Archived: Trevanion House Holidays Limited

Updated 5 September 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 was 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.

This comprehensive inspection took place on 14 August 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because people were often out taking part in activities and we wanted to be sure people would be available to speak with us. The inspection was carried out by one adult social care inspector.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed this along with previous inspection reports and other information we held about the home including any notifications. A notification is information about important events which the service is required to send us by law. Prior to the inspection we invited people who had previously been on holiday at the service to share their views with us. We received positive feedback from two people, three relatives and four care providers.

During our inspection, we observed staff interactions with people and saw how people responded to staff. We spoke with eight people staying at Trevanion House, the registered provider and registered manager and a further four members of staff. We looked at care records for four people, the medicine administration records (MAR), two staff recruitment files, staff training records and other records relating to the running of the service.

Updated 5 September 2018

Trevanion House Holidays Ltd is a hotel providing holidays for adults with learning disabilities. It is registered with the Care Quality Commission to provide accommodation and personal care for up to 14 people. This allows the staff to support people coming on holiday with their personal care needs should they require support. The house can also accommodate a further seven people who do not require personal care. At the time of the inspection, 13 people were staying at the service.

Trevanion House is a detached house located within its own grounds on the outskirts of Wadebridge in Cornwall. Accommodation is provided over two floors with adapted facilities for people with impaired mobility on the ground floor. Two guest lounge rooms and a restaurant are situated on the ground floor. The service has a fully licenced bar. Guests normally stay at the service for one to two weeks and are supported by staff to visit a wide variety of tourist destinations throughout Devon and Cornwall. In addition, the service also arranges a small number of trips to the continent each year.

The service was previously inspected on two occasions in 2016. In August 2016 we undertook a comprehensive inspection and rated the service ‘good’ overall with the key question ‘Is the service safe?’ rated as ‘requires improvement’. We found the service was in breach of Regulation 19 the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as there was an inconsistent approach to following up on references when new staff started work. In December 2016, we returned to the service to undertake a focused inspection and found improvements had been made to the service’s recruitment processes. We rated the key question of safe as ‘good’.

At this inspection, in August 2018, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People told us how much they enjoyed their holiday at Trevanion House and that they felt safe staying there and with the staff. One person said, “Yes, I’m very safe here’ and another said, “Yes, it’s a great place to have a holiday.” Staff knew people well as many people had returned on holiday over several years. Staff were aware of people’s care needs and care plans provided staff with the information they needed to ensure people’s personal and health care needs were met. Risks to people’s safety and well-being were assessed and management plans were in place to mitigate risks and to protect people. For those people who required support to manage their medicines or their finances, this was done safety.

People were supported to have maximum choice and control of their stay and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People could choose where they wished to go and how they wished to spend their time throughout their stay at the service. Various trips were organised each day to the local places of interest people wished to visit.

Trevanion House had its own restaurant where people could choose what meals they wished. People could choose a cooked or a continental breakfast and in the evening, three course meals were served with each course having a number of choices. Packed lunches were available for people to take out with them.

There were sufficient numbers of staff to meet people's assessed needs and to support them safely when out on trips. Staffing numbers were arranged dependent upon the numbers and needs of the people visiting the service. Staff were safely recruited and received the training and supervision they needed for their role.

The service was well managed. The management team and staff communicated well with people, relatives and care providers prior to people arriving for their holiday. Feedback about the quality of the service was actively sought and the service used this to improve. People were confident any complaint they might have would be responded to promptly. No one we spoke with had any complaints about the service.

Further information is in the detailed findings below.