Archived: Victory Social Care Enterprise

Updated 27 July 2016

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 registered provider is 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 9 and 15 June 2016 and was announced. The inspection was completed by one adult social care inspector.

Before the inspection, we asked the registered provider to complete a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at notifications sent in to us by the registered provider, which gave us information about how incidents and accidents were managed.

Prior to the inspection, we spoke with the local safeguarding team to gain their views on the service. We also reviewed all of the information we held about the service.

We spoke with two people who used the service and two relatives. We spoke with three members of staff, one senior member of staff and the registered manager.

We looked at four people’s care files as well as other important documentation such as medication administration records (MARs) and accident and incident records. We looked at how the service used the Mental Capacity Act 2005 to ensure that when people were deprived of their liberty or assessed as lacking capacity to make their own decisions, actions were taken in line with the legislation as it applied to people who lived in the community.

We looked at a selection of documentation relating to the management and running of the service. These included four staff recruitment files, training records, rotas, supervision records for staff, minutes of meetings with staff, safeguarding records and quality assurance audits.

Updated 27 July 2016

Victory Social Care Enterprise is a domiciliary care agency based close to the centre of Hull. It provides personal care to people in their own homes.

This inspection took place on 9 and 15 June 2016 and was announced. The registered provider was given 24 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. The service was last inspected April 2014 and was found to be compliant with the regulations inspected at that time.

At the time of the inspection five people receiving a regulated activity [personal care] from the registered provider.

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

Staff had completed training in a number of areas including safeguarding vulnerable adults, moving and transferring people and medicine management. However, not all staff had completed first aid or fire training which meant they did not have the skills to respond effectively in emergency situations.

New staff were inducted in line with national standards and received supervision and professional development. People were supported to eat a diet of their choosing and encouraged to eat a healthy, balanced diet. A range of healthcare professionals such as GP’s, community nurses and physiotherapists were involved in the care and treatment of the people who used the service. People were supported to attend healthcare appointments, when required.

People who used the service were safe. Staff, who had been recruited safely were been trained to protect people from abuse and avoidable harm. Known risks were managed to ensure people were supported safely. Staff had been trained to administer medicines safely and regular checks were completed by senior staff to ensure any issues were identified.

People were supported by caring staff who understood their needs and delivered care in line with their preferences. Staff understood their responsibilities to treat people with dignity and respect as well as helping them to maintain their independence. Private and sensitive information was stored and handled appropriately.

People or their appointed representative were involved with the initial planning and on-going delivery of their care. Care plans and risk assessments were updated as people’s needs changed. The registered provider’s complaints policy was provided to people at the commencement of the service. We saw evidence complaints were responded to appropriately and action was taken to improve the service when possible.

People who used the service, their relatives and staff, were asked to provide feedback about the service and their responses were acted upon to improve the level of service. A quality assurance system was in place that consisted of audits and checks; the systems were adequate but if the service were to grow a more scheduled and consistent approach to quality monitoring would be required. The registered provider was involved in the day to day running and management of the service.