CQC report explained · a residential care home
What the CQC found at Vosse Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were regularly reviewed, staffing was sufficient, medicines were managed safely and infection control measures were in place.
- Effective?
- Good
- People received care in line with their needs and preferences and could access healthcare professionals when needed. Staff training and supervision were in place, although annual appraisals had not all been completed.
- Caring?
- Good
- Staff treated people with kindness, patience, dignity and respect. People were involved in decisions about their care and encouraged to remain as independent as possible.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People were supported with communication, activities, community work and college, and complaints were investigated and resolved.
- Well-led?
- Good
- People, relatives and staff spoke positively about the management. Audits, feedback, incident reviews and partnership work were used to monitor and improve the service.
What inspectors found, June 2022
Rated Good; inspectors found safe, kind and personalised care, with a recommendation about the environment for people living with dementia.
This was an unannounced inspection by one inspector. They spoke with people using the home, relatives and staff. They observed care and reviewed care plans, medicines records, staff files, training information and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, risks were reviewed, staffing was sufficient and medicines were managed safely.
People and relatives described the care positively. Inspectors found staff were kind, respectful and supported people to make choices, stay independent, access healthcare and take part in activities. The home also used feedback, incident reviews and audits to improve care.
There were two points to keep under review. The provider was recommended to make sure the environment meets the needs of people living with dementia. Staff had also not all received an annual appraisal in the previous year, although an action plan was in place.
People felt safe
Inspectors found safeguarding procedures, risk assessments and staffing arrangements protected people from avoidable harm.
“People were protected from the risk of abuse and avoidable harm.” from the report
Kind and respectful care
People said staff were caring and patient. Inspectors saw that privacy, dignity, equality and independence were respected.
“People were treated with kindness and respect.” from the report
Personalised support
Care plans described people's needs, routines and preferences. People were supported to do activities they chose and to build independence.
“People received personalised care that met their individual needs and preferences.” from the report
Good healthcare support
Staff worked with health and social care professionals so people could receive appropriate support when needed.
“People received support to access health professionals and other agencies for appropriate care when needed.” from the report
Open management and learning
The home gathered feedback, reviewed incidents and used audits to identify and make improvements.
“The provider completed lessons learned for incidents which happened in the service, to ensure continuous learning took place and to improve staff's practice.” from the report
Environment and dementia needs
needs fixingInspectors recommended that the environment should be suitable for people living with dementia. This matters if a resident's needs change while living there.
“We made a recommendation that the provider must provide an environment to meet the needs of people living with dementia.” from the report
Annual staff appraisals
needs fixingStaff had not received annual appraisals during the previous year. The provider said the pandemic had affected this and had an action plan to complete them.
“However, staff had not received an annual appraisal in the past year.” from the report
- 01What changes have been made to the environment to meet the needs of people living with dementia?
- 02Have all staff now received their annual appraisal, and how is this being monitored?
- 03How are my relative's risks, care plans and medicines reviewed when their needs change?
- 04How will my relative be supported to make choices, build independence and take part in activities they enjoy?
- 05How are relatives involved in care reviews, feedback and decisions about changes to care?
This was an unannounced inspection covering all five key questions, including infection prevention and control; the report says all five ratings had remained Good since the previous inspection. This explanation was written from the published report of 24 June 2022 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, January 2019
Vosse Court is rated Good; inspectors found safe, kind and personalised care, with some communication and staffing concerns.
The CQC carried out a comprehensive inspection over 22 and 29 November 2018. The first day was unannounced. Inspectors spoke with people living there, a relative, staff and the manager. They also checked care plans, medicines records, staff files, complaints and other records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were found to be safe, treated with kindness and supported to make choices. Their care plans were personalised and regularly reviewed, and people were supported with healthcare, food, activities and community visits.
There were some mixed views about staffing and communication with the manager. Fire safety work was incomplete on the first inspection day but had all been completed by the second day. The overall Good rating stayed the same as at the previous inspection on 3 June 2016.
Safe medicines
Inspectors found no gaps in the medicines records they checked. Medicines audits and staff competency checks were also carried out.
“We reviewed the Medicines Administration Records (MAR) and found no gaps or omissions and stock and balance checks were correct.” from the report
Kind and respectful care
People spoke positively about staff, and inspectors saw staff taking time to communicate in ways people understood. Staff respected people's choices and privacy.
“During the two-day inspection we observed staff spoke with people in a kind and compassionate manner, in a way they understood.” from the report
Personalised support
Care plans covered people's individual needs and preferences and were updated when needs changed. People were supported to take part in activities, college and community life.
“Care plans were comprehensive and gave staff clear guidance on meeting people's needs in line with their preferences.” from the report
Checks and improvement
The manager carried out audits covering areas such as medicines, care plans, training and safety. The report says issues found were dealt with promptly.
“The registered manager undertook regular audits of the service to monitor the service provision.” from the report
Communication with the manager
minorSome staff said the manager did not always respond or remember things unless they put them in writing. The report also says people felt communication could be improved.
“People spoke positively about the registered manager, however felt communication could be improved.” from the report
Mixed views about staffing
minorA relative was concerned about staffing levels, although staff rotas showed enough staff were deployed to keep people safe. Agency staff were used during leave and sickness.
“We received mixed comments about the staffing levels at Vosse Court.” from the report
Fire safety work
minorNot all work required by the London Fire Brigade had been completed on the first inspection day. The report says all the work was completed by the second day.
“On the first day of the inspection the provider had not completed all requirements made by the London Fire Brigade, following their inspection in August 2018.” from the report
- 01How do you make sure there are enough permanent staff when people are off sick or on leave?
- 02How are agency staff introduced to each person's care plan, risks and preferences?
- 03How can families contact the manager, and what happens if they do not receive a reply?
- 04What arrangements are now in place to keep fire safety work complete and up to date?
- 05How will you involve my relative and our family in reviewing their care plan?
This was a comprehensive inspection covering all five questions, and all five ratings remained Good from the previous inspection in June 2016. This explanation was written from the published report of 19 January 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.
Every inspection of Vosse Court
3 rated inspections over 6 years: the service has held its Good rating throughout.
- June 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
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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At least 100 live-in carers within about an hour of Lambeth
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 £980 to £1,250 a week. 76 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“She is just one of those people that looks around, sees what needs to be done and does it.”
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.