We carried out a review of the data available to us about Vibrance - 83 Glengall Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Vibrance - 83 Glengall Road, you can give feedback on this service.
Vibrance - 83 Glengall Road is a small residential care home providing personal and nursing care to seven people with learning disabilities aged 18 and over at the time of the inspection. 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.
The service was registered to provide support to up to seven people and there were seven people using the service at the time of our inspection. The service is larger than recommended by best practice guidance. However, we have rated this service good the provider had provided enough and experienced staff and had arranged the service in a way that ensured people received person-centred care and were supported to maximise their independence, choice, control and involvement in the community.
People’s experience of using this service
Risk assessments had not been completed for one person. This meant staff did not have enough information to mitigate risks to people's health and safety. Pre-employment checks had been undertaken to ensure staff were of good character and had the necessary skills, experience and knowledge to work with people. There were enough staff to meet people's needs.
Medicines were managed safely. There were systems in place to ensure people were safeguarded from abuse.
People's needs were assessed and reviewed. Care plans were personalised ensuring each person's needs were identified and met. Equality and diversity was evident in the service through the care plans and support provided to people, which enabled people to practise their faith.
Staff had completed various training programmes to carry out their roles and felt supported by management.
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.
Staff were kind and caring. They supported people to live as independently as possible, whilst respecting their privacy and dignity. People enjoyed meals which reflected their preferences and culture. People had a variety of activities within the service and in the community. Staff ensured people's healthcare needs were met.
The registered manager welcomed feedback and developed systems for auditing the service to help improve the quality of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At our last inspection on 1 August 2017, the home was rated good (report published 1 September 2017).
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.
83 Glengall Road is registered to provide accommodation and personal care for up to seven adults with learning disabilities. At the time of our inspection, five people were living at 83 Glengall Road.
The service had a registered manager who was available throughout the inspection. 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 2008 and associated Regulations about how the service is run.
Staff were aware of their duty to protect people from the risk of abuse. Risk assessments were completed and managed by staff so people were protected from avoidable harm.
There was a robust staff recruitment process in place to ensure that those who worked with people were safe. The service also had enough staff deployed to support on each shift. People were confident that staff followed safe medicine management practices.
Staff were experienced and had support, induction, training, supervision and appraisal. They were clear about promoting and protecting people's rights under the Mental Capacity Act 2005.
People were provided with sufficient food and drink that was nutritious and reflected their personal preferences. Care plans were reviewed with the involvement of people, their relatives and other professionals. People's social and healthcare were met through opportunities of various activities and medical referrals to appropriate healthcare professionals.
Staff were kind, caring and knew people well. Relatives told us they were satisfied with the care and support staff provided. The registered manager sought feedback from people, relatives and staff through meetings and surveys to ensure their views were heard and influenced the quality of the service. There was also a complaints process in place for people and relatives to raise their concerns.
The provider was meeting their regulatory responsibilities by sending notifications, raising safeguarding alerts, and monitoring and auditing the facilities and practices to improve the quality of the service.
Glengall Road is registered to provide accommodation and support with personal care for up to seven people with a learning disability. At the time of the inspection there were seven people using the service.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 2008 and associated Regulations about how the service is run.
We found the central heating system was not working adequately to ensure that the home was always comfortable for people. There were one-to-one staff arrangements in place to support people who had a behaviour that challenged the service. However, we found that these were not always effective.
People and their relatives were happy with the home. They told us staff were kind and the service met people's needs. People and relatives were satisfied with the amount and variety of activities available at the home. We noted staff supported people to go out to various places of leisure, shops and cafés.
Each person had a risk assessment and care plan. The care plans were reviewed regularly and there was evidence to show that people and their representatives were involved in the review of care plans. Staff told us and we observed there were arrangements for people to enjoy meals that reflected their cultural or personal references. Staff were experienced, trained and supported. We noted staff had good knowledge of each person's likes and dislikes and were trained in medicine administration. This showed people were supported by staff who understood their needs.
Staff told us they had attended various training courses related to their roles. Records showed staff had attended different training programmes including Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). We observed how staff treated people with compassion and ensured that people had the opportunity to do as much as possible independently by themselves. This showed staff respected people's choice and rights.
There were various auditing systems in place. We noted people and relatives were consulted about the service and the home had a complaints procedure which people and relatives knew about. The equipment and facilities were checked and maintained regularly and it was evident that the home was clean and was free from offensive odours on the day of the inspection.
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.You can see what action we have told the provider to take at the back of the full version of this report.
People were supported to have a nutritious diet and if necessary assisted to eat and drink. They told us they enjoyed their meals. There were sufficient skilled and experienced staff on duty to meet people's assessed needs. A healthcare professional told us 'staffing is always okay and staff are experienced." People were protected from the risks of unsafe or inappropriate care because accurate and appropriate records were maintained.
One person who used the service told us that "the food is very nice" and that the temperature in his room was "just right". He also talked about the plans he was making for his holiday. He said that at times if it becomes noisy he can go to his room to listen to the radio. Other people who used the service indicated through gestures that they liked the food and enjoyed going out with particular workers.
Feedback from relatives was positive and they were able to visit at any time.
Relatives said: 'My daughter is well looked after. It's excellent. I've never had a problem with them and it's a godsend. They will do anything to help. The staff are happy and everyone living there seems happy. There are parties for Christmas and birthdays. It couldn't be any better. People living there do what they want. My daughter goes out on a regular basis and she has a busy life'. 'I think my relative is very happy there. We visit at different times. We just turn up and things are never any different. It is always okay. It's brilliant. They have done so much for him. I can only give them a very glowing report. They let him be independent and we are very, very, pleased.
Social workers said: 'It's a very good service and my client has settled amazingly well. She has had a review and they were meeting her needs. She is well placed and the staffing is very good. They encourage her to be independent. People get an individualised service. My client loves it and her mother speaks highly of the service'.
'It seems to be very relaxed and open. Service users were moving around as if it was their own home. I felt that staff were conscious of those that were more vulnerable and monitored them. I was impressed. They seemed genuinely keen to provide good care. I felt the service was transparent and professional. Staff knew what they were doing and did it with confidence. My client's family said that he was happy'.