Reablement Service is a domiciliary care and reablement service providing short term support to people living in the borough of St Helens. The service forms part of the services delivered to people by St Helens Metropolitan Council. All services provided by the Reablement are co-ordinated from an office located in the grounds of Whiston Hospital. At the time of this inspection 24 people were in receipt of services.The service provides two levels of support to people, a Reablement service for a period of up to six weeks and a Crisis Response service that offers urgent support for a period of up to seven days. The purpose of the service is to enable people to be discharged from hospital to their home address with rehabilitation services and to prevent people, wherever possible from being admitted to hospital.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of overall good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Why the service is rated good.
People told us they felt safe using the service and they felt the service was effective for them. Their comments included “They enable me to do as much as I can”, “Smashing service”, “Always ask if I want anything and if they can find it they will” and “Nothing is too much trouble.” Additional comments in relation to how the service was caring included “Very polite and very nice”, “They [staff] are smashing and nice people”, “My privacy is always respected”, “They [staff] are very polite and very nice” and “Very respectful.”
At the time a person started to use the service checks were carried out to identify any potential hazards or risk to people and staff safety. Systems were in place to support people with their medicines safely when required. Staff rotas were continually monitored to ensure that people received the visits they required.
Prior to or at the start of a person using the service people’s needs were assessed. These assessments enabled the service to identify people’s needs and wishes and to plan individual’s care and rehabilitation. People’s nutritional needs were considered and planned for as part of the care planning process. People received support from staff that received regular training for their role.
People were provided with information about the service and safeguarding people from harm and this information was available in different formats and translation when required.
Individual care plans gave the opportunity to record people’s needs and plan how their care was to be delivered. People’s care and support needs were reviewed on a weekly basis or sooner if required. A complaints procedure was in place and people using the service had access to this. People were asked for their views on the service as their period of support was coming to an end.
Policies and procedures were in place to promote safe working practices and promote the health, safety and wellbeing of people using the service. All policies and procedures were accessible to staff at the service’s office. Systems were in place to continually monitor the quality of the service people received. The registered provider continued to develop the service along with health care provision within the area to provide support when needed to people in their own homes.
Further information is in the detailed findings below.