11 October 2022
During an inspection looking at part of the service
Vauxhall Court Care Home is a residential care home providing accommodation for persons who require nursing or personal care to up to 33 people. The service provides support to older people, including people living with dementia. At the time of our inspection there were 28 people using the service.
People’s experience of using this service and what we found
Medicines were not always managed safely. Prescribed medicines were not always in stock which meant at times people had not been administered all their medicines.
Risk assessments were not in place to mitigate risk to staff and people receiving care and support.
Care plans did not always contain the most up to date information to ensure staff were meeting people’s needs.
The provider's mandatory training was not completed by all staff. Staff did not recognise the importance of having the appropriate training and skills to safely support people.
The management team completed regular spot checks including at night. This supported ongoing improvements in the quality of care people were receiving.
There were procedures to identify when people needed safeguarding and staff understood their responsibilities to keep people safe.
Improvements had been made since our last inspection. There were systems in place to improve the quality of the service.
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 requires improvement (published 31 May 2022) and there were breaches of regulation. At this inspection we found the provider remained in breach of regulations.
Why we inspected
We undertook a focused inspection to follow up the Warning Notices we previously served to check whether the provider now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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 Vauxhall Court Care Home on our website at www.cqc.org.uk.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to safe care and treatment, consent and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.