Vogue Future Living Limited

Vogue Future Living Limited is a domiciliary care service providing personal care to younger adults with a learning disability or autism, a physical disability or sensory impairment. People were supported in their own homes. Eight people received personal care 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

Quality assurance systems and processes were being improved to enable the provider to more efficiently identify areas for improvement. The management team were passionate about providing person-centred care and people knew the management team by name. The service sought feedback from people about their care experience to ensure any issues were promptly addressed.

People received care from staff that were kind, caring and compassionate. Staff ensured people’s health, emotional and social wellbeing needs were met. They enjoyed their work and treated people as if they were a family member. People and staff had built positive relationships together and enjoyed spending time in each other’s company. People’s diversity was respected and embraced. Staff were open to people of all faiths and beliefs and people’s privacy and dignity was respected.

People were supported by staff that took time to find out about their hobbies and interests and supported them to engage in these, while promoting people’s independence. The service was flexible and responsive to people’s individual needs and preferences. People knew how to raise a concern or make a complaint and felt confident this would be addressed.

People were supported by staff that kept them safe from harm or abuse. People received medicines on time and were supported by staff that had been safely recruited. Staff had a good knowledge of risks associated with providing people’s care, including infection control. Staff received training relevant to people’s individual needs such as, ‘Understanding autism’.

People were supported to have maximum choice and control of their lives and staff supported them in the

least restrictive ways possible; the policies and systems in the service supported this practice. People were supported to eat and drink enough and to attend healthcare appointments as needed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was Requires Improvement (01 August 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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 re-inspection programme. If we receive any concerning information we may inspect sooner.

The service provides care and support to people living in ‘supported living’ settings, so that they can live in their own home 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. Some people using the service lived in flats with their own kitchen and bathroom facilities but also had access to a communal lounge and kitchen-dining area. Other people lived in a single ‘house in multi-occupation’ that could be shared by four people. Houses in multiple occupation are properties where at least three people in more than one household share toilet, bathroom or kitchen facilities.

At the time of our inspection, there were five people in receipt of personal care support. The service provides support to adults with learning disabilities.

Not everyone using Vogue Future Living Limited receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection on the 25 April 2016, we rated the service "Good." At this inspection we found that the service 'Required Improvement.'

The quality assurance processes in place to monitor the quality and safety of the service and drive improvement required strengthening. Audits had not identified errors in the information provided on medicines administration record charts (MARs) or gaps in the recording of medicines administered to people.

People's capacity to consent to their care and support was not always assessed. People supported by the service were not able to consent to some aspects of their care. However, written capacity assessments and best interest checklists were not in place. Staff did demonstrate that they understood the principles of the Mental Capacity Act 2005 and gained people's consent when supporting them.

People continued to receive safe care. Staff understood their responsibilities to keep people safe from harm. Safeguarding procedures were in place and staff understood their duty to report potential risks to people’s safety.

Risk assessments were in place to manage risks within people’s lives. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service.

Staff told us they had the appropriate personal protective equipment to perform their roles safely. Staff supported people in a way which prevented the spread of infection.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. Staffing levels ensured that people's care and support needs were safely met.

Staff induction training and on-going training was provided to ensure that staff had the skills, knowledge and support they needed to perform their roles. Staff were well supported by the registered manager and senior staff, and had regular supervision meetings.

Staff supported people to access support from healthcare professionals, and supported them to maintain a healthy lifestyle. The service worked with other organisations to ensure that people received coordinated and person-centred care and support.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. People were involved in their own care planning as much as they were able and were able to contribute to the way in which they were supported.

The provider had a process in place which ensured people could raise any complaints or concerns.

At this inspection, we found the service to be in breach of one regulation of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014. Full details regarding the actions we have taken can be found at the end of the report.

Further information is in the detailed findings below.

Vogue future living provides personal care and support to 25 people with learning disabilities and autism in a supported living setting.

The service did not have a registered manager, but a manager was in place who was going through the registration process. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse and people had risk assessments in place to enable them to be as independent as possible.

Effective recruitment processes were in place and followed by the service and there were sufficient numbers of staff available to meet people’s care and support needs

People told us that their medicines were administered safely and on time.

Staff members had induction training when joining the service, as well as regular ongoing training.

Staff were well supported by the manager and had regular one to one supervisions.

People’s consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met.

People were able to choose the food and drink they wanted and staff supported people with this.

People were supported to access health appointments when necessary.

Staff supported people in a caring manner. They knew the people they were supporting well and understood their requirements for care.

People were involved in their own care planning and were able to contribute to the way in which they were supported.

People’s privacy and dignity was maintained at all times.

The service had a complaints procedure in place and people knew how to use it.

Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed