14 August 2019
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 Care Act 2014.
The inspection team consisted of one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. We wanted to ensure people receiving care could consent to a home visit from an inspector.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke to relatives on 22 July 2019. We visited the office location and spoke to people on 23 July 2019. We visited people in their own homes and spoke to relatives on 24 July 2019.
We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, service manager and care staff.
We reviewed a range of records. This included four people’s care records and multiple medicines records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training records and quality assurance documents were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We requested training data and sought feedback from professionals who visited the service.
14 August 2019
About the service
Vogue Future Living Limited is a domiciliary care service providing personal care to younger adults with a learning disability or autism, a physical disability or sensory impairment. People were supported in their own homes. Eight people received personal care at the time of the inspection.
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
Quality assurance systems and processes were being improved to enable the provider to more efficiently identify areas for improvement. The management team were passionate about providing person-centred care and people knew the management team by name. The service sought feedback from people about their care experience to ensure any issues were promptly addressed.
People received care from staff that were kind, caring and compassionate. Staff ensured people’s health, emotional and social wellbeing needs were met. They enjoyed their work and treated people as if they were a family member. People and staff had built positive relationships together and enjoyed spending time in each other’s company. People’s diversity was respected and embraced. Staff were open to people of all faiths and beliefs and people’s privacy and dignity was respected.
People were supported by staff that took time to find out about their hobbies and interests and supported them to engage in these, while promoting people’s independence. The service was flexible and responsive to people’s individual needs and preferences. People knew how to raise a concern or make a complaint and felt confident this would be addressed.
People were supported by staff that kept them safe from harm or abuse. People received medicines on time and were supported by staff that had been safely recruited. Staff had a good knowledge of risks associated with providing people’s care, including infection control. Staff received training relevant to people’s individual needs such as, ‘Understanding autism’.
People were supported to have maximum choice and control of their lives and staff supported them in the
least restrictive ways possible; the policies and systems in the service supported this practice. People were supported to eat and drink enough and to attend healthcare appointments as needed.
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 (01 August 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.