Background to this inspection
Updated
8 December 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 29 July and 5 August 2016 and was announced. We gave the registered provider 48 hours' notice as it was a community based service and we wanted to make sure people would be in.
The inspection team consisted of an adult social care inspector. Before our inspection we reviewed the information we held on the service. This included notifications we had received from the registered provider, about incidents that affect the health, safety and welfare of people. We also checked to see if any information concerning the care and welfare of people had been received.
The registered provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During our inspection we spoke with a range of people about the service. They included the registered manager, the organisation's directors, team leaders, support workers (reablement assistance), and healthcare professionals . As some people had complex needs we also contacted and spoke with their relatives. We also looked at people's care records and staff personnel records.
Updated
8 December 2016
The service was inspected on 29 July and was announced. The service met all legal requirements we checked at the last inspection in 2013 and the previous year.
Elmbridge Reablement Service is registered to provide personal care to people living in their own homes who have been in hospital or require support due to a decline in their health. The service is provided for a few days, or up to a maximum of 6 weeks depending on need. If it is identified that people may still require longer term support, the service worked with staff in local social care teams to help arrange long term support. At the time of the inspection 56 people were receiving support from the service.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service was described by people, their relatives, healthcare professionals, and professionals from the local authority in complimentary terms in respect of leadership, person centred care, partnership working and compassion.
People told us they felt safe with the support they received from staff. There were arrangements in place to help safeguard people from the risk of abuse. The provider had appropriate policies and procedures in place to inform people who used the service and staff knew how to report potential or suspected abuse. Staff understood what constituted abuse and were aware of the steps to take to protect people.
There were risk assessments and management plans for people to reduce the likelihood of harm. There were safe recruitment procedures in place to help protect people from the risks of being cared for by staff assessed to be unfit or unsuitable.
Staff had received training in relevant areas of their work. This enabled them to support people effectively.
Staff and the registered manager understood their responsibilities in relation to the Mental Capacity Act 2005. People were involved in making decisions about their care and support and their consent was sought and documented.
People were supported to eat and drink in a safe manner where this was required. Care plans included an assessment of their nutrition and hydration needs.
People told us they were treated with dignity and respect. Staff understood the need to protect people's privacy and dignity. People told us staff knocked on their doors before they could enter their homes.
The provider had systems in place to continually monitor the quality of the service and people were asked for their opinions and where required action plans were developed to address areas for improvements.