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Inspection Summary


Overall summary & rating

Good

Updated 5 June 2019

About the service:

Vine House Care Ltd is a domiciliary care provider that was providing personal and nursing care to 27 people at the time of the inspection.

People’s experience of using this service:

Although improvements had been made from the previous inspection, we found that records about people were still not up to date with their current care needs.

People with specific health needs did not have robust assessments to inform staff about support needs or signs that they were unwell. Improvements were also needed to documentation where people required support to make decisions about their care.

Although records required improvement, there was limited impact on people because staff knew them and their support needs very well. The manager agreed this was an area for improvement and by the third day of inspection, had already implemented changes to improve.

People told us they felt safe and one person said, “I feel safe in the presence of the carers, they always reassure me.” Staff knew people and risks to their safety very well.

There were enough staff to meet the needs of people and staff were recruited safely. Staff had a good understanding of safeguarding, such as signs that a person could be at risk and who to report to.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and processes in the service supported this practice.

People, their relatives and a professional were confident that staff had the skills and knowledge to support people. They had received specialised training to meet the needs of people. Staff worked in partnership with health and social care professionals to improve people’s wellbeing.

Everyone we talked to spoke highly of the staff and told us they were, “Kind”, “Caring” and, “Attentive.” Staff worked with the same people each week and had therefore built strong relationships with them. People’s independence, dignity and privacy was continually promoted.

Staff understood people’s communication needs well and used a variety of tools to aid this. Care was personalised to people’s preferences and wishes and regularly reviewed.

Although no-one was receiving end of life care at the time of inspection, we saw thank you cards from relatives who said staff were, “So caring, thoughtful and loving” when they had supported people at this time of their lives.

Although there were areas identified for improvement in documentation, everyone we spoke with was unanimous in their views that the service was well-led. There had been a change of manager but no-one felt that this impacted on the care provided and they spoke highly of the new manager.

Staff felt well supported and part of a strong, passionate team, with an open and honest culture.

Rating at last inspection:

At their last inspection in May 2018, Vine House was rated Requires Improvement. (Report published 15 June 2018)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 5 June 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 5 June 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 5 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 5 June 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 5 June 2019

The service was not always well-led

Details are in our Well-Led findings below.