We inspected Vibrance Outreach on 1 June 2017. This was an announced inspection. We informed the provider 48 hours in advance of our visit that we would be inspecting. This was to ensure there was somebody at the location to facilitate our inspection. Vibrance Outreach provides care and support to people in their own homes. At the time of our inspection, the service was providing 24 hour care for two people in their own homes.

There was a registered manager at the service at the time of our 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.

The service was safe and had practices in place to protect people from harm. Staff were knowledgeable about safeguarding and what to do if they had any concerns and how to report them.

Risk assessments were thorough and detailed and staff demonstrated their knowledge in knowing what to do in an emergency situation.

Staffing levels were meeting the needs of the people who used the service and staff demonstrated that they had the relevant knowledge to support people with their care.

Recruitment practices were safe and records confirmed this.

Medicines were managed and administered safely and audited on a regular basis.

Newly recruited care staff received an induction and training for care staff was provided.

Care staff demonstrated an understanding of the Mental Capacity Act (2005) and how they obtained consent on a daily basis. Consent was recorded in people’s care plans.

People were supported with eating and preparing food in a personalised way.

People were supported to have access to healthcare services and receive on-going support. The service made referrals to healthcare professionals when necessary and records confirmed this. The service created pictorial care guidance for people who used the service to reduce the anxiety of GP and dentist appointments.

Positive relationships were formed between care staff and the people who used the service and care staff demonstrated how well they knew the people they cared for.

The service promoted the independence of the people who used the service; people were encouraged to carry out tasks like personal care in an independent way and were supported when necessary.

Care plans were detailed and contained personalised information about people who used the service and their needs. Care plans were reviewed and this was documented accordingly.

Concerns and complaints were encouraged and listened to and records confirmed this.

The registered manager had a good relationship with staff and the people using the service and their relatives. There was open communications between all parties.

The service had quality assurance methods in place.