Venville House

Updated 4 February 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector, a medicines inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Venville House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Venville House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

The service has a manager who is also the provider. This means they are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We also reviewed the information the provider sent us in the provider information return (PIR). This is information provider 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 this information to plan our inspection.

During the inspection

We spoke with six people who used the service and six relatives shared their experience about of the care provided. We spoke with two members of staff and the manager. We reviewed a range of records, this included three care records and medicine records. We looked at two staff recruitment files and a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 4 February 2023

About the service

Venville House is a residential care home providing the regulated activity of personal care for up to eight people. At the time of our inspection there were eight people using the service.

People’s experience of using this service and what we found

People told us they felt safe and loved living at Venville House and spoke positively about the manager and staff team. People were protected from the risk of abuse and avoidable harm as staff were aware of their safeguarding responsibilities and knew how to report any concerns.

There were sufficient numbers of staff available to meet people’s needs. Staff had the skills, knowledge and experience to care and support the people living at the service. Staff were recruited safely. Staff followed infection control guidance and had access to Personal Protective Equipment (PPE).

People were supported by staff who treated them with dignity, respect and were kind, patient and caring. People’s needs, and choices were known and respected. Staff understood their roles and responsibilities. Staff liaised with health and social care professionals to ensure people’s health and care needs were met.

People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to maintain relationships with their families and enjoyed being part of the local community.

We have made a recommendation about the management of some medicines and the development of up to date care records.

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 (published 12 December 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

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 however the provider remained in breach of regulation.

At our last inspection we recommended that the provider sought advice in developing care plans that were reflective of people current need. At this inspection we found further improvements were required.

Why we inspected

We undertook this inspection to check they had followed their action and to confirm they now met legal requirements.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement and Recommendations

We have identified breaches in relation to the governance processes at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.