Archived: Trevayler Residential Care Home

Updated 26 January 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced inspection was carried out by one inspector. The inspection took place on the 8 December 2016.

Before our inspection, we reviewed information we held about the provider including, for example, statutory notifications that they had sent us. A statutory notification is information about important events which the provider is required to send us by law. Prior to the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report.

We undertook general observations throughout the home, including observing interactions between staff and people in the communal areas. We viewed the communal accommodation and facilities used by people during their stay at the home.

We looked at four people’s support records and three staff records in relation to recruitment, training, and best practice. We met and spoke individually with two people using the service. We also met and spoke with the registered manager, deputy manager and two staff. We looked at other documented information related to the day-to-day provision of the service and quality assurance monitoring practices by the provider and registered manager. Additional information regarding good practice and service initiatives was subsequently provided by the registered manager.

Updated 26 January 2017

This unannounced inspection took place on the 8 December 2016.

Trevayler Residential Care Home accommodates and cares for up to 23 persons with mental health needs, including people in crisis that required support to recover. There were seven people in residence when we inspected, with two people accommodated because they were in crisis.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People were safe. People were safeguarded from abuse and poor practice by staff that knew what action they needed to take if they suspected this was happening. There were recruitment procedures in place that protected people from receiving care from staff that were unsuited to the job.

People’s needs were assessed before they were admitted to the home and regularly reviewed to ensure they received appropriate and timely care. People benefited from being cared for by sufficient numbers of experienced staff that had received the training they needed to do their job safely. Staff knew what was expected of them when caring for people with complex mental health needs. Staff carried out their duties effectively and with compassion.

People’s healthcare needs were met and they received treatment from other community based healthcare professionals when this was necessary.

People’s individual preferences for the way they liked to receive their support were respected. People’s support needs had been assessed prior to admission and they each had an agreed support plan that reflected their individual needs. Their support plans were regularly reviewed and provided staff with the information and guidance they needed to do their job.

People were enabled to do as much as they were able to do for themselves by staff that were attentive to each person’s individual needs. They understood and acted upon the impact of people's mental health needs. People received support from staff that demonstrated that they understood what was required of them to provide people with the support they needed.

People were treated with dignity and their right to make choices was upheld. People and their relatives or significant others, including people’s advocates, were assured that if they were dissatisfied with the quality of the service they would be listened to and that appropriate action would be taken to resolve matters to their satisfaction.