3 August 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was carried out by one inspection.
Service and service type
This service provides care and support to people living in supported living settings, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.
The service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period notice of the inspection to enable the manager to seek consent from people using the service, their relatives and staff, so we could contact or visit them as part of the inspection.
Inspection activity started on 21 June 2021 and ended on 09 July 2021. We visited the office location on 23 June 2021.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We reviewed a range of records. This included three people’s support plans and care records and medicine records. We looked at three staff files in relation to recruitment. In addition, we looked at a wide range of records relating to the management of the service including policies and procedures, complaints, incidents and accidents plus associated learning, staff training, audits and quality assurance records. We spoke with three people who used the service, three relatives, the provider, four other members of staff and two other professionals.
After the inspection
We continued to seek clarification from the provider to validate the evidence found.
3 August 2021
About the service
Vital Healthcare Services Limited is a supported living service providing personal care to people who lived in their own homes across Suffolk.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection, a total of 19 people were using the service.
People’s experience of using this service and what we found
People were supported and encouraged to participate in a range of activities of their choice and to access the community facilities as discussed and agreed with them, families and other professionals. People and their relatives had access to a clear complaint’s procedure. People’s support plans were reviewed every six months or more frequently if so required in relation to events.
All of the people using the service and relatives we spoke with told us staff were kind and caring.
The support people received was personalised and adapted flexibly in response to changing needs and preferences. Staff supported people to live full lives and achieve outcomes in a planned way. Staff treated people with dignity and respect and spent time getting to know them and their specific needs and wishes. People’s support plans reflected their likes and dislikes.
The staff carried out risk assessments to support people to retain their independence. Staff had received training regarding how to protect people from harm and were aware of the safeguarding procedures. There were sufficient numbers of staff employed to meet people's assessed needs. People received their prescribed medicines from staff trained in the administration of medicines. The service operated a robust recruitment process to employ staff who were suitable to work for the service. People were protected from the risks associated with the spread of infection.
People’s needs were assessed prior to them using the service and were supported to eat and drink in accordance with their support plan. 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. The service had appropriate arrangements in place to ensure staff received training relevant to their role. New staff completed an induction training programme.
The management team held regular meetings to discuss the monitoring of the quality of the service provided to help ensure people received safe and effective support. This included seeking and responding to feedback from people, relatives and professionals in relation to the standard of the support provided. Staff felt supported by the management team.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports the Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
¿ People had individual tenancies in their own home or small home with a few others. This model of care maximised people’s choice, control and independence. Care and support had been developed around individual assessed needs. Staff worked in a way which promoted people's independence.
¿ Care was person-centred and promoted people's dignity, privacy and human rights. People confirmed their privacy and dignity was respected. Support plans were person centred and ensured the person was involved in the development and review of their plan as far as possible. Training and support for staff ensured human rights was at the heart of the delivery of care and support.
¿ Ethos, values, attitudes and behaviours of the manager and staff ensured people using services lead confident, inclusive and empowered lives. People’s diverse needs were assessed, supported and respected. People were supported to make choices and live the life they chose.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 09 January 2020 and this is the first inspection.
The last rating for the service under the previous premises was rated good, published on 11 January 2019.
Why we inspected
This was a planned inspection.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.