Vitale Care Chichester

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first inspection for this service. At this inspection this key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Initial assessment information included information about people’s communication needs, routines, emotional wellbeing, mobility, equipment and preferences. People and relatives said staff understood their needs, and people told us assessments accurately captured their daily challenges. Staff confirmed the information they received before supporting new people was clear and helped them understand how to deliver safe care.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff followed detailed clinical instructions for catheter care, dysphagia, pressure area prevention and moving and handling. Risk management was strong, with clear guidance on fluctuating conditions such as, pressure care, skin integrity and emotional regulation. Staff used structured tools such as Waterlow scores, nutritional support and environmental risk assessments.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff, managers, families and external professionals worked collaboratively to support people’s needs. The provider had established effective communication with occupational therapists, physiotherapists and specialist services involved in people’s care. Where people had input from case management companies, records showed coordinated care and shared goals. Staff said the office team were approachable and responded quickly when guidance or updates were needed.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Care plans emphasised healthy routines, psychological wellbeing, mobility, exercise and independence. Staff supported people with personal goals such as rehabilitation work, hydrotherapy, eating well, using equipment safely or attending appointments. People told us staff encouraged them to stay active, make their own choices and maintain daily living skills. Staff were aware of indicators of deterioration, such as changes in mobility, fatigue or emotional distress, and knew when to escalate concerns. Where needed, staff supported people to access external health services promptly.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Care records showed staff monitored people’s progress, health outcomes and day‑to‑day wellbeing. The provider carried out regular care plan audits, medication audits and reviews to ensure information remained accurate.

Where concerns were raised, such as emotional regulation changes or skin integrity risks, care plans were updated and staff were briefed. People and relatives described good outcomes, including increased confidence, improved mobility and positive emotional support.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Care plans included information about people’s decision‑making abilities, communication needs and any legal arrangements such as lasting power of attorney (LPA). Staff knew how to obtain consent and described how they involved people in decisions, giving time and offering choices. People and relatives said staff respected their wishes and preferences. Staff could explain how they would support someone who may lack capacity, including involving families or professionals where appropriate.