Background to this inspection
Updated
5 June 2021
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 and one assistant inspector.
Service and service type
This service provides care and support to people living in two ‘supported living’ settings, so 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 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 registration. We sought feedback from the local authority and professionals who work with the service.
During the inspection
Due to COVID-19 restrictions, we were unable to speak to people who used the service. However, we spoke with two relatives/advocates about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager, senior care workers and care workers.
We reviewed a range of records. This included two people’s care records and medication records. We looked at three 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. We looked at training data and quality assurance records.
Updated
5 June 2021
About the service
Vista Care Supported Living and Domiciliary Care is a domiciliary and supported living service providing personal care to five people across two properties at the time of the inspection.
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.
People’s experience of using this service and what we found
People received safe care and staff understood safeguarding procedures and how to raise concerns. Risk assessments were in place to manage risks associated with people’s needs.
Investigations took place into accidents, incidents and any events to identify any lessons to be learnt.
Staff were recruited safely. Appropriate pre-employment checks were carried out.
People’s medicines were administered, as prescribed, by trained staff.
People were protected from infections including COVID-19.
People were supported to maintain a healthy and balanced diet. People had access to health professionals when required.
People's consent was gained before any care was provided. Staff treated people with kindness, dignity and respect and spent time supporting them with activities of their choice.
Care plans reflected peoples’ likes, dislikes and preferences.
Complaints were received and responded to appropriately. The service gained regular feedback from people who used the service to identify any required improvements.
Staff received an induction and training to carry out their roles effectively.
Information provided to people using the service was in a format they could access and understand
Staff received regular supervision meetings and provided positive feedback on the support they received from the registered manager.
We saw evidence of partnership working with other agencies to develop the service provided to people including the Community Team for People with Learning Disabilities.
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.
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 CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• People were supported to have choice, control and independence.
Right care:
• Care was person-centred and promoted people’s dignity, privacy and human rights.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives.
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 21/05/2019 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about the safety of people using the service. The provider contacted CQC prior to the inspection to raise concerns regarding a safeguarding issue. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.
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.