Background to this inspection
Updated
25 January 2020
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 Care Act 2014.
Inspection team
One inspector carried out the inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care and reablement support to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 08 January 2020 and ended on 09 January 2020. We visited the office location on 08 January 2020.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the service provided. We spoke with one volunteer who participated in recruitment and five members of staff including the registered manager.
We reviewed a range of records. This included two people’s care records and a variety of records related to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
25 January 2020
About the service
The Short Term Intervention Service supports adults with a learning disability in gaining confidence and skills to live as independently as possible in their own homes. This service may be provided for up to twelve weeks, although some people received longer support. The service provides reablement and assessment to identify any other support people may require in the longer term. At the time of our inspection 16 people were receiving support.
People’s experience of using this service and what we found
The management team provided, flexible person-centred care to people, so they could remain living in their own homes for longer. People were supported to have control of the service they received. They were supported to access culturally valued activities and build positive relationships.
People were protected from the risk of abuse and avoidable harm by staff who understood how to recognise and respond to concerns. Risk assessments had been developed to minimise the potential risk of harm to people. People when required, were supported to receive their medicines as prescribed from trained staff. The registered manager had a system to record any incidents and accidents and learn from any trends or patterns.
People's needs were assessed, and reablement care and support had been planned with them and their relatives. Staff had received regular training and supervision to support them to meet people's needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were positive about the service and said staff were kind and caring. People told us were treated with dignity and respect and their right to privacy was upheld. Staff said working alongside people regularly promoted trust and built positive relationships. The registered manager worked with people’s advocates when appropriate.
People and their relatives told us the service was well led and they would recommend the service to others. The service worked with a variety of agencies to ensure people received all the support they needed. Staff stated the management team were always approachable and available to provide support.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion within a reablement setting. People's support focused on them having as many opportunities as possible for them to gain new skills, relearn old skills and become more independent.
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 was good (published 28 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.