Background to this inspection
Updated
9 July 2019
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 Care Act 2014.
Inspection team
The inspection team consisted of an 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.
Inspection activity started on 25 April 2019 and ended on 26 April 2019. We visited the office location on 25 April 2019 and contacted people who used the service on 26 April 2019
What we did before the inspection
We reviewed information we gathered about the service since the last inspection. We obtained feedback from the local authority and professionals involved in people’s care. 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.
During the inspection-
We spoke with four people who used the service about their experience of the care provided. We spoke with four staff members, including the registered manager, senior care worker and two care workers.
We reviewed care records for people who used the service, this included care plans, risk assessments and medicine administration records. We looked at three staff personnel files, including recruitment, supervision and appraisal records.
After the inspection
We asked the provider to send additional information to validate evidence found during our inspection. We looked at recruitment, care and quality assurance records.
Updated
9 July 2019
About the service
Vanity Care Limited is a care agency service that provides personal care to older people, people with physical and mental health needs. At the time of our inspection the was supporting 25 people living in their own homes.
Not everyone who used the service received personal care. At the time of our inspection three of the 25 people who used the service did not receive 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
People told us they were happy with the care they received from staff.
Care plans reflected people’s individual needs.
Risk assessments provided details of risks and control measures in place to mitigate these. These had been reviewed regularly and updated when there were any changes in people’s needs.
Staff knew people’s needs and preferences and where possible supported them to maintain their independence.
Staff understood their roles and responsibilities in ensuring that people were kept safe from harm and abuse. Staff received training in safeguarding adults.
People told us they were not always involved in developing their care plan.
The service was meeting the requirements of the Mental Capacity Act (2005). Information about people’s capacity to make decisions had been recorded in their care file.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff received an induction and refresher training in mandatory subjects. Regular supervision had taken place and staff were supported to carry out their roles and responsibilities effectively.
Staff supported people to take their medicines safely and people received their medicines as prescribed.
People's nutritional and hydration needs were met where this support was provided.
People had their health needs met by health and care professionals. Staff provided the necessary support with healthcare appointments.
Regular spot checks and audits took place to monitor the quality of the service.
People had been asked their views about the service. People were positive about staff and the management of the service.
We have made two recommendations about staff recruitment and involving people in the review of their care plan.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good. (published 14 November 2016). Since this rating was awarded the service has moved premises. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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.