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Inspection carried out on 30 September 2019

During a routine inspection

About the service

Vivid Community Care is registered to provide personal care to older people, people with learning disabilities and/or mental health and physical care needs in their own homes. The service also provides enablement and one to one support for people living in nursing homes. The service covers Essex and London and at the time of our inspection was supporting 20 people with personal care.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

People were cared for by staff who understood how to keep them safe, however risk assessments did not always provide detailed guidance on how to reduce the risk of harm. There were enough staff to meet people’s individual needs and care visits were carried out as required. Staff recruitment systems required improvement to ensure they were organised, and the correct checks were in place. People’s medicines were managed safely, however further guidance was needed regarding the administration of ‘as and when required’ medicines.

People’s needs were assessed, and care was planned using best practice guidance. Staff had received training to support people effectively including training to meet people’s specific health needs. Where required, people’s nutritional needs were met, and referrals made to health professionals to ensure people remained well. 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 mostly supported this practice, however these could be further developed.

People were cared for by staff who had been chosen by them. Staff knew people well and were kind and respected people’s privacy and dignity. Positive relationships had been formed between staff and people using the service and people were encouraged to maintain their independence. The management team promoted diversity and inclusion within the service.

Care plans were in place and staff knew how to provide individualised care to meet people’s needs. Staff received training in end of life care and provided this with compassion and a respect for people’s individual preferences. A complaints process was in place and people and their relatives knew how to raise any concerns and most felt these would be addressed.

Overall, people, relatives and staff were positive about how the service was managed. Staff had the opportunity to develop their skills and knowledge and felt well supported. Systems were in place to ensure that the management team had a good oversight. There was a strong focus to continuously improving and developing the service.

We have made a recommendation about ‘as and when required’ medicines.

Rating at last inspection

This service was registered with us on 5 August 2016 and this was the first inspection as the service had not always provided personal care during this time.

Why we inspected

This was a planned inspection

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Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk