26 March 2019
During a routine inspection
Not everyone using Cambridgeshire County Council Reablement Service North (March Team) receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection 39 people were using the service and 38 were in receipt of personal care.
People’s experience of using this service:
• People were supported to be safe by sufficient skilled staff who were deployed to keep people as safe as practicable. People’s medicines were administered and managed safely. Staff managed risk to people well including infection prevention. Accidents and incidents were acted on.
• Staff were skilled and competent and knew the people they supported well. People's care, health and support needs were identified and staff were skilled at meeting these. People were supported to eat and drink sufficiently. Staff enabled people to access and receive appropriate healthcare when required. Staff worked within the principles of the Mental Capacity Act (MCA) 2005 and ensured people received care they had agreed to.
• People received care and support from all staff that was compassionate, kind and caring. People's privacy and dignity was protected and promoted. People got on well with staff and had developed a bond which helped staff better understand their needs and preferences. One person told us, “I would not be walking now without their help, encouragement and passion to make my life better.”
• People received person centred care that met their needs. Care plans lacked detail of how people would like their needs met but staff knew people very well. People achieved more independence due to staff’s involvement, determination and ability to help them achieve goals. Staff engaged with people and worked with them to achieve the best outcome such as, being able to cook independently again. Complaints were acted on to the complainant’s satisfaction.
• People, relatives, health professionals and staff praised the service management who promoted an open and friendly culture. Staff were supported to achieve their full potential. The registered manager and staff worked very successfully in partnership with other agencies to ensure people got the care and support they needed. People had a say in how the service was run and this changed people’s lives for the better.
Rating at last inspection:
This service has not been rated since the provider registered this service in February 2018.
Why we inspected:
This was a planned inspection as part of CQC’s routine inspection programme.
Follow up:
We will continue to monitor all intelligence received about the service to ensure the next inspection is undertaken in accordance with our published guidance. If any information of concern is received in the interim, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk