Background to this inspection
Updated
24 June 2022
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
One inspector carried out the inspection.
Service and service type
Vosse Court 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. [Care home name] is a care home [with/without] nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service.
This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke two people who used the service and three relatives about their experience of the care provided.
We spoke with five members of staff including the including the registered manager and care staff.
We used the Short Observational Framework for Inspection (SOFI)/ spent time observing people. SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included four people’s care records and their medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
24 June 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Vosse Court is a residential care home providing a regulated activity of personal care to up to six people. The service provides support to people with learning disabilities and autism. At the time of our inspection there were six people using the service.
Vosse Court accommodates six people in one adapted building.
People’s experience of using this service and what we found
People using the service and their relatives were happy with the care provided. They told us, “I am pleased with the everything the staff do”; “Wonderful service”; “Dedicated and very caring” and “Fantastic team.”
People were protected from the risk of abuse and avoidable harm. Safeguarding processes were followed to keep people safe.
Risks to people were assessed and reviewed regularly to ensure staff had guidance to provide safe care.
Sufficient staff were deployed to support people. Recruitment practices and medicines management were managed appropriately. Staff practiced safe Infection Prevention and Control (IPC) measures and minimised the risk of spread of disease and contamination.
People received the care and support they required in line with the needs and preferences. They told us, “[Staff] are very kind”, “Compassion is the word”; “[Staff] are helpful, kind and patient with me. It’s a great house to live in.” People were encouraged to be as independent as possible.
Staff were supported in their roles and received appropriate training and supervisions. People had access to healthcare services when needed and in a timely manner.
People were involved in planning their care and ensured advocacy services were sought when required. Staff knew people well and delivered care that was individualised to each person.
The provider sought feedback from people using the service, their relatives and staff to drive improvement. The registered manager worked in in partnership with various organisations, agencies and healthcare professionals to ensure people received the care they required.
People, their relatives and staff spoke positively about the service and management. Staff recorded and reported concerns which the registered manager investigated and completed lessons learned.
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
People’s care was delivered with kindness, compassion and respectful of each person’s privacy, dignity and confidentiality. Staff promoted equality and diversity when supporting people.
People were supported to live fulfilling lives and to take part in activities of their choosing. People were given choices and the service promoted independence where possible.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support: Staff supported people to make choices about their day to day lives and be independent in their tasks.
Right care: Staff treated people with dignity and respect, with relatives feeling their loved ones were well cared for.
Right culture: The culture of the home was empowering with a registered manager that staff, relatives and professionals felt could make a difference.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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.
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.