Background to this inspection
Updated
27 May 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 2 inspectors and 1 pharmacy inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be available to support the inspection.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority who works with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We reviewed medication records, care plans, recruitment file, staff files and training data. We spoke to the registered manager, 3 members of staff, 10 people who use the service and 3 professionals.
Updated
27 May 2023
About the service
Vitality Plus Care is a domiciliary care agency providing the regulated activity personal care. The service provides support to people living with dementia and older people. At the time of our inspection there were 42 people using the service. The service provides support to people in their own homes who live in Wiltshire.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People's experience of using this service and what we found
Staff were not always recruited using safe recruitment principles. This means that there was a risk that people would not be supported appropriately.
Staff had received training the provider deemed necessary to be able to deliver a safe service. This included manual handling, safeguarding and induction training. However, several staff had not completed their refresher training for some of their training in line with company policy.
Staff had received supervisions and attended regular team meetings.
Some peoples’ care plans had adequate information about the person, but others lacked the detail needed to support them appropriately. One person had been given information about another person in their care plan.
The registered manager and introduced quality audits to monitor service delivery but did not address issues identified which means they were not always resolved.
People we spoke to felt that they were supported well by staff.
Rating at last inspection
This service was registered with us on 16 May 2022, and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about medicines and appropriate support for people. A decision was made for us to inspect and examine those risks.
Some actions were taken to mitigate risks we identified during the inspection. This meant that people’s risks were reduced.
You can see what action we have asked the provider to take at the end of this full 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.