Trevone House

Updated 14 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

Trevone House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Trevone House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service since the last inspection and their action plan. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with the relatives of the young people who used the service. We spoke with 2 representatives from the provider, the registered manager (virtually) and 1 nurse.

We reviewed a range of records. This included 2 young people's care records and medication records. We looked at staff and agency staff files in relation to recruitment and staff training. A variety of records relating to the management of the service, including policies and procedures were reviewed. After the inspection we continued to seek clarification from the provider to validate evidence found.

Updated 14 March 2023

About the service

Trevone House has two registered places (known as ‘well-being suites’) within the service providing the regulated activity of accommodation for persons who require nursing or personal care. The well-being suites have been commissioned primarily to support young people who require additional support following a mental health assessment or as a step-down from secure accommodation. At the time of our inspection there were two young people using the service.

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

Since our last inspection, the registered manager had taken action to review each person’s risk and medicine management plans, implemented effective safe infection control and developed quality assurance systems to monitor the quality care being delivered to young people who live at Trevone House.

Staff had access to comprehensive care and risk management plans to guide them in the strategies to support young people. There was a balanced approach to support people to reach their potential and manage any associated risks. Effective and clear systems had been implemented to report any concerns or incidents to the registered manager and the commissioners.

Safe medicines management processes were in place. The provider had sought advice from the local health protection team and has implemented safe infection control practices which reflect current guidance.

Young people were supported by staff who knew them well. The provider had ensured that all staff had been suitably vetted and trained to support young people.

The managers and staff were passionate about supporting young people to develop holistically. Relatives praised the support of Trevone House and how staff had taken steps to implement safe strategies to enable their family member to achieve their goals.

Governance and auditing processes had been implemented to enable the register manager and provider to monitor the service and drive improvements.

The provider was reviewing their policies to reflect the working arrangement within Trevone House.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 July 2022).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 9 June 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Trevone House on our website at www.cqc.org.uk.

Follow up

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