Vinegar House

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 needs were assessed, and records showed people received person-centred care that reflected their needs and preferences. People felt staff had attended sufficient training and did a good job supporting them. Staff received supervision and met with management regularly, but meetings were not always recorded. People received a balanced diet and were supported to eat and drink sufficiently. People were supported to attended medical appointments to keep them safe and well. The service had a good relationship with GP's and other professionals to ensure people received the correct care and support. 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 told us the staff were lovely. Staff always spoke to people with respect and compassion. People were supported to share their views and opinions. Staff supported people to live independent life styles and their privacy and dignity was always respected. People were supported to reach their goals and communication needs were met.

Care planning was assessed and personalised to ensure individual needs were met. People's confidence development, living skills and healthy eating was supported. People participated in a variety of activities. Systems and processes were in place to manage complaints and concerns. End of life care was explored.

The registered manager understood their duty of candour but did not always follow up to make sure all incidents had been reported correctly when required. Quality monitoring was in place but did not identify

the concerns we found. People were empowered to achieve good outcomes and were involved in their care and support. People were encouraged to engage and share their views. The registered manager said they would review their processes and procedures to ensure they were robust and fit for purpose as a continued learning process. Commissioners gave positive feedback.