Background to this inspection
Updated
27 October 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 28 September 2017 and was announced. 48 hours’ notice of the inspection was given because we needed to be sure that people who wanted to speak to us were available during the inspection.
The inspection team consisted of one inspector. Before the inspection we reviewed the information about the service the provider had sent us when they applied to be registered. We asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Due to technical problems a PIR was not available so the registered manager talked us through the PIR information so it could be considered. .
During our inspection we met people who used the service. We spoke to their relatives, the registered manager and five staff. We looked at people’s care and support records and associated risk assessments. We looked at medicine records. We looked at management records including staff recruitment, training and support records and staff meeting minutes. We observed people spending time with staff.
This was the first inspection of Viking Care.
Updated
27 October 2017
This inspection was carried out on 28 September 2017 and was announced. 48 hours’ notice of the inspection was given because we needed to be sure that people who wanted to speak to us were available during the inspection. This was the first inspection of Viking Care.
Viking Care provides personal care for people with a learning disability or autism in their own home, some people were living with sensory impairments. Some people lived together in a shared house, they had their own bedrooms and shared communal areas such as the kitchen and lounge.
A registered manager was leading the service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the care and has the legal responsibility for meeting the requirements of the law. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The registered manager had not informed CQC of one significant event that had happened at the service, so we could check that appropriate action had been taken. They sent us the notification following our inspection and took action to make sure notifications were sent without delay in the future.
Staff were kind and caring to people and treated them with dignity and respect at all times. People were supported to be as independent as they could be and took part in activities they enjoyed each day. Staff knew the signs of abuse and were confident to raise any concerns they had with the registered manager. Systems were in place to manage complaints received.
Assessments of people’s needs had been completed to identify any changes. Detailed guidance was provided to staff about how to meet people’s needs. People’s care plans had been reviewed and changed when people’s preferences changed, to keep them safe and help them to be independent. Possible risks to people had been identified and people were supported to stay as safe as possible, while remaining independent. Staff had the skills to communicate with people in ways that they understood.
People were supported to attend regular health checks and had support to manage their health needs. They were supported to take the medicines they needed to keep them well. People were offered advice and guidance about a healthy diet. People who needed assistance were supported to prepare their own meals.
The requirements of the Mental Capacity Act 2005 (MCA) had been met. The registered manager knew when assessments of people’s capacity to make decisions were needed. Staff assumed people had capacity and respected the decisions they made. When people needed help to make a particular decision staff helped them. Decisions were made in people’s best interests with people who knew them well.
The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS). Applications to the Court of Protection had been made when required. People were supported to go out when they requested and be part of their community.
Staff felt supported by the registered manager and deputy manager, they were motivated and enthusiastic about their roles. A manager was always available to provide the support and guidance staff needed. Staff shared the provider’s vision of a good quality service and they worked together to support people to be as independent as they wanted to be.
Checks had been completed to make sure the quality of the service was to the required standard. People, their relatives, staff and stakeholders had been asked for their views of the service.
There were enough staff, who knew people well, to meet their needs at all times. The registered manager had considered people’s needs when deciding which staff would support people. Staff were clear about their roles and responsibilities and worked as a team to support people to achieve what they wanted.
Checks had been completed to make sure staff were honest, trustworthy and reliable. Disclosure and Barring Service (DBS) criminal records checks had been completed. The DBS helps employers make safer recruitment decisions and helps prevent unsuitable people from working with people who use care and support services.
Staff had completed the training they needed to provide safe and effective care and support to people. They were supported to provide good quality care. Staff held recognised qualifications in care. Staff met regularly with their supervisor to discuss their role and practice and had an annual appraisal.
Accurate records were kept about the day to day running of the service, care and the support people received. These provided staff with the information they needed to provide safe and consistent care to people.