Care Home: Trevayler Residential Care Home

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What the care home does well The one requirement and one recommendation made at the last inspection had both been met: we saw evidence of environmental improvements and of good staffing levels. What the care home could do better: No requirements or recommendations were made at this inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: Trevayler Residential Care Home 309 Burton Road Derby Derbyshire DE23 6AG three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anthony Barker Date: 0 3 0 6 2 0 1 0 Information about the care home Name of care home: Address: Trevayler Residential Care Home 309 Burton Road Derby Derbyshire DE23 6AG 01332348080 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Christine Helen Lawrence Type of registration: Number of places registered: Conditions of registration: Category(ies) : 2 Care care home 23 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 23 Trevayler is situated on a bus route within easy access of Derby City. It provides care for 23 people recovering from mental health problems. The level of support available is dependent on peoples difficulties and is provided in three ways: for dependent people, semi-independent people and independent people. Independent people live in a separate property next door to the main house, which is fully self-contained. All people have a room of their own. There are two lounges in the main house, with one being much larger that the other. One lounge is available to those people who wish to smoke. There is also one dining Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home room and one kitchen area. The service operates a rota for people to assist staff in preparing meals. People also take turns to assist with cleaning and maintaining the home, again on a rota basis. The `work carried out by people is part of the rehabilitation process operated by the service. A copy of the Care Quality Commissions inspection report is available from within the service. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: The time spent on this inspection was 3.25 hours and was a random unannounced inspection. The Registered Manager, one mental health recovery worker and two people living at the Service were spoken to. Records were inspected and there was a brief tour of one part of the premises. This inspection was to assess the Services progress in addressing the requirement and recommendation made at the last key inspection on 7th August 2007 and to identify other areas of improvement. The pre-inspection Self Assessment Form was reviewed prior to this inspection. The Manager informed us that the Services fees range from £665 to £1228 per week. The outcome of this inspection is as follows: Standard 3: The Managers pre-inspection self-assessment form identified that, service users religious and cultural choices are now explored during the (pre-admission) assessment process. The staff member we spoke with reinforced this and provided us with a very person centred description of taking account of one persons views and personal goals at the point of admission. He told us, We dont set someone up to fail...we match their needs and the service...I challenge myself not to make assumptions about people. Standard 7/8: The Manager told us she considered that an increase in peoples involvement in everyday decisions within the Service had led to a significant improvement in their quality of life. She gave, as an example, improvements to the decor in bathrooms and other areas of the premises. The people we spoke with, who live at the Service, were very clearly saying they are enabled to make their own decisions, within reasonable boundaries. One told us, I have a lot of freedom here. The other person, who had moved on to a more independent life style at the adjoining cluster house, said, I plan my own day. The staff member described a good balance between people choosing how to spend their time and boundaries on their behaviour and personal decision making. Standard 12/13/16: The staff member we spoke with described a variety of leisure and educational activities for people, within the Service and in the community. These activities were clearly planned on a person centred basis. He told us, We facilitate rather than organise (these activities). One person, living at the Service, felt their daily routines were flexible within boundaries and showed enthusiasm for the activities. The other person told us, I now spend more time in the community and now have a paid part time job. This job involved speaking to medical students and other groups to bring about a reduction in the stigma associated with poor mental health. Standard 18/22/23: The Manager described how the importance of respecting each other has been raised at community meetings and provided us with evidence from meeting minutes. The staff member emphasised, to us, the importance of safeguarding people, of empowering them, and informing them of their rights. He showed a good understanding of the Services safeguarding adults policy and of whistle blowing. Both people we spoke with felt safe here. One person told us that once, when they did feel intimidated by another service user, they received a helpful and supportive response from staff and management. The Manager pointed out that the Service employs one specialist mental health recovery worker whose specialism is Drugs and Alcohol Abuse. Another specialist Care Homes for Adults (18-65 years) Page 4 of 8 mental health recovery worker, in the field of Personality Disorders was soon to be appointed. We examined some of the records of complaints received over the past 12 months - mainly from people living at the Service about other people. These records showed that complaints were treated seriously and acted upon responsibly. Standard 24/30: One person we spoke with, who lives in the cluster house, showed us this accommodation. We noted that wallpaper on the stairwell had been repaired, as recommended at the last inspection. All areas we viewed were clean, well decorated and furnished. Both people we spoke with, as well as the staff member, confirmed that the premises are usually clean & hygienic. The Manager said that floor surfaces are deep cleaned every two to three months. She also told us, in the Managers pre-inspection selfassessment form, that, the past 12 months, the main house bedrooms and building interior had been redecorated and there had been external maintenance work. Also, the Gardening Group had created improvements in the garden. Standard 33: Both people we spoke with told us that staffing levels were adequate. The staff member agreed and said, My workload matches my skills and experience. The Manager told us that staffing levels had been increased since the last inspection when a recommendation had been made to maintain consistency in staffing levels. She said that an additional full time mental health recovery worker was due to be appointed soon for a six month trial as well as an additional specialist mental health recovery worker to cover Personality Disorders. She added that there are two deputy managers in post, with a vacancy for a third, and two assistant managers. Standard 35: In the pre-inspection staff survey one staff member felt there needs to be more training on complex needs. The Manager said that staff have training on complex needs as part of their core training. The staff member we spoke with told us he was very pleased with the sufficiency of staff training - he felt this was one of the main attributes of this Service. He said he had had training, within the 17 months he had worked at the Service, in personality disorders, self harm and risk management as well as attending mandatory training courses. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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