Vybrant Care Services Ltd was rated Good overall at its first inspection, with people reporting punctual, kind care from a consistent staff team and a hands-on registered manager. CQC recommended strengthening audit and governance processes, and noted minor lapses in following the provider's medicines policy and a late safeguarding notification.
Concerns (4)
moderate
Medication management
: “we saw two medicine errors where staff had reported it to the provider but had not consulted an appropriate health professional in line with the provider's policy”
moderateSafeguarding: “we identified one incident where the service had not followed procedures to notify the local authority of a potential safeguarding concern”
moderateGovernance: “systems for auditing daily records and medicine records were not robust... audits did not follow a clear framework and staff did not record what they had looked at, findings or actions arising from their audit”
minorRecord keeping: “people's medicine and daily records were archived sporadically, which meant in some cases people's records had not been checked for several months”
Strengths
· Registered manager (a registered nurse) involved in care delivery, providing strong oversight and practical support
· Consistently positive feedback from people and relatives about kind, punctual care from a regular core group of staff
· Safe recruitment processes and well-managed call schedules with no missed calls reported
· Person-centred care plans with people and families involved in development and review
· Effective partnership working with health professionals (e.g., GP referrals, physio involvement)
Quality-Statement breakdown (17)
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Staff working with other agencies; supporting people to live healthier livesNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions; respecting privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control; End of life care and supportNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Managers and staff being clear about their roles; understanding quality performance, risks and regulatory requirements; continuous learning and improving careNot rated
well-led: Promoting a positive, person-centred culture; working in partnership; engaging people and staffNot rated