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Inspection summaries and ratings from previous provider


Overall summary & rating

Good

Updated 1 February 2017

We carried out an announced inspection of Vine House Rest Home on the 11 and 12 January 2017. The first day was unannounced.

Vine House Rest Home provides accommodation and care and support for up to 14 older people. The service does not provide nursing care. There were 14 people accommodated in the home at the time of the inspection.

Vine House Rest Home is an older style detached building with surrounding gardens. The home is situated on a main road in Oswaldtwistle. It is close to the town's facilities and the towns of Accrington and Blackburn.

The service was managed by a registered manager. 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.

Following the last inspection on 24 and 25 March 2015 we asked the provider to take action to improve the way that people’s medicines were managed. During this inspection we found this action had been completed.

People told us they did not have any concerns about the way they were cared for. They told us they felt safe and well cared for. Staff could describe the action they would take if they witnessed or suspected any abusive or neglectful practice and had an awareness of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). This meant they had knowledge of the principles associated with the legislation and people’s rights.

People considered there were enough staff to support them when they needed any help and they received support in a timely and unhurried way. The registered manager followed safe recruitment procedures to ensure new staff were suitable to work with vulnerable people. Arrangements were in place to make sure staff were trained and supervised.

Medicines were managed safely and people had their medicines when they needed them. Staff administering medicines had been trained to do this safely.

We found people lived in a clean, comfortable and homely environment. Appropriate aids and adaptations had been provided to help maintain people’s safety, independence and comfort. People had arranged their bedrooms as they wished and had brought personal possessions with them to maintain the homeliness.

Each person had a care plan that was sufficiently detailed to ensure they were at the centre of their care. People’s care and support was kept under review and, where appropriate, they were involved in decisions and discussions about their care. Risks to people’s health and safety had been identified, assessed and managed safely. Relevant health and social care professionals provided advice and support when people’s needs changed.

We found staff were respectful to people, attentive to their needs and treated people with kindness and respect in their day to day care. We observed good relationships between people. The atmosphere in the home was happy and relaxed. From our observations it was clear staff knew people well and were knowledgeable about their individual needs, preferences and personalities.

Suitable activities were available and were appropriate to individual needs. People told us they enjoyed the meals. They were provided with a nutritionally balanced diet that met their dietary needs.

People were encouraged to be involved in the running of the home and were kept up to date with any changes. People had no complaints but were aware of how to raise their concerns and were confident they would be listened to.

People considered the service was managed well and they had confidence in the management team. There were systems in place to monitor the quality of the service to ensure people received a good service that supported their health, welfare and well-being.

Inspection areas

Safe

Good

Updated 1 February 2017

The service was safe.

People told us they felt safe. Staff were aware of their duty and responsibility to protect people from abuse and were aware of the procedure to follow if they suspected any abusive or neglectful practice.

There were sufficient numbers of staff to meet the needs of people living in the home. Safe recruitment processes had been followed.

People�s medicines were managed safely. Staff who administered medicines had received appropriate training and supervision.

Risks to the health, safety and wellbeing of people who used the service were assessed and planned for with guidance in place for staff on how to support people in a safe manner.

Effective

Good

Updated 1 February 2017

The service was effective.

People were supported by staff that were trained and supervised in their work. Staff and management had an understanding of best interest�s decisions and the MCA 2005 legislation.

People's health and wellbeing was consistently monitored and they had access to healthcare services when necessary.

People were supported to have sufficient to eat and drink and maintain a balanced diet. People told us they enjoyed their meals.

Caring

Good

Updated 1 February 2017

The service was caring.

Staff responded to people in a good humoured, caring and considerate manner and we observed good relationships between people.

People told us they were able to make choices and were involved in decisions about their day and about the day to day running of the home.

Staff were observed kindly encouraging people to do as much as possible for themselves to maintain their independence.

Responsive

Good

Updated 1 February 2017

The service was responsive.

Care plans were based on people�s assessment of needs and were kept under review. Communication was good and ensured all staff were kept up to date with people�s needs.

People were supported to take part in a range of suitable activities and supported to keep in contact with families and friends.

People told us they could raise any concerns with the staff or managers and had confidence issues raised would be dealt with appropriately.

Well-led

Good

Updated 1 February 2017

The service was well led.

People made positive comments about the management and leadership arrangements at the service.

Systems were in place to assess and monitor the quality of the service and to seek people�s views and opinions about the running of the home.

Staff had access to a range of policies and procedures, job descriptions, staff handbook and contracts of employment to support them with their work and to help them understand their roles and responsibilities.