Background to this inspection
Updated
29 April 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Vibrance 138 All Saints Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Vibrance 138 All Saints Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post. However, they were not present at the time of inspection. Therefore, we were unable to speak with them.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information the provider had sent to us such as statutory notifications.
We used all this information to plan our inspection.
During the inspection
We spoke with the assistant director of operations and a staff member. We reviewed a range of documents including a care file, medicines administration record (MAR) and audits.
After the inspection
We spoke with a relative of the person using the service. We reviewed a range of additional documentation such as policies and staff files.
Updated
29 April 2022
About the service
Vibrance 138 All Saints Road is a care home providing residential respite services. The service provides personal care for to up to 7 people at one time. At the time of our inspection there was one person using the service.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People received their medicines safely. There were enough staff to meet people’s needs and ensure people were safe. Risk assessments were clear in highlighting potential risks to people. Staff suitability was checked prior to them commencing work. Learning was shared following the occurrence of any incidents or accidents. Infection control processes were effective.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of safe and well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: People were supported to be as independent as they could be and were supported to make choices about how they received their care
Right care: People received person centred care. Staff respected people’s rights and treated them with privacy and dignity
Right culture: The culture of the service supported people and staff in an inclusive way; enabling people to live their day-to-day lives as they chose to.
The service ran with an inclusive culture which was transparent with people, their relatives and staff. Quality assurance systems were effective in driving improvement across the service. Other parties were consulted to provide feedback about the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good(published 06 February 2020)
Why we inspected
The inspection was prompted in part by notification of a specific incident. The outcome of this could have resulted in a serious risk to a person’s health or wellbeing.
The information CQC received about the incident indicated concerns about the management of specific risks. This inspection examined those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
The provider had taken full action to review and mitigate potential risks and we were satisfied with their response.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Vibrance 138 All Saints Road on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.