La Vie En Rose Ltd improved from Requires Improvement to Good overall, having addressed previous breaches in recruitment and CQC notifications. Minor issues remained around the consistency of risk assessments, detail in medicines records, and staff training for supporting people with learning disabilities and autism.
Concerns (4)
moderateStaff training: “The service was registered to support people with a learning disability; however, they had not ensured staff had been trained on interacting with people with a learning disability and autism”
minorMedication management: “records of the administration of people's barrier creams and when medicines were administered jointly with family members needed to be in more detail to ensure people received their medicines as prescribed”
minor
Care planning
: “we identified some people's care records and risk management plans were more detailed than others”
minorLeadership: “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.”
Strengths
· Safe recruitment processes and checks were in place and being used in line with the providers recruitment policy and legislation
· People were supported by a consistent staff team who knew them well and confirmed staff arrived on time with no missed calls
· Staff had completed training on how to recognise and report abuse and knew how to apply it
· Managers focused on learning from incidents and identifying areas that required improvement
· Effective systems were in place to manage and monitor the service and engage with staff and people who use the service
Quality-Statement breakdown (10)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Duty of candour and continuous learning and improving careGood
well-led: Engaging and involving people using the service, the public and staffGood