Background to this inspection
Updated
26 February 2021
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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 3 February 2021 and was announced.
Updated
26 February 2021
The inspection site visit took place on 27 July 2018 and was unannounced.
Vine House Older Persons Residence is registered to provide accommodation for persons who require nursing or personal care, for a maximum of 17 people. At the time of the inspection 13 people were living at Vine House Older Persons Residence, some of whom were living with dementia. Accommodation is over two floors, accessed by a lift, and includes two shared lounges and a dining room. There is a large garden to the rear, side and front of the home.
Vine House Older Peoples Residence is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
There was a registered manager in post at the time of the inspection. 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.
At the last inspection we found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We asked the provider to complete an action plan to show what they would do and by when to improve the key question of well-led to at least good. At this inspection, we found that improvements had been made and the regulation was being met. The governance framework supported the registered manager to identify and correct areas of the service provision as required and these quality checks were happening regularly.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible, however, the policies and systems in the service do not support this practice.
We have made a recommendation that the provider update their knowledge and understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards.
People told us they felt safe. Systems to manage safeguarding, accidents and incidents were robust, and helped to prevent further occurrences. Medicines were ordered, received, stored and administered safely.
There were sufficient staff available to meet people’s needs and plans in place in case of emergency. Recruitment procedures were in place to assess the suitability of prospective staff.
The home was clean, tidy and well maintained. Risks around the spread of infection were well managed.
People’s needs were assessed and supported holistically. They and their relatives were involved as appropriate. Areas of risk for people were identified and assessed,
People told us they enjoyed the food, and were able to choose what they ate. There were a variety of activities for people to take part in, and staff encouraged them to do so.
The service worked well with other organisation to promote people’s health and wellbeing. The provider sought, and responded to, the views of people, their relatives, staff and other professionals.
People were treated with kindness, respect and compassion with their independence promoted. Staff knew people and their interests well and had developed good relationships. People told us that they felt their privacy was respected.