Trevayler

Updated 13 December 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

The inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Trevayler is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

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.

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. 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 received about the service since the last inspection. This included details about incidents the provider must notify us about. We contacted the local authority who commission services from the provider. We used all of this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service, and 6 members of staff including the registered manager.

We reviewed a range of records including people's care records, risk assessments, and other monitoring records. We also reviewed a medication administration record for 1 person supported with their medicine. We reviewed 2 staff recruitment files and records relating to the management of the service and written feedback from people who recently used the service.

Updated 13 December 2023

About the service

Trevayler is a residential care home, registered to support up to 15 people. The service supports people with mental health conditions within 2 houses. One was a transitional house that offered a 12-week placement. This was for people who had one or more recent hospital admissions.

A crisis house was also on site offering an alternative discharge route for people having difficulty transitioning back into the wider community; where continued inpatient treatment was no longer thought to be beneficial.

At the time of our inspection there were 4 people using the service.

Part of the criteria for using the service was for people to have capacity, insight and be able to safely conduct themselves in a supported environment.

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

People were supported by staff who understood their role in protecting them from the risk of harm. People were supported to take reasonable risks, so that they could do things they enjoyed and be part of the local community. Incidents were reviewed to help identify lessons learnt.

People were supported in a safe way to take their prescribed medicine. Staff suitability to work with people was established before they commenced employment. Enough trained staff were available to support people.

The service was kept clean, and people were protected from the risk of an acquired infection.

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.

The quality and safety of the service was monitored on an ongoing basis. People’s views were gathered to help improve the service. The registered manager and staff team worked well with health and social care professionals.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 07 June 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

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