CQC report explained · a residential care home
What the CQC found at Visions ( Bristol ) Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Staffing, medicines, risk assessments and infection control were found to be managed safely.
- Effective?
- Good
- Staff were described as competent, knowledgeable and skilled. People were supported with food, activities, health needs and decisions about their care.
- Caring?
- Good
- Staff treated people with kindness, compassion, dignity and respect. People were involved in care planning and day-to-day choices.
- Responsive?
- Good
- Care plans reflected people's preferences, life histories and support needs. People were supported to use the community, maintain relationships and communicate in ways they understood.
- Well-led?
- Good
- The home was described as well run and focused on people's interests. Audits, staff meetings and feedback were used to monitor and improve care.
What inspectors found, October 2019
Visions ( Bristol ) Limited was rated Good; inspectors found safe, kind and person-centred care across all five areas.
This was an unannounced inspection on 2 October 2019. One inspector spoke with all four people living at the home, staff and a visiting GP. Records about care, medicines, staff and management were also checked.
Inspectors found that people were safe and supported by enough trained staff. Medicines were managed safely. Care plans and risk assessments were up to date. People were treated with kindness, involved in decisions and supported to keep their independence and relationships.
All five CQC areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found consistently good care and management at the time of this inspection. The previous overall rating, from February 2017, was also Good.
Safety and risk management
Inspectors found detailed, up-to-date risk assessments and enough staff to support people safely. Medicines were also checked and managed safely.
“Risks were very well managed. Assessments clearly set out people's needs and actions to take to support them and maintain their safety.” from the report
Kind and respectful staff
Inspectors observed positive interactions and found that staff respected privacy, dignity and independence.
“Staff treated people with kindness and compassion and we observed positive interactions between staff and people throughout the day.” from the report
Community and relationships
People were supported to go out, take part in activities and maintain relationships with family and friends.
“People were supported to maintain relationships with families and develop friendships with each other where appropriate.” from the report
Good management
The management team used audits, meetings and feedback to monitor the service and identify improvements.
“The registered manager told us, and records confirmed, audits were completed on a wide range of areas including care plans, health and safety, medicines and infection control.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you adapt the care plan to meet my relative's particular needs, preferences and communication style?
- 02How do you support people to build independence and achieve personal goals, such as cooking or developing life skills?
- 03How do you involve families in care reviews and use their feedback to improve the service?
- 04What activities and community opportunities would be available for my relative?
- 05How would you support my relative if their needs or behaviour changed and they needed more staff support?
This was a planned, unannounced inspection covering all five CQC questions; the previous rating from 23 February 2017 was also Good. This explanation was written from the published report of 25 October 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2017
Visions ( Bristol ) Limited was rated Good; inspectors found safe, kind and personalised care across all five areas.
This was a comprehensive, announced inspection on 14 January 2017. One inspector spoke with two people, three staff members and the assistant home manager. The inspector also reviewed three care records and records about medicines, training, audits and the running of the home.
The home supported four people with learning disabilities. Inspectors found enough staff, suitable risk plans, safe medicines practice and a clean environment. Staff were trained and supported, and people had access to health professionals when needed.
People were treated with kindness and respect. Their care plans described their preferences, goals and support needs. People were involved in choices about food, activities and daily life, and families were encouraged to stay involved.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. The report says it remained Good since the last inspection.
Enough staff
Inspectors found staffing levels were sufficient to support people safely, including at mealtimes and during activities outside the home.
“Staffing numbers were sufficient to meet people's needs and this ensured people were supported safely.” from the report
Personalised support
Care plans recorded what mattered to each person and how staff should support them. Activities reflected people's individual choices.
“Each person's care plan included personal profiles which included what was important to the person and how best to support them.” from the report
Kind relationships
Inspectors saw positive interactions between staff and people. Staff understood people's preferences and encouraged independence.
“Our observations showed that good relationships had been established between staff and the people they provided care for.” from the report
Choice and involvement
People were offered choices about food and activities. They were involved in planning their support and future goals.
“People and their representatives were encouraged to provide their views and were actively involved in the decision-making process” from the report
Quality checks
The registered manager used regular audits to review care, training, maintenance, medicines and health and safety.
“To ensure continuous improvement the registered manager conducted regular compliance audits.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure my relative's risk assessments and care plan stay up to date?
- 02How would you support my relative with their medicines and any health needs?
- 03What activities are available, and how are they chosen around each person's preferences?
- 04How would you involve our family in reviews, decisions and changes to care?
- 05What did the most recent quality and health and safety audits identify, and what actions followed?
This was a comprehensive inspection covering all five CQC questions, and the report says all five ratings remained Good. This explanation was written from the published report of 24 February 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Visions ( Bristol ) Limited
3 rated inspections over 5 years: the service has held its Good rating throughout.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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40 live-in carers within about an hour of Bristol, City of
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.