Haringey Community Reablement Service

Updated 22 September 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 8 and 9 August 2018 and was carried out by 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.

We gave the provider two days’ notice that we would be visiting their head office as we wanted to make sure they were available on the day of our inspection. After the inspection we spoke to six people who use the service and four relatives. Telephone calls were carried out by an expert by experience.

We reviewed information we had about the provider, including notifications of any safeguarding or other incidents affecting the safety and well-being of people using the service.

We spoke with eight staff who support people at home. These support staff are called enablers. We also spoke with the team manager, two occupational therapists, the two team leaders and the overall service manager.

We looked at five people’s care plans and other documents relating to their care including risk assessments and healthcare documents. We looked at other records held by the service including four staff files, health and safety documents, quality audits and exit interviews with people who had completed the reablement programme.

Updated 22 September 2018

This inspection took place on 8 and 9 August 2018. We gave the provider two days’ notice that we would be visiting their head office as we wanted to make sure they were available on the day of our inspection.

At our last inspection we rated the service ‘good’. At this inspection we found the evidence continued to support the rating of 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.

Haringey Community Reablement Service provides short term, intensive support to people so they can improve aspects of their independence. People are usually referred to this service before being discharged from hospital. People can also refer themselves to this service. Staff provide support with personal care to people living in their own houses and flats in the community. The provision of personal care is regulated by the Care Quality Commission.

At the time of this inspection there were approximately 25 people using the service.

People told us they were well treated by the staff and felt safe with them when being supported in their home.

Staff knew how to recognise and report abuse and they understood their responsibilities in keeping people safe. Staff understood that people were at risk of discrimination and knew that people must be treated with respect.

Staff understood that there were laws to protect people from discrimination.

Where any risks to people’s safety had been identified ways to mitigate these risks had been discussed with the person and recorded so staff knew how to support the person safely.

The provider was following appropriate recruitment procedures to make sure that only suitable staff were employed.

Staff supported people appropriately with managing their medicines where this was assessed and identified as a goal for the individual.

People who used the service were positive about the staff and told us they had confidence in their abilities. Staff were provided with the training they required in order to support people effectively.

Staff offered choices to people as they were supporting them and people told us they felt involved in making decisions about their reablement programme.

The management and staff were quick to respond to any changes in people’s needs and care plans reflected people’s current needs and preferences.

People told us they had no complaints about the service but said they felt able to raise any concerns without worry.

The service had effective quality monitoring systems and people confirmed that they were asked about the quality of the service and had made comments about this.

Staff were positive about the management and understood the vision and values that underpinned the reablement service.