Vibrance - 16 Sylvan Road

16 Sylvan Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. 16 Sylvan Road accommodates 4 people in one adapted building. At the time of our inspection 4 people with mental health needs were living there.

People’s experience of using this service:

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests; the policies and systems in the service did support this practice. There was an instance of consent documentation being completed incorrectly. Consent was implied in people's documentation.

We saw that some care records had been typed then written over by hand. We noted some audits were overdue and did not pick up on the error we found with respect to consent documentation. One audit which was overdue and therefore did not pick up a medicine recording omission we found. Quality assurance processes either did not identify or seek to remedy the issues we saw with decoration.

People’s needs were met with respect to building layout and design, however the service had not been decorated for some time.The provider told us they would seek people's input around this and agree a plan.

People told us they felt safe and there were safeguarding procedures to keep people safe from abuse. People were risk assessed to keep them safe from harm. There were sufficient staff at the service. Suitable staff were recruited to work with people. People’s medicines were managed safely.

People’s needs were assessed before moving into the service. Staff were trained how to do their jobs and were supervised in their roles. People were supported to access health care professionals. People were supported with their food and could choose what they wanted to eat.

People and relatives told us staff were caring. People and their relatives were involved with their care. People’s privacy was respected, and their independence promoted.

People’s care plans recorded their needs so staff knew how to best work with them. People were supported to attend activities they enjoyed. People’s communication needs were assessed, and staff knew how to communicate with them. People and relatives told us they knew how to make complaints, though there had been no recent complaints at the service. The service was not providing end of life care to people but staff had received training and people’s end of life wishes were recorded if they wanted.

People were happy with the management of the service. The registered manager was supported in their role by a deputy manager. The service had links with other agencies to the benefit of people using the service.

Please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

This service was previously rated ‘Good’ at inspection in July 2017.

Why we inspected

This was a planned inspection that was part of our inspection schedule.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People continued to receive safe care. Risks were identified and action taken to minimise risk and to support them as safely as possible. Systems were in place to ensure medicines were administered safely and when needed. There were enough staff on duty to support people.

People were supported by experienced staff who received training and support to enable them to continue to provide an effective service. The staff team worked closely with other professionals to ensure that people remained as healthy as possible and received the healthcare they needed.

People enjoyed their meals and were supported to have a nutritious diet that met their needs and preferences.

People continued to be supported by kind, caring staff who treated them with respect. Their privacy and dignity were maintained.

People continued to receive individualised care and support that was responsive to their needs. They were encouraged to make choices about their daily lives and to continue to do things they enjoyed.

Management systems ensured the service continued to be well led and that people were involved in decisions about their care and about what happened in the service.

Further information is in the detailed findings below.

We found that people were treated with respect and that they were asked for their consent before any care was provided. People told us that they were happy at Sylvan Road. One person said 'it's very nice here and they treat me very well.'

We also found that staff received the training and support that they needed to carry out their duties and to support people who used the service. One member of staff told us 'we definitely get the right training.' People were protected from the risks of unsafe or inappropriate care because accurate and appropriate records were maintained.

One person who used the service told us that they liked living at Sylvan Road. They said they liked the food and we saw that staff treated the person with dignity and respect. People are encouraged to take an active part in the running of the home. There was good links with health services and the local community mental health services. Relatives were able to visit at any time.