We carried out a review of the data available to us about Trevelthan House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Trevelthan House, you can give feedback on this service.
Trevelthan House provides care and accommodation for up to one person who has a learning disability and autistic people. At the time of the inspection one person was living at the service. The service is part of the Green Light group which run several similar services throughout Cornwall, for people living on the autistic spectrum.
The service is situated in the centre of a village with access to the local community. Trevelthan House is a detached bungalow with its own garden. It opened in May 2020 and this is the first inspection of the service.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
The Right support:
The model of care and setting maximised the person’s choice, control and independence. The service was in a village and there was good access to the local community and amenities.
The service is staffed by a small staff team. There is a trial underway to reduce staffing levels at specific time of day. Relatives and some staff were anxious regarding this change. We have recommended the provider continues to monitor the staffing levels in the service.
The persons support focused on them having as many opportunities as possible for them to gain new skills and become more independent. The person was 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 staff team had the appropriate levels of knowledge and skills to support the person and respond to their individual needs and choices. The person received their medicines in a safe way and were protected from abuse and neglect. The person’s care plans, and risk assessments were clear and up to date.
Right Care
There was a strong person-centred culture within the staff team. Care was person-centred and promoted the person’s dignity, privacy and human rights. The person was treated in a dignified manner and staff were aware of the person's support needs. Staff were observed talking to the person in a dignified and respectful way. Staff delivered personal care when the person needed it and gained consent prior to providing any support.
The person communicated with staff with no hesitation. Staff understood their individual communication needs and were consistent in their approach and response. Care plans informed staff of any specific ways to best communicate with the person.
Right culture
The person was supported by staff where the ethos, values, and attitudes of management and care staff ensured they led a confident, inclusive and empowered life. Staff created an environment that inspired the person to understand and achieve their goals and ambitions.
The person led their life that reflected their personalities and preferences because of the ethos, values, attitudes and behaviours of the management and staff.
People’s experience of using this service and what we found
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-19 testing for people, staff and visitors was being followed.
The person’s relatives and health and social care professionals were complimentary of the service and could not identify any areas for improvement. Comments from relatives included “We can’t fault staff, [managers name] is fantastic” and "[my relative] is very happy; they fall over backwards for [The person].”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 18 May 2020 and this is the first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.