Trevelyan Road

Updated 9 July 2022

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 conducted by one inspector.

Service and service type

Trevelyan Road 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. 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.

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 reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. 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 used all this information to plan our inspection.

During the inspection

We spoke with two people using the service, two support workers and the Director. The registered manager was on leave at the time of our inspection. We reviewed a range of records. This included two care records, staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, training records, policies and procedures were reviewed.

Updated 9 July 2022

About the service

Trevelyan Road provides residential accommodation for up to four people with mental health needs. At the time of our inspection there were three people using the service.

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

People using the service told us they liked living at Trevelyan Road and they felt safe. There were enough staff employed to meet their needs, including supporting them to take their medicines on time. Risks to people were managed and the provider worked with healthcare professionals to manage risk, including around behaviours that could be interpreted as challenging.

Staff received training that was appropriate for their role. However, we found that staff supervision was not being carried out regularly by the registered manager. People’s dietary needs were being met and the provider worked in collaboration with external healthcare professionals to support people.

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 and staff had been living and working at the service for a long time which helped to foster positive relationships within the service. People told us that staff treated them well and encouraged them to maintain their independence.

Care plans were individual to each person and were reviewed regularly which helped them to remain up to date. People lived independent lives, accessing community day centres and taking part in activities of their choosing. They told us they had no complaints but knew who to speak with if they did.

There was an open culture within the service, with people and staff telling us they felt comfortable in approaching the registered manager or Director. The provider met its regulatory requirements such as submitting statutory notifications and displaying the latest CQC ratings. Quality assurance checks took place to ensure the service was managed well, including care plan reviews, medicines records and health and safety checks.

We have made a recommendation in relation to staff supervision.

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 good (published 10 November 2017).

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Trevelyan Road 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.