Reablement SkILs

Reablement SkILs is a domiciliary care service providing personal care to people living in their own homes. The service focuses on providing short term care and support to assist people to regain their confidence, skills and independence after a stay in hospital. At the time of our inspection there were 110 people using the service.

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

Quality assurance systems were not always robust. Care records were generally clear and well completed but improvements were required to ensure they were regularly audited, and all identified risks were assessed. Improvements were required to how medicines were managed and monitored safely. Accidents and incidents were reported but there was no system in place to analyse any themes and trends.

People and relatives told us they received person-centred care and felt safe and secure. People spoke positively about the support they received to regain their independence and confidence. Recruitment was managed safely and there were enough staff to provide consistent support for people. Staff received induction, supervision, and training to be able to carry out their roles effectively. Call times were generally well organised and coordinated flexibly to ensure they met people’s changing needs.

The registered manager was approachable and supportive. People, relatives and staff said the service was generally well run and managed. The provider responded very promptly to our inspection findings. They commissioned a comprehensive audit and took action to address the shortfalls this identified.

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

Rating at last inspection

The last rating for this service at the previous premises was good (published 17 August 2017).

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Why we inspected

This inspection was prompted by a review of the date of the last inspection. You can see what action we have asked the provider to take at the end of this full report.

The provider took immediate action to mitigate the risks, including coordinating a full audit of people’s records.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Reablement SkILs on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

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