REaCH

Updated 16 March 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by one inspector.

Service and service type

This service is registered as a domiciliary care agency. It provides personal care to people living in their own houses, flats and specialist housing.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small, we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 28 February 2023 and ended on 8 March 2023. We visited the location’s office on 28 February 2023.

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 and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager and other members of office staff including resource managers and customer lead advisor workers. We spoke to 3 home support workers who provide support directly to people. We reviewed a number of records including 5 people’s care records, policies and systems for governance. We visited the provider office and reviewed 3 staff recruitment records

We obtained feedback from 7 people and their families who were currently using, or had previously received support from REaCH, to understand their experiences of receiving support.

Updated 16 March 2023

About the service

The Reablement and Community Home Support (REaCH) service is a multi-disciplinary team providing care and support in people's own homes. The service provides short-term support for people who need help to regain their confidence and independence. At the time of the inspection the service was supporting approximately 49 people

People’s experience of using this service and what we found

People spoke positively about the service and felt they were safely supported and well cared for. Clear assessment processes had been introduced and there were systems in place to ensure lessons were learnt if things went wrong. There were enough staff to meet people’s needs and suitable recruitment processes were followed.

New processes for the management of medicines and risk had been implemented following our last inspection and these were having a positive impact to keep people as safe as possible.

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.

New processes for the management of people’s care had been introduced since our last inspection. Staff spoke positively about the processes and felt involved and informed regarding changes and improvements within the service. The registered manager was enthusiastic and keen to provide good quality care. New processes and systems for oversight had been developed and embedded within the service. There were a variety of forums for stakeholders to feedback into service development.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 04 November 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced focused inspection of this service on 22 September 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for REaCH on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.