Archived: Vine House Rest Home

Updated 1 February 2017

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 inspection took place on 11 and 12 January 2017 and the first day was unannounced. The inspection was carried out by one adult social care inspector.

The provider sent us a Provider Information Return (PIR). This is a form that asks the provider to give some key information to us about the service, what the service does well and any improvements they plan to make.

Before the inspection we reviewed the information we held about the service such as notifications, complaints and safeguarding information. A notification is information about important events which the service is required to send us by law. We contacted the local authority contract monitoring team and two healthcare professionals for information about the service.

During the inspection, we used a number of different methods to help us understand the experiences of people who lived in the home. We spoke with the provider, the registered manager, the deputy manager, two care staff and the cook. We spoke with six people living in the home. We also spoke with a visiting healthcare professional.

We looked at a sample of records including three people’s care plans and other associated documentation, one staff recruitment and induction record, staff rotas, training and supervision records, minutes from meetings, complaints and compliments records, medicine records, maintenance certificates and development plans, policies and procedures and quality assurance audits. We also looked at the results from the recent customer satisfaction survey and at the comments made by family members on an independent web site.

We observed care and support in the communal and dining room areas during the visit and spoke with some people in their bedrooms.

Updated 1 February 2017

We carried out an announced inspection of Vine House Rest Home on the 11 and 12 January 2017. The first day was unannounced.

Vine House Rest Home provides accommodation and care and support for up to 14 older people. The service does not provide nursing care. There were 14 people accommodated in the home at the time of the inspection.

Vine House Rest Home is an older style detached building with surrounding gardens. The home is situated on a main road in Oswaldtwistle. It is close to the town's facilities and the towns of Accrington and Blackburn.

The service was managed by a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Following the last inspection on 24 and 25 March 2015 we asked the provider to take action to improve the way that people’s medicines were managed. During this inspection we found this action had been completed.

People told us they did not have any concerns about the way they were cared for. They told us they felt safe and well cared for. Staff could describe the action they would take if they witnessed or suspected any abusive or neglectful practice and had an awareness of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). This meant they had knowledge of the principles associated with the legislation and people’s rights.

People considered there were enough staff to support them when they needed any help and they received support in a timely and unhurried way. The registered manager followed safe recruitment procedures to ensure new staff were suitable to work with vulnerable people. Arrangements were in place to make sure staff were trained and supervised.

Medicines were managed safely and people had their medicines when they needed them. Staff administering medicines had been trained to do this safely.

We found people lived in a clean, comfortable and homely environment. Appropriate aids and adaptations had been provided to help maintain people’s safety, independence and comfort. People had arranged their bedrooms as they wished and had brought personal possessions with them to maintain the homeliness.

Each person had a care plan that was sufficiently detailed to ensure they were at the centre of their care. People’s care and support was kept under review and, where appropriate, they were involved in decisions and discussions about their care. Risks to people’s health and safety had been identified, assessed and managed safely. Relevant health and social care professionals provided advice and support when people’s needs changed.

We found staff were respectful to people, attentive to their needs and treated people with kindness and respect in their day to day care. We observed good relationships between people. The atmosphere in the home was happy and relaxed. From our observations it was clear staff knew people well and were knowledgeable about their individual needs, preferences and personalities.

Suitable activities were available and were appropriate to individual needs. People told us they enjoyed the meals. They were provided with a nutritionally balanced diet that met their dietary needs.

People were encouraged to be involved in the running of the home and were kept up to date with any changes. People had no complaints but were aware of how to raise their concerns and were confident they would be listened to.

People considered the service was managed well and they had confidence in the management team. There were systems in place to monitor the quality of the service to ensure people received a good service that supported their health, welfare and well-being.