Vine House

People's needs were assessed before they started using this service and the provider worked well with other healthcare professionals. Staff received an induction when they started in their role and completed various training courses to ensure they had the skills and knowledge to safely care for people. 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 were treated with dignity and respect by staff who knew them well. People were encouraged to make their own decisions and were involved in their care planning process.

Concerns were raised about the lack of stimulation provided to people and the lack of activities provided. We made a recommendation about this. Care plans contained people's personal information to help staff get to know people well and prompt conversation. Concerns and complaints were listened to. People's end of life wishes were recorded where appropriate.

Governance systems were in place but were not always effective. There was limited evidence of risks being identified or reduced and audits did not always identify concerns found during the inspection. Feedback was sought from staff, people and their relatives. Staff had not had a supervision for some time but did attend regular staff meetings. People and their relatives spoke highly of the staff and management team.