Background to this inspection
Updated
21 December 2019
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
The inspection was completed 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.
Service and service type
This service is a reablement service. It provides personal care to people living in their own homes on a short-term basis.
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.
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 who work with the service. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, the deputy manager, a care co-ordinator, a team manager and three support workers.
We reviewed a range of records. This included six people’s care records and medication records. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke to five people who use the service, five relatives and a friend of people who use the service on the telephone.
Updated
21 December 2019
About the service
Sefton New Directions Limited Reablement service provides short term support for people (up to six weeks) in their own homes. Support is rehabilitative in nature and is often provided to people following their discharge from hospital. At the time of our inspection, the service was providing support to 90 people.
People's experience of using this service and what we found
People had confidence in the staff who supported them. People received care and support from staff who were caring and enthusiastic about their role. Staff supported people to regain their independence, this enabled people to remain at home for longer.
People told us staff provided support with dignity and consideration. Staff got to know people's needs and supported them in a person-centred way. People were involved in setting their own goals and aspirations and supported to achieve them with the direct involvement of staff.
Wherever possible, people received support from the same members of staff to help ensure their progress could be monitored more effectively.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Regular checks and audits were carried out to determine the quality and safety of the care and support being provided. Risk to people was assessed and measures were put in place to support people safely, whilst still respecting their freedom.
Staff were well supported in their role with appropriate training and supervision. Most staff had received additional training to meet the specific needs of the people they were caring for.
Feedback about the management of the service from people, their relatives and staff was positive. The registered manager and registered provider had met their legal requirements with the Care Quality Commission (CQC).
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 11 December 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the registration anniversary date.
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.