10 May 2017
During a routine inspection
Vicsheil Ltd is a domiciliary care service providing personal care to people in their own homes. At the time of our inspection they were providing support to one person. As a result of this we were not able to provide a rating for this service due to the limited evidence available.
The service had a registered manager in place. 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.
Medicines were not always managed safely. The service was not always recording medicines for people. The service was not assessing the risks for people who were supported with medicines. Risk assessments were not robust. Risk assessments contained minimal information and did not always give clear guidance to staff how to support and protect people.
Staff told us they felt supported. Staff received training to ensure they had the knowledge and skills required to perform their roles and responsibilities. However formal supervision to provide staff support and development required to carry out their role was not being provided by the service. We have made a recommendation about staff receiving formal supervision.
People were supported to eat and drink enough and to maintain a balanced diet. Staff supported people to access health professionals to ensure that people's health needs were met.
Staff knew the details of how to support people according to their preferences and how to respond if their needs changed. However people’s changing needs were not always reviewed. We have made a recommendation about the service reviewing people’s care when their needs change.
Staff had undertaken training about safeguarding adults and had a good understanding of their responsibilities with regard to this. Staff described how they offered people choices and respected their decisions. The service was working within the principles of the Mental Capacity Act 2005.
The service had a robust complaints policy with clear timescales for action. The service had not received any complaints since being registered. People who used the service were confident how to make a complaint.
The registered manager was open and supportive. Staff and people who used the service felt able to speak with the registered manager. The registered manager did not record these contacts. We have made a recommendation about quality assurance mechanisms.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we asked the provider to take at the back of the full version of this report.