Background to this inspection
Updated
16 April 2020
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 completed by three inspectors and an assistant inspector.
Service and service type
Vecta House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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
Before the inspection, we reviewed information we had received about the service, including previous inspection reports, action plans received from the service and notifications. Notifications are information about specific important events the service is legally required to send to us.
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 of this information to plan our inspection.
During the inspection
We spoke with three people living at the home and six family members. We spoke with members of staff including kitchen staff, nine care workers, two nurses, two administrators, the activity coordinator, two housekeepers, the deputy manager, regional director and the registered manager.
We observed care and support provided in communal areas and spoke with one visiting healthcare professional.
We reviewed a range of records including 11 people's care records and multiple medication records. We looked at staff files in relation to recruitment, training and staff supervision, as well as a variety of records relating to the management of the service, including audits, policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with four relatives and two staff by telephone. We looked at additional information the provider sent us.
Updated
16 April 2020
About the service
Vecta House is a residential care home that was providing personal and nursing care to 54 people at the time of the inspection. Vecta House provides a service for people living with dementia who also require nursing care. The service can support up to 54 people.
The home was purpose built as a nursing home and provides all single ensuite bedrooms on the ground floor. The home is divided into three separate units each having a range of suitable communal facilities including dining rooms, lounges and bathrooms. Safe accessible gardens and courtyards provide access to outside areas and fresh air.
People’s experience of using this service and what we found
People and their relatives all gave us positive feedback about the home and told us that staff were kind and caring. We observed positive communication between staff, people and their relatives.
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; the policies and systems in the service supported this practice.
People's care plans contained detailed information about them and their care and support needs, to help staff deliver care that was individual to each person. Care and support provided to people was regularly reviewed to make sure it continued to meet their needs.
Individual and environmental risks were managed appropriately. People had access to any necessary equipment where needed, which helped ensure people were safe from harm. The environment was well maintained, warm and homely.
There were appropriate policies and systems in place to protect people from the risk of abuse and the management team and staff understood their responsibilities and actions they should take.
People were supported to take their medicines safely and as prescribed. They were able to access health and social care professionals if needed, received enough to eat and drink and were happy with the food provided.
Appropriate recruitment procedures were in place to help ensure only suitable staff were employed. There were enough staff to support people’s needs. Staff had received training and support to enable them to carry out their role safely. They received supervision to help develop their skills and support them in their role.
Staff showed an understanding of equality and diversity. People were treated with dignity, and their privacy was respected. Activities had been developed in line with people's wishes to promote health and well-being.
The management team (regional director, registered manager and deputy manager) carried out regular checks on the quality and safety of the service and understood their regulatory responsibilities. People and their relatives said the registered manager was approachable and supportive. Staff were positive about the registered manager and told us she was supportive and approachable.
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 requires improvement (published 16 March 2019).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.