At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.About the service
Reablement Service provides up to 6 weeks support for people living in the community. Its primary aim is to promote independence so that people can remain living in their own home, help people recover faster from illness and to prevent unnecessary admission to hospital and long-term care facilities. The service was providing the regulated activity of personal care to 39 people at the time of inspection.
People’s experience of using this service and what we found
Right Support
People told us staff made them feel safe. Staff had a good understanding of the signs and symptoms that could indicate people were experiencing abuse or harm. They felt confident they would be listened to if they raised concerns. People had risk assessments which included control measures required to help them minimise the risks in their lives without being restrictive.
There were enough staff to support the number of people they visited. Recruitment was ongoing. Staff received regular spot checks and competency assessments. This ensured practice standards were maintained.
People had an initial assessment prior to them receiving a reablement service. This captured their goals, abilities, support network and desired outcomes.
Staff received a range of training to help them meet people’s needs. People felt staff were well trained. The service liaised well with relevant professionals and took a holistic approach to supporting people to regain their optimum level of independence.
Consent was sought prior to the reablement service commencing and during each visit by care staff. 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.
Right Care
People told us staff were always kind and respectful. Daily notes confirmed people’s right to refuse or influence the degree of support they wished to accept. People were supported to make decisions by staff who understand the importance of choice in all aspects of the care and support they received.
People and, where appropriate, their relatives told us they felt involved in decisions about the care and support they received. People were encouraged and supported to regain as much independence as possible with staff careful not to deskill them.
People’s reablement plans were detailed and person-centred. People's support was reviewed and amended to reflect the progress achieved on their reablement journey.
Right Culture
The service had a friendly and supportive culture. Staff enjoyed working for Reablement Service. People, relatives and professionals felt the service was organised and well run. The registered manager was praised by all stakeholders and felt supported by the provider.
Various audits took place which provided good oversight and helped maintain service quality. People’s and relative’s views were sought via surveys at the end of people's reablement service. Comments were positive.
The service had developed good working relationships with others including District Nurses, Hospital Discharge Teams and Occupational Therapists. This was helping people to achieve good outcomes during their time with the service. The service understood its vital role as a contributor to the health and social care system.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
The service was registered with us on 3 October 2022 and this was the first inspection.
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.