• Care Home
  • Care home

Vibrance - 16 Sylvan Road

Overall: Requires improvement read more about inspection ratings

16 Sylvan Road, Wanstead, London, E11 1QN (020) 8518 8004

Provided and run by:
Vibrance

All Inspections

19 December 2019

During a routine inspection

About the service:

16 Sylvan Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. 16 Sylvan Road accommodates 4 people in one adapted building. At the time of our inspection 4 people with mental health needs were living there.

People’s experience of using this service:

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests; the policies and systems in the service did support this practice. There was an instance of consent documentation being completed incorrectly. Consent was implied in people's documentation.

We saw that some care records had been typed then written over by hand. We noted some audits were overdue and did not pick up on the error we found with respect to consent documentation. One audit which was overdue and therefore did not pick up a medicine recording omission we found. Quality assurance processes either did not identify or seek to remedy the issues we saw with decoration.

People’s needs were met with respect to building layout and design, however the service had not been decorated for some time.The provider told us they would seek people's input around this and agree a plan.

People told us they felt safe and there were safeguarding procedures to keep people safe from abuse. People were risk assessed to keep them safe from harm. There were sufficient staff at the service. Suitable staff were recruited to work with people. People’s medicines were managed safely.

People’s needs were assessed before moving into the service. Staff were trained how to do their jobs and were supervised in their roles. People were supported to access health care professionals. People were supported with their food and could choose what they wanted to eat.

People and relatives told us staff were caring. People and their relatives were involved with their care. People’s privacy was respected, and their independence promoted.

People’s care plans recorded their needs so staff knew how to best work with them. People were supported to attend activities they enjoyed. People’s communication needs were assessed, and staff knew how to communicate with them. People and relatives told us they knew how to make complaints, though there had been no recent complaints at the service. The service was not providing end of life care to people but staff had received training and people’s end of life wishes were recorded if they wanted.

People were happy with the management of the service. The registered manager was supported in their role by a deputy manager. The service had links with other agencies to the benefit of people using the service.

Please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

This service was previously rated ‘Good’ at inspection in July 2017.

Why we inspected

This was a planned inspection that was part of our inspection schedule.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

8 June 2017

During a routine inspection

Sylvan Road is a 4 bed service providing support and accommodation to people with mental health difficulties. It is a large ‘ordinary’ house in a residential area close to public transport and other services.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People continued to receive safe care. Risks were identified and action taken to minimise risk and to support them as safely as possible. Systems were in place to ensure medicines were administered safely and when needed. There were enough staff on duty to support people.

People were supported by experienced staff who received training and support to enable them to continue to provide an effective service. The staff team worked closely with other professionals to ensure that people remained as healthy as possible and received the healthcare they needed.

People enjoyed their meals and were supported to have a nutritious diet that met their needs and preferences.

People continued to be supported by kind, caring staff who treated them with respect. Their privacy and dignity were maintained.

People continued to receive individualised care and support that was responsive to their needs. They were encouraged to make choices about their daily lives and to continue to do things they enjoyed.

Management systems ensured the service continued to be well led and that people were involved in decisions about their care and about what happened in the service.

Further information is in the detailed findings below.

20 November 2014

During a routine inspection

This unannounced inspection took place 20 November 2014. This is a summary of what we found.

Sylvan Road is a 4 bed service providing support and accommodation to people with mental health difficulties. It is a large ‘ordinary’ house in a residential area close to public transport and other services. The house does not have any special adaptations. A ground floor bathroom and shower are available which can meet the needs of a person with limited mobility. People lived in a clean, safe environment that was suitable for their needs.

The service has 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 and associated Regulations about how the service is run.

People told us they felt safe at Sylvan Road and that they were supported by kind, caring staff who treated them with respect. One person told us that they felt safe because there was always a member of staff there that they trusted.

The staff team worked closely with other professionals to ensure that people were supported to receive the healthcare that they needed.

Staff had received Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) training. Deprivation of Liberty Safeguards is where a person can be deprived of their liberties where it is deemed to be in their best interests or for their own safety. Staff were aware that on occasions this was necessary. There were not any DoLS in place when we visited. People were able to make choices about their care and support and to ‘come and go’ when they wished.

People chose what they wanted to eat and told us that they enjoyed the food. They also said that they could have drinks and snacks whenever they wanted. One person told us, “The food is lovely here and I can make tea and coffee 24hours a day.”

Staff received the support and training they needed to provide a safe and appropriate service that met people’s needs.

People knew how to raise concerns and felt that any concerns they made would be listened to and acted upon.

The manager and the provider monitored the service closely to ensure that people received a service that met their needs and wishes safely.

12 November 2013

During a routine inspection

People's care, health and welfare needs were being met and systems were in place to ensure that they received their prescribed medication appropriately. A healthcare professional told us 'he is looked after well.'

We found that people were treated with respect and that they were asked for their consent before any care was provided. People told us that they were happy at Sylvan Road. One person said 'it's very nice here and they treat me very well.'

We also found that staff received the training and support that they needed to carry out their duties and to support people who used the service. One member of staff told us 'we definitely get the right training.' People were protected from the risks of unsafe or inappropriate care because accurate and appropriate records were maintained.

6 February 2013

During a routine inspection

The views of people who use the service and their carers were considered in the planning and delivery of care. We found that people were provided with a safe service and that steps were taken to protect people. There was sufficient staff to meet the needs of people who use the service. The management had arrangements in place to monitor the quality of care delivered.

One person who used the service told us that they liked living at Sylvan Road. They said they liked the food and we saw that staff treated the person with dignity and respect. People are encouraged to take an active part in the running of the home. There was good links with health services and the local community mental health services. Relatives were able to visit at any time.

23 December 2010

During a routine inspection

We talked to all four users of this service during the visit. Two people were happy to show us their rooms and to talk to us about the care and support that they get but the other two did not wish to do this.

One person said that staff helped him and talked things over with him. Also that they talked about his care plan and what he wanted to do. Another said that they were happy there, that staff were nice and that that staff let them choose what to do. They told us that they go to meetings and talk about 'things'. We saw minutes of service user's weekly meetings and these showed that they are asked about and discuss things that affect them.

People who use the service can all say if they are not happy about anything. They said that they could talk to the staff. This was shown by the fact that one person felt safe to tell a member of staff that he did not like us being there and wanted to know when we were going.

The health care coordinator told us that staff knew people and their history. He also said that everything seemed to be okay in the service and he did not have any concerns.

We saw that staff spent time with the people who use the service. This was to offer advice and support when needed and also talking to them about what they wanted to do. We saw that staff treated people who use the service with respect.