Background to this inspection
Updated
25 October 2019
The inspection
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.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Visions Care home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection-
We spoke with four people who used the service about their experience of the care provided.
We spoke with three members of staff including the provider/registered manager, and a support worker. We also spoke to a visiting GP.
We reviewed a range of records. This included two people’s care records and two medicines records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
25 October 2019
About the service
Visions Care Home is a residential care home providing personal and nursing care to four people. The service supports younger adult who have a learning disability. The service can support up to four people. The care home accommodates four people in one adapted building.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
As was applicable at the last inspection people felt safe and they were supported by staff with a good knowledge of safeguarding processes.
People’s needs were met by enough staff to support people safely. People’s medicines were managed safely. Care plans and risk assessments were up to date and reviewed regularly and clearly showed how to support people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. Policies and systems in the service supported this practice.
People were treated with kindness and compassion by very caring staff. People's privacy and dignity was maintained.
People were involved in their care planning and care plans were person centred. People’s personal preferences and daily wishes in their life were identified in their care plans.
People were encouraged and supported to go into the community and take part in activities they enjoyed. People were supported to maintain relationships with family and friends.
There were systems in use to effectively monitor the quality and safety of the service provided. There was good involvement with community professionals. People and staff knew how to raise concerns.
The registered manager was very well regarded by people and staff. The home was well run and run in the best interests of people who lived there.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (23 February 2017 ) .
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for visions care on our website at www.cqc.org.uk.
Follow up
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.