Vibrance - 24A Corporation Road

Updated 13 March 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by an inspector and an assistant inspector.

Service and service type

24A Corporation Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Prior to our inspection we reviewed information we held about the service. This included any safeguarding referrals and statutory notifications that had been sent to us. A notification is information about important events which the service is required to send us by law. The provider had completed a provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

People using the service had different and complex ways of communicating. We spent time talking with them and observing their interaction and engagement with staff and day to day life at the service. These observations helped us to understand their experiences. We also talked with two family members on the telephone about their views of the service.

We talked with four staff including the registered manager, deputy manager, two support staff and a visiting professional. We reviewed a range of records. This included four people’s care, support and medicine records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the quality and management of the service were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We had email correspondence from one health care professional who regularly visited the service.

Updated 13 March 2020

About the service

Vibrance 24A Corporation Road is a residential care home providing personal and nursing care to six people with learning disabilities, autism and complex needs of all ages at the time of the inspection. The service can support up to eight people. The building is purpose built and all on one level.

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.

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

At our last inspection we identified issues with the assessment of risks, reporting of safeguarding concerns and staffing recruitment, induction, supervision and appraisal. At this inspection we found that improvements had been made to people’s safety and wellbeing and staff were appropriately recruited and supported to carry out their role and responsibilities.

There were systems in place to assess and mitigate risks to people’s safety, wellbeing and independence. People received their medicines safely and the premises were accessible, clean and comfortable. There were systems in place to reduce the risk of infection and lessons were learnt from accidents and incidents.

There was enough staff to meet people’s needs. There were clear processes in place to recruit the right staff to ensure they were suitable for the role. New staff received induction and ongoing training to provide them with the skills and knowledge they needed to support people well.

Best practice guidance was used to ensure people received good quality care. They were provided with a balanced diet and involved in shopping, choosing and cooking their meals. Staff worked closely with a range of health care professionals to support people’s health and wellbeing.

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.

The staff team were very kind and caring and provided support in a very person-centred way. They were clear and passionate about their responsibilities and enabled people to be as independent as possible.

People were enabled to have a fulfilling life with a clear emphasis on helping people to communicate effectively and make decisions and choices about their day to day wishes and future.

Peoples care plans were detailed, informative and updated to reflect their changing needs. Their history, likes, dislikes, preferences and protected characteristics were recorded. People were supported to follow their interests and had access to a range of social opportunities both within the service and in the local community. A complaints process was available, and complaints dealt with appropriately. There was a very compassionate support system in place for people and their families who may require end of life care.

The service was well led and managed by an experienced and proactive manager. People who used the service and staff were involved in the development of the service. Regular audits were undertaken to identify learning and drive improvement.

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 requires improvement (published 25 February 2019) and there was a breach of Regulation 12. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.

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.