25 September 2019
During a routine inspection
The Vines is a residential care home which provides respite accommodation for up to four people who require nursing or personal care. At the time of the inspection two people were staying at the home.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service:
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent
People received care that reduced the risk to their safety. This included staff supporting people and others when presented with behaviours that may challenge. Where incidents occurred that could affect people’s safety, the relevant authorities were always notified. There were enough staff to care for people safely and safe medicine practices were followed. The home was free from the risk of infection. All staff were involved in the process of learning from mistakes with the aim to continually improve the quality of care people received.
People received care in line with their assessed needs. Staff training was up to date and staff received supervision of their practice. People received the care they needed to maintain a healthy diet during their stay. People had access to other health and social care agencies if needed, although due to this being a respite service, these instances were rare. An extensive renovation programme was planned for January 2020 to ensure the home was adapted and improved to continue to meet people’s needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People and relatives liked the staff. They provided people with a welcoming environment when they came to stay, giving relatives peace of mind that their family member was safe and well cared for. People were treated with dignity and respect. People’s independence was always encouraged, working with staff to overcome their physical disabilities. People were supported to make decisions about their care. People and relatives felt listened to and staff respected and acted on their views. People’s records were stored securely and handled appropriately to protect their privacy.
People’s care records were person-centred and contained guidance for staff to support them in their preferred way. Efforts had been made to provide people with information in formats they could understand. People were supported to lead active lives when they came to stay. A robust complaints process was in place. End of life care was not currently provided.
The registered manager led by example and empowered their staff to provide high quality care and support. Exceptional staff performance was rewarded. Quality assurance processes helped the provider and the registered manager to identify and act on areas which could pose a risk to people’s safety. The registered manager had a good knowledge of the regulatory requirement to report concerns to the CQC. People, relatives and staff praised the approach of the registered manager, they found her to be supportive and approachable.
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: This service was registered with us on 4 May 2018 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.