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Vaughan House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 July 2019

About the service:

Vaughan House is a residential care home. It provided personal care to eight people who were living with different types of learning disabilities and health needs, at the time of the inspection. The service can support up to 10 people.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 10 people. Currently eight people were using the service. This is larger than current best practice guidance. There had been a reduction in people living at the home due to an embargo on admissions put in place by the local authority due to the last rating. Relatives told us that their family members were happier with the reduction of people at the home. There were deliberately no identifying signs, intercom, cameras, but there were industrial bins located outside which could indicate it was a care home. However, when we spoke with the provider's representative and the registered manager, they had not considered this new guidance of ‘Registering The Right Support’ in a meaningful way. This is to ensure the size of the home and the care provided meets people’s social, physical, emotional and mental health needs. They had not reviewed the number of people the service supports. To ensure the accommodation could meet people’s needs.

People’s experience of using this service:

We have made a recommendation about the provider reviewing and implementing our 'Registering the Right Support' policy to ensure the service is meeting people's needs now and in the future, including the amount of people the home accommodates.

Improvements had been in terms of people’s care and experiences at the home. However, we still found some hygiene and infection control issues in people’s rooms and the storage of cleaning items in one person's room had not been risk assessed. Another issue effecting one person had not been identified with any action taken to reduce this risk.

There had been improvements in the leadership of the home, but there were still issues with the registered manager and provider’s oversight about aspects of the quality of some of the care provided. Such as the hygiene issues and a development plan had not been created. To demonstrate existing and future improvements to the building and managing the service, in order to improve people’s experiences of living at the home.

People’s medicines were stored and administered in a safe way. When in place people had good risk assessments and care plans to assist staff in meeting their needs. Staff knew how to promote people’s identified needs. People told us they felt safe and people’s relatives agreed with them.

Staff had a good knowledge of people’s needs and what was important to them. Staff now received regular checks from the management to test if they were competent and knew their job well. People had choice with what they ate and drank, and the staff were promoting healthy options. People were supported to have more choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests.

Staff were thoughtful and caring towards the people they supported. It was understood by staff that Vaughan House was people’s own home. People’s privacy was respected by staff. People were involved in the planning of their care.

People had personalised assessments and care plans. People had been asked to identify goals and ambitions that were important to them. Staff had been supporting people to realise these. Further work was still needed in this area, but progress had been made. Events and outings were also taking place.

Staff were well directed. Relatives commented on this positive change.

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 Inadequate (published on 20 December 2018) and there were multiple breaches of the regulations. The provid

Inspection areas

Safe

Requires improvement

Updated 18 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 18 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 18 July 2019

The service was not always well-led.

Details are in our well-Led findings below.