Archived: La vie en Rose

Updated 23 May 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: Our inspection was completed by one inspector.

Service and service type: La Vie en Rose is a domiciliary care agency. It provides personal care to older people and younger disabled adults living in their own houses and flats. CQC does not regulate the premises of people living in their own homes; this inspection looked at people's personal care and support. Not everyone receives support with a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating.

The service did not have a manager registered with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: We gave the service 18 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did: Before the site visit: We reviewed information we had received about the service since the last inspection. This included previous inspection reports and details about incidents the provider must notify us about, such as abuse, serious injuries and deaths. We used information the provider sent us in their Provider Information Return as part of our Provider Information Collection. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the site visits: Inspection site visit activity started on 24 April 2019 and ended on 26 April 2019. We visited the office location on 24 and 26 April 2019 to speak with the provider and review a range of records and the organisations policies and procedures. On the 25th April we visited people in receipt of care and their relatives, in their own homes, alongside the services care coordinator. During these home visits, we spoke with people to gather their views about the service and observed how they were being cared for. We also spoke with staff and looked at care plans and other records used in managing the service.

We spoke with two people who used the service and two relatives. We reviewed a range of records. This included three people's care records, five staff recruitment files and staff training and supervision records. We reviewed extensive feedback the service had received from people and their relatives over the last two years. We also reviewed records relating to the management and monitoring of the service. We spoke with the provider, a care coordinator and two support workers.

Following the site visit: We sought feedback from two additional staff on the telephone about La Vie en Rose.

Updated 23 May 2019

About the service: La Vie en Rose is a domiciliary care agency providing a range of care and support services to older people, people with disabilities, complex needs and health conditions living in Gloucestershire.

La Vie en Rose provides personal care to people living in their own houses and flats and was providing a service to 50 people at the time of our inspection.

People's experience of using this service:

• People’s independence was respected and promoted.

• People's support focused on them having opportunities to maintain existing relationships.

• People received a consistent level of care from a team of regular care workers. There were enough staff employed to meet people's needs.

• Staff understood how to communicate with people effectively to ascertain and respect their wishes.

• People were empowered to decide how and when their care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice.

• People were supported to access other health services when needed.

• Care plans provided staff with information about people’s preferences and ways in which staff could support people emotionally and with the activities they enjoyed.

• Safe recruitment practices were followed to protect people from unsuitable staff.

• People were protected from abuse and harassment.

• People received appropriate support to take their medicines safely as and when required.

• The provider arranged training for staff that met the needs of people using the service. Staff competency was assessed which helped to ensure they were safe to work with people.

• The provider had ensured there was effective oversight and governance of the service. The service manager worked alongside staff to ensure that any issues were managed and priorities in relation to the quality of support were identified and acted upon promptly.

Rating at last inspection: We last inspected La Vie en Rose on 17 and 24 May 2017. At the last inspection the service was rated as Good (this report was published on 30 June 2017).

The overall rating for the service has remained Good.

Why we inspected: We inspected this service as part of our ongoing Adult Social Care inspection programme. This was a planned inspection based on the previous Good rating. Previous CQC ratings and the time since the last inspection were also taken into consideration.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

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