About the service La Vie en Rose is a domiciliary care service providing the regulated activity of personal care. At the time of the inspection, 31 people were receiving support from the service. 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
Improvements had been made since our last inspection to the provider’s staff recruitment processes and notifying CQC of any significant events.
We found safe recruitment systems were in place and being used to ensure staff were suitable recruited and vetted before supporting people.
Staff had a good awareness of the importance of recognising and reporting signs of abuse or any incidents or decline in people’s health. Managers reviewed any concerns and reported them to the relevant authorities and CQC.
Progress was being made to ensure people’s risk assessments were person centred and detailed to guide staff on people’s support requirements.
Staff understood their role to maintain high standards of hygiene, wear PPE and carry out regular Covid 19 testing in line with government guidance.
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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
We have made a recommendation about staff training on how to interact appropriately with people who have a learning disability and autistic people, at a level appropriate to their role in line with current legislation. This will help to ensure staff have the right skills to support people with a learning disability and autism in the future.
There was no registered manager in post at the time of this inspection, however the nominated individual confirmed they would be applying to be the registered manager with CQC.
The service was led by managers who were approachable and were passionate about delivering person centred care. Managers focused on learning from incidents and identifying areas that required improvement with the aim to improve the management systems and people’s experiences of the service.
Effective systems were in place to manage and monitor the service and engage with staff and people who use the service.
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 (published 16 June 2021)
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
We carried out an unannounced comprehensive inspection of this service on 13 May 2021. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve in relation to ‘Fit and proper persons employed’ and ‘Notifications of other incidents’.
We received concerns in relation to people’s medicines. We undertook this focused inspection to follow up on the concerns raised with CQC and to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.