Background to this inspection
Updated
21 May 2021
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 team consisted of 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. The Expert by Experience contacted people and relatives by telephone to seek their views on the care and service provided.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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.
The inspection activity took place on 11 May 2021.
What we did before the 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. We reviewed information we had received about the service since the last inspection. We used the information the provider sent us to inform us of changes within the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with 18 people who used the service and two family members, about their experience of the care provided. We spoke with the registered manager and a senior care worker. We contacted remotely 19 members of staff. We reviewed a range of records. This included four people's care records, records relating to staff recruitment and a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
21 May 2021
About the service
Reablement Service provides assessment and rehabilitation services for people in their own homes to promote their daily living skills and independence. At the time of the inspection 55 people used the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
People spoke positively about their experiences and felt the service responded effectively in meeting their individual needs. People felt confident staff had the knowledge and skills needed and knew how to support them in a personalised way. Staff spoken with clearly understood the importance of respecting people's privacy, dignity and independence.
Safe systems had been maintained to help ensure the safety and protection of people who used the service. These included the safe management and administration of people's medication, thorough recruitment and training processes, assessment and management of areas of risk and infection control procedures. Staff safety was also a priority and systems were in place to ensure they were safe at all times.
People's needs and wishes were assessed and planned for. Care plans identified the intended outcomes for people and how their needs were to be met and these were constantly reviewed.
Systems for assessing and monitoring the quality of the service were effective in identifying areas of improvement. Systems were in place to gather people's views on the service.
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 (published19 September 2017)
Why we inspected
We carried out a focused inspection of this service on 11 May 2021. This report only covers our findings in relation to the key questions safe and well led as we were mindful of the impact and added pressures of Covid-19 pandemic on the service.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information, we may inspect sooner.