Trezela House

Updated 1 August 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

One inspector inspected this service.

Trezela House is a ‘care home’. People in care homes receive accommodation and nursing care as a single package under one contractual agreement dependent on their registration with us. Trezela House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

A registered manager was employed by the service. However, was not available during our inspection process.

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.

We used all this information to plan our inspection.

During the inspection

We spoke with 4 people who used the service about their experience of the care provided and spent time observing people. We spoke to another 3 people after the site visit. We received feedback from 3 members of staff and 2 relatives. We were supported by the provider and assistant manager during the inspection.

We reviewed a range of records. This included 3 people’s care records and 7 medicines records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 1 August 2023

About the service

Trezela House is a care home without nursing registered to provide accommodation and care for up to 8 people with mental health needs. At the time of our inspection 7 people were using this service.

The home is currently providing support to 1 person living with a learning disability, however, people’s primary need for admission was their mental health diagnosis and personal care. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

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.

Right support:

The model of care and setting maximised people’s choice, control and independence. Staff supported people to make choices about their daily lives and engage in activities, that were tailored to their individual needs and promoted their independence. People were supported to maintain and develop relationships. People were supported by enough staff on duty who had been trained to do their jobs properly. People received their medicines in a safe way. People were protected from abuse and neglect. People's care plans and risk assessments were clear and up to date.

Right care:

People received good quality person-centred care that promoted their dignity, privacy and human rights. Staff knew people well and demonstrated an understanding of people’s individual care and communication needs. This helped ensure people’s views were heard and their diverse needs met.

People were treated in a dignified manner and staff were aware of people’s support needs. Staff were observed talking to people in a respectful way. Staff delivered personal care needed and gained consent prior to providing any support. Care plans informed staff of any specific ways to best communicate with the person.

Right culture:

People were supported by staff where the ethos, values, and attitudes of management and care staff ensured people led confident, inclusive and empowered lives. Staff created an environment that inspired people to understand and achieve their goals and ambitions.

People led lives that reflected their personalities and preferences because of the ethos, values, attitudes and behaviours of the management and staff.

The management and staff knew people well and worked together to help ensure people received a good service.

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

People told us they were happy with the care they received. Comments from people included “I feel really safe here” and another said, “Feel safe here- very much so.” While a relative said; “Absolutely brilliant place.” People looked relaxed, happy, and comfortable with staff supporting them. Staff were caring and spent time chatting with people as they moved around the service.

Staff were recruited safely in sufficient numbers to ensure people’s needs were met.

People were supported to access healthcare services, staff recognised changes in people's general health and mental health and sought professional advice appropriately.

People were supported by staff who completed an induction and received appropriate training and support to enable them to carry out their role safely. This included fire safety and mental health training.

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.

People’s communication needs were identified, and where they wanted, people had end of life wishes explored and recorded.

Staff told us the provider visited the service most days and was available by phone. They went onto say they assisted them daily and helped cover the service when staff supported people to access the community. They went onto say how the provider was approachable and listened when any concerns or ideas were raised. One staff member said, “I absolutely love my job at Trezela House and am very happy here.”

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 19 July 2019).

Why we inspected

We were prompted to carry out this inspection due to concerns we received about the service and care provider.

A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, responsive, and well-led only. 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 not changed and remains good. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, responsive, and well led sections of this full report.

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

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.