- Homecare service
Vitality Plus Care Ltd
Assessment report published 30 April 2026
Contents
Ratings
Our view of the service
Date of assessment: 23 February to 30 March 2026.
The service provides personal care support to adults and people with a learning disability in their own home. At the time of the assessment the service was supporting 34 people with a regulated activity. This assessment was carried out in response to the rating of requires improvement at the last assessment and due to safeguarding concerns, we received about the service.
At the time of the assessment there were no people using the service who had a learning disability. As a result, we were not able to assess the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
The service had still not fully implemented an effective system to manage the governance of the service, and we still identified some shortfalls. For example, we still saw some care plans and risk assessment had incomplete, inconsistence or missing information. This meant staff did not always have clear and accurate guidance to deliver safe and consistent care. Assessments of individuals’ needs were still not always reflected clearly or comprehensively in care plans. This meant care planning did not always provide a reliable picture of the support people required. Some documentation in relation to medicines was also still not completed comprehensively. This meant there was a risk that medicines may not always be managed safely.
Safe recruitment practices had improved but were still not always being completed in line with the provider’s policy and legislation. This meant staff employed may not be suitable to work with vulnerable people.
Mental Capacity Assessments (MCAs), required under the Mental Capacity Act 2005, were not being completed for people who may lack capacity. This meant decisions about their care may not have been made lawfully or in their best interests.
We found no evidence that people had come to harm because of these shortfalls.
However, new quality systems had been added since the last inspection to strengthen the oversight of risk and performance.We now saw recent audits had identified the need to further review assessments, care plans and risk assessments to ensure they were effective. A service improvement plan was in place, and the registered manager was progressing through the required actions. The provider was now notifying statutory agencies in line with their regulatory responsibilities.
Staff told us they felt supported by the service’s leadership and demonstrated an understanding of their roles and responsibilities when supporting people with a range of needs. Staff had also received appropriate training for their roles. There was a shared vision and culture within the service, and leaders demonstrated openness, honesty and transparency.
The service had made some improvements and were no longer in breach of safe care and treatment, failure to send notifications and staff being recruited safely.
We identified one breach of the legal requirement in relation to governance.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People felt able to raise any concerns, complaints or issues with the service. Those who had previously raised concerns said they were satisfied with how these were resolved. Positive comments were provided about the registered manager and the communication with the service. One person told us, “I think this a good service as for me it does what it says it will.” People felt staff were trained well and said they had access to their care plans and related documentation. People were supported to engage and access external partners to ensure their needs were met. No one we spoke reported experiencing missed visits. People also said their medicines were administered correctly and staff supported them effectively to manage any risks. Comments from people included, “The carers are all very nice, I am treated well by them all, there are not a lot of things to improve on for us ''Feedback about visit times was mixed. Some people reported that staff arrived on time, while others stated that certain visits were late. Those who experienced late visits felt this occasionally affected the timely delivery of their care, although no one reported coming to harm as a result. Some people said that care was person-centred, but others did not.