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Archived: Vineyard Care Limited

Overall: Good read more about inspection ratings

DLC House, Upper Mulgrave Road, Cheam, Surrey, SM2 7AJ (020) 8408 7177

Provided and run by:
Vineyard Care Ltd

All Inspections

21 July 2017

During a routine inspection

Vineyard Care Limited provides personal care and support to adults with mental health needs and learning disabilities who live at a supported living service. This means people receive a set number of support hours based on their needs. The service is able to provide care and support for up to four people and there were three people using the service at the time of our inspection.

At the last inspection in May 2015 the service was rated Good. At this inspection we found the service remained Good.

Staff were familiar with how to safeguard people from abuse. This was also reflected in people’s individual risk management plans. Each person had detailed risk assessments so staff knew how to care for them safely without unnecessarily restricting their freedom. Medicines were managed safely and people were supported to manage their own medicines where this could be done safely.

There were enough appropriately qualified staff to keep people safe. The manager carried out checks to help ensure staff were suitable. Staff received supervision, appraisals and training at a suitable frequency and the registered manager sought advice and support from reputable sources to help them keep up with current research and best practice in social care.

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 systems in the service supported this practice. Staff obtained people’s consent before providing them with care and support.

People received the support they needed to maintain a healthy diet and to have enough to eat and drink. Staff supported people to make and attend appointments with healthcare services to support their physical and mental health.

Staff knew people well and had good relationships with them. People received the support they needed to make choices about their care on a daily basis. Staff promoted people’s privacy and dignity. People received support that helped them retain and develop their independence and to work towards achieving their goals.

People had care plans that were reviewed regularly to keep up to date with their needs and preferences. These were detailed to support staff in delivering care that met people’s needs and took into account their desires, preferences, cultural and religious needs and choices. There was a formal complaints policy and people also had opportunities to express concerns more informally.

People had very regular contact with the registered manager, who provided care to people directly and was able to monitor the quality of the service in this way. They discussed the service daily with staff and gave people regular opportunities to give feedback and suggest any improvements they wanted to be made.

Further information is in the detailed findings below.

21 May 2015

During an inspection looking at part of the service

We carried out an announced focused inspection of this service on 21 May 2015. We gave the registered manager 48 hours’ notice to give them time to become available for the inspection. When we last visited the home on the 29 December 2014 for a comprehensive inspection we found the service was breaching the regulation in relation to consent. This was because the service had not identified the support people required to make decisions in line with the Mental Capacity Act (MCA) 2005 and did not always have systems in place to act in accordance with people’s consent. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach.

We undertook this focused inspection to check that they had followed their action plan and to confirm that they now met legal requirements and had addressed the area where improvement was required. We found the provider had taken all the necessary action to improve the service in respect of the breach we found.

This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Vineyard Care on our website at www.cqc.org.uk

Vineyard Care operates a small supported living scheme for people with mental health needs and some mild learning disabilities in Banstead. There were three people using the service at the time of the inspection.

There was a registered manager in post. 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.

During the inspection we found the provider had taken the necessary action so they no longer breached a legal requirement. The provider had improved systems so that they obtained people’s consent and recorded their wishes in their care documentation. The provider respected people’s wishes in relation to the support they wanted to reduce the amount they smoked for health reasons and were meeting their requirements under the MCA.

29 December 2014

During a routine inspection

This inspection took place on 29 December 2014 and was announced. At the previous inspection on 20 November 2013 we found the service to be meeting all the regulations we inspected.

The service provides care and support to people within a small supported living scheme. It specialises in providing care to people who have mental health needs and/or mild learning disabilities. There were three people using the service at the time of our inspection.

There was a registered manager in post. 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.

Staff understood how to identify abuse or neglect and how to respond to keep people safe. Systems were in place for assessing and managing risks to individuals. Accidents and incidents were reviewed to prevent these from happening again. Medicines management was safe and people received their medicines as prescribed.

There were enough staff to meet people’s needs and recruitment procedures were robust to ensure only suitable staff worked in the service.

Systems were not always in place for acting in accordance with people’s consent and to identify the support people required to make choices about their care, according to the requirements of the Mental Capacity Act 2005. You can see what action we told the provider to take at the back of the full version of the report.

People chose the food and drink they ate and advice from external professionals was sought where there were concerns about people’s diet. People’s day to day health needs were met.

Staff were supported to meet people’s needs through induction, training, support and supervision. Staff were kind and treated people with dignity. They understood people’s needs and backgrounds and supported people to be as independent as they wanted to be.

There was a complaints system in place which people were aware of.

People were involved in their care planning. They were supported to attend activities they were interested in to reduce social isolation.

The registered manager communicated effectively with relatives and professionals.

20 November 2013

During a routine inspection

At the time of our inspection there was one person using the service. To meet the needs of the people who use the service there were two full time care workers working within the local community. We met with the registered manager.

Due to the needs of the people who use the service we were unable to speak with them during our visit. We were not able to speak with staff other than the registered manager.

People expressed their views and were involved in making decisions about their care and treatment. People who use the service were given appropriate information and support regarding their care and support. Care records we examined showed that people's needs had been assessed by the provider and care plans drawn up accordingly.

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. Vineyard Care Limited had clear procedures on the safeguarding of vulnerable adults from the risk of abuse including how to recognise types of abuse and what action to take.

There was an effective complaints system available. Comments and complaints people made were responded to appropriately. Information on the provider's complaints process and how to make a complaint was detailed in the service user's handbook which was kept within peoples care plan records in their homes.