Reablement West

Updated 19 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 team consisted of 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 houses and flats.

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

This inspection was unannounced.

Inspection activity started on 12 September 2022 and ended on 16 September 2022. We visited the location’s office on 12 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 used all this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and four relatives about their experience of the care provided. We spoke with 11 members of staff including home carers, reablement support workers, schedulers, team leader, service manager and registered manager.

We reviewed a range of records. This included three people's care records and three staff files in relation to recruitment. We also reviewed a range of records relating to the management of the service including policy and procedures, quality assurance and staff supervision.

Updated 19 October 2022

About the service

Reablement West service provides care and support for people who need immediate support to live independently in their own home; this may be as a result of a crisis or illness or following a discharge from hospital. They provide short term support for people to regain independence or identify if people require a permanent care provider to meet their longer-term care needs. At the time of the inspection the service was supporting 41 people.

People’s experience of using this service and what we found

People were cared for safely. Risk’s to people’s health were assessed to reduce any risks identified. Safe recruitment practices were in place and staff understood their responsibilities to keep people safe from harm or abuse. People received their medicines safely and there were effective practices in place to protect people from infection.

Needs were assessed prior to people receiving support and their independence was promoted. Staff were skilled and received the training they required to fulfil their roles. They received regular supervision to develop their roles. People were supported with their meals and to maintain a balanced diet where needed. Referrals were made to health professionals and the service liaised closely with other social care and health professionals.

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 providers policies and systems supported this practice.

Staff were empathetic, kind, caring and respectful. Care was provided in a dignified and respectful way. People and their relatives were listened to and were able to make decisions about the care and support they needed.

People received person-centred care. People were able to make choices about the way they wanted their care to be provided and encouraged to do things for themselves to remain as independent as possible.

A complaints policy and procedure was in place so any complaints could be dealt with appropriately. People felt able to raise concerns with staff and management if needed. The registered manager had a good understanding of the regulatory requirements of their role.

Relatives of people told us they felt the service was well managed, and communication was good. Systems were in place to monitor and check on all areas of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for the service under the previous provider was Good, published on 8 May 2019.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.