We carried out a review of the data available to us about Vibrance 138 All Saints Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Vibrance 138 All Saints Road, you can give feedback on this 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.
Vibrance 138 All Saints Road is a six bed care home, primarily offering respite care to people with a learning disability and/or mental health needs.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
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People’s experience of using this service and what we found
Risks to people were safely assessed, and people were supported by staff that were safely recruited. Infection control was well managed and any safeguarding allegations were promptly reported. People’s medicines were administered safely.
People were supported to eat and drink as they chose, as well as receive support from healthcare professionals. Staff received regular training, supervision and appraisal.
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.
Staff knew how to support people and respected their privacy and dignity. People were supported to be independent where they were able to.
People received personalised care that met their needs and were supported to engage in social activities. Any complaints or concerns were promptly responded to.
The registered manager was well thought of, supporting people, relatives and staff well. Quality management systems were effective in reviewing the quality of service delivery.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 20 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we 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.
The service had appropriate procedures and training to enable staff to prevent, recognise and report potential abuse. People had personalised risk assessments that took into account their individual differences and contained the information staff needed to support them safely. There were suitable arrangements to keep the environment safe. Medicines were managed safely.
The service had a number of staff vacancies but the provider was recruiting at the time of our inspection. Staffing levels set by the provider continued to be met because the service was able to use a number of regular staff from agencies. However, staff were not always able to support people to take part in outdoor activities because of low staffing levels that did not always take people's individual needs and abilities into account. We recommend that the provider review the staffing levels to take this into account. There was a range of indoor activities available to people within the service.
Staff received the training and support they needed to perform their roles effectively. They received advice on best practice from specialist services that worked with people who used this service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People received a variety of nutritious food. Staff monitored their health and supported them with healthcare appointments when needed. The premises contained adaptations to accommodate people with a variety of needs and was suitably decorated to provide a homely environment.
Staff were able to build positive caring relationships with people. They demonstrated that they knew people well enough to communicate effectively with them. Staff used a variety of techniques and aids to facilitate communication, help people understand information and hence to make choices about the care they received.
People had access to private space when they wanted it. Staff were respectful of people's privacy and dignity. Care was planned to maximise people's independence by giving staff the information they needed to support people to do as much for themselves as they could.
People's needs were assessed when they first used the service and this was used to create personalised care plans. Staff took into account people's individual needs and abilities, cultural backgrounds and preferences when providing care. The service worked well with other providers to give people consistent, joined-up care. The provider handled complaints appropriately.
The provider and registered manager used a variety of tools to assess, monitor and improve the quality of the service. This included audits, visits from senior staff and discussions in staff meetings. However, staff felt they were not always listened to or consulted about changes to their roles and that this may have contributed to high staff turnover. We recommend that the provider review their quality improvement systems to take into account staff involvement and morale.
This inspection took place on 30 December 2014 and was unannounced. This was the first inspection since the home registered under a new provider on 30 May 2014.
Vibrance 138 All Saints Road provides a respite service, with accommodation and personal care, for up to six people with a learning disability or autism. Some people had additional needs relating to physical and sensory disabilities and communication. On the day of our visit there were four people using the service.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Risk assessments were not always carried out for known risks to people, although management plans from other services were in use. This meant the service had not assessed whether the management plans remained suitable in protecting people and others from harm in this service.
Some aspects of medicines management were safe, although records relating to medicines received and administered were not always accurate.
Accidents and incidents were clearly reported and senior managers analysed all reports to ensure the right action had been taken and to identify trends to prevent them from happening again.
There were systems in place to help safeguard people from abuse as staff understood safeguarding procedures.
Health and safety checks of the premises and equipment were carried out to ensure they were well maintained and safe, including the water, electrical and fire systems.
Recruitment procedures were robust with the necessary checks being carried out to ensure applicants were suitable to work in the home. There were enough staff to meet people’s needs and staff were supported through effective supervision and training.
The service was not meeting their requirements in relation to Deprivation of Liberty Safeguards (DoLS). The manager had not assessed who required DoLS authorisations and applied for these for most people who use the service. DoLS provides a process to make sure that people are only deprived of their liberty in a safe and correct way, when it is in their best interests and there is no other way to look after them.
People’s day-to-day health needs were met. People ate the food and drink they liked and received the right support in relation to their dietary needs.
Staff were caring and treated people with dignity and respect, making sure people were treated as individuals. Staff knew the people they were caring for and communicated with them in the best ways for each person. Staff supported people to be as independent as they wanted to be.
People were involved in planning their own care and care was delivered in the ways people wanted. Staff supported people to follow their interests and take part in education and social activities to reduce social isolation.
The organisation had a clear vision and values which were shared by staff. Leadership was visible at all levels with senior managers regularly visiting the service to provide support and check on the quality of the service. The manager promoted open communication and was responsive to the suggestions of others.
At this inspection there was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.