked for their written consent to care following their admission to the home. Although care plans were all held electronically people were still encouraged to sign these electronically.

Following their recruitment staff received on-going support and training for their job role. Staff were able to explain how they kept people safe from abuse, and were aware of whistleblowing and what external assistance there was to follow up and report suspected abuse. Staff were subject to a thorough recruitment procedure that ensured staff were qualified and suitable to work at the home.

People were supported to continue with their chosen dietary and cultural needs. Staff supported people to undertake a range of activities that were tailored to people’s interests and needs. Staff had access to information and through this had developed a good understanding of people’s care and support needs. People were able to maintain contact with family and friends and visitors were welcome without undue restrictions.

People were involved in the review of their care and support plan. Staff had access to people’s support plans and received regular updates about people’s care and support needs. Care and support plans were updated to include changes to peoples care and treatment. People were offered and attended routine health checks, with health professionals both in the home and externally.

We observed staff interacted positively with people throughout the inspection, people were offered choices and their decisions were respected.