Vivid Community Care Limited

Updated 21 November 2019

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 one inspector.

Service and service type

This service is a domiciliary care agency and also provides a supported living service. It provides personal care to people living in their own homes. There were 24 people receiving a service at the time of inspection.

Notice of inspection

We gave the service a short period of notice of the inspection. This was because we needed to be sure the provider would be in the office to support the inspection.

Inspection activity started on 30 September 2019 and ended on 1 November 2019. We visited the office location on 30 September 2019 and 1 November 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with one person who used the service and six relatives about their experience of the care provided. We spoke with eight members of staff and the registered manager, deputy director and the business relationship manager. We reviewed a range of records which included six people’s care records and three medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 21 November 2019

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