Archived: Trevella (Kings Heath)

Updated 11 April 2018

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.

We undertook an unannounced focused inspection of Trevella House, Kings Heath on 23 November 2017 and it was conducted by one inspector. The service was inspected against two of the five questions we ask about services: is the service safe, is the service well led. No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity so we did not inspect them. The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection.

As part of the inspection process we also looked at information we already had about the provider. Providers are required to notify the Care Quality Commission about specific events and incidents that occur including serious injuries to people receiving care and any incidences that put people at risk of harm. We refer to these as notifications. We reviewed the notifications that the provider had sent us. We reviewed regular quality reports sent to us by the local authority to see what information they held about the service and reviewed the Healthwatch website, which provides information on health and social care providers. These are reports that tell us if the local authority has concerns about the service they purchase on behalf of people. We had received a number of concerns from partner agencies that related to keeping people safe and from risk of avoidable harm. We looked into these concerns as part of our inspection.

We spoke with one person, one social care professional, one staff member and the registered manager (provider).

We also looked at records in relation to people’s care and medication records to see how their support and treatment was planned and delivered. We looked at the provider’s training records to check staff were suitably trained and supported to deliver care to meet people’s individual needs. We also looked at records relating to the management of the service along with a selection of the provider’s policies and procedures, to ensure people received a good quality service.

Updated 11 April 2018

We carried out an unannounced comprehensive inspection of this service on 31 May 2017. The service was rated good; under the questions of ‘Is the service safe, effective, caring and responsive’ and requires improvement under the question of ‘Is the service well-led.’ After that inspection we received concerns from partner agencies that indicated people may be at risk of avoidable harm. The concerns that were shared with us were currently under investigation by our partner agencies so we were limited in what we could assess for one person. However, we examined other information in relation to other people to identify if more than one person was at risk. We will continue to liaise with our partner agency until their investigation is completed. Therefore we undertook a focused inspection that examined those risks. This report only covers our findings in relation to ‘Is the service safe’ and ‘Is the service well-led.’ You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Trevella’ on our website at www.cqc.org.uk.

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.