Background to this inspection
Updated
8 October 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 1 September 2022 when we visited the service’s registered office address and ended on 15 September 2022.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority about this service. We used all this information to plan our inspection.
During the inspection
We spoke with six people who used the service and four relatives, about their experience of the care provided. We spoke with the registered manager, operations officer, care coordinator, HR officer and three care workers. We reviewed three people’s care plans and risk assessments. We reviewed two staff files to look at the recruitment, training and supervision records.
Updated
8 October 2022
About the service
Vybrant Care Services Ltd is a domiciliary care agency providing personal care in people’s own homes. At the time of the inspection the service was providing care and support to 11 people. Not everyone who used the service received personal care. Care Quality Commission (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
The service was predominantly well run, and people who used the service were very happy with the care and support they received. One person commented about the service, “It’s run very well because of regular communication. We feel safe.” The provider’s quality assurance systems encouraged good service delivery, but there was scope to improve audit processes to make them more robust. We have made a recommendation about the provider’s audit systems. Although improvements were needed in this area, the registered manager possessed a good oversight of the service as they were involved in care delivery.
People felt safe in the company of staff. Staff were trained on how to identify and report abuse. Incidents were well-managed to keep people safe and staff compliance with reporting procedures was mostly good. People consistently told us staff were kind, arrived on time and they received support from the same core group of staff, which promoted good continuity of care. The service had recruitment processes in place to ensure suitable staff were employed. Staff followed safe infection control practices.
People were supported by staff who were competent and skilled. Staff were trained to administer people’s medicines safely and people were happy with the medicines support they received. Medicines errors were responded to, but the provider’s policies and procedures were not consistently followed. The registered manager assured us action would be taken to ensure compliance with their own policies and procedures. Staff asked people for their consent before providing them with any care. People who used the service 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 30 April 2021. This is the first inspection.
Recommendations
We have made a recommendation about the provider’s audit systems under the well-led section of the report.
Why we inspected
This was a planned inspection based on the date of registration.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.