Background to this inspection
Updated
6 November 2018
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 was a comprehensive inspection carried out by one adult social care inspector.
The inspection took place on the 13 and 17 September 2018 and was announced. We gave the service 24 hours' notice of the inspection visit because the location provides a domiciliary care service. We needed to be sure that they would be in.
During the inspection we looked at a selection of records and documents relating to the service. We looked at records that included assessments of risk and care planning documents, policies and procedures and other documents relating to the management of the service. We looked at the recruitment procedures and rotas. In addition, we spoke with five people who used the service. We spoke with and spent time with seven staff members and the registered manager of the service.
Prior to the inspection we assessed all of the information we held about the service. This information included information sent to us by the registered provider. We used all of this information to create our 'planning tool' which helps us to decide how the inspection should be conducted and any key information we need to discuss.
Before this inspection we received a completed Provider Information Return (PIR). This document gave the registered provider the opportunity to tell us about how the service delivers safe care and support to people and what plans they have in place to continue to make improvements to the service. Through the PIR process three people who had used the service, two staff and three health care professionals completed a questionnaire. The results of these questionnaires are considered in this report.
Updated
6 November 2018
Reablement Service is a domiciliary care and reablement service providing short term support to people living in the borough of St Helens. The service forms part of the services delivered to people by St Helens Metropolitan Council. All services provided by the Reablement are co-ordinated from an office located in the grounds of Whiston Hospital. At the time of this inspection 24 people were in receipt of services.
The service provides two levels of support to people, a Reablement service for a period of up to six weeks and a Crisis Response service that offers urgent support for a period of up to seven days. The purpose of the service is to enable people to be discharged from hospital to their home address with rehabilitation services and to prevent people, wherever possible from being admitted to hospital.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of overall good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Why the service is rated good.
People told us they felt safe using the service and they felt the service was effective for them. Their comments included “They enable me to do as much as I can”, “Smashing service”, “Always ask if I want anything and if they can find it they will” and “Nothing is too much trouble.” Additional comments in relation to how the service was caring included “Very polite and very nice”, “They [staff] are smashing and nice people”, “My privacy is always respected”, “They [staff] are very polite and very nice” and “Very respectful.”
At the time a person started to use the service checks were carried out to identify any potential hazards or risk to people and staff safety. Systems were in place to support people with their medicines safely when required. Staff rotas were continually monitored to ensure that people received the visits they required.
Prior to or at the start of a person using the service people’s needs were assessed. These assessments enabled the service to identify people’s needs and wishes and to plan individual’s care and rehabilitation. People’s nutritional needs were considered and planned for as part of the care planning process. People received support from staff that received regular training for their role.
People were provided with information about the service and safeguarding people from harm and this information was available in different formats and translation when required.
Individual care plans gave the opportunity to record people’s needs and plan how their care was to be delivered. People’s care and support needs were reviewed on a weekly basis or sooner if required. A complaints procedure was in place and people using the service had access to this. People were asked for their views on the service as their period of support was coming to an end.
Policies and procedures were in place to promote safe working practices and promote the health, safety and wellbeing of people using the service. All policies and procedures were accessible to staff at the service’s office. Systems were in place to continually monitor the quality of the service people received. The registered provider continued to develop the service along with health care provision within the area to provide support when needed to people in their own homes.
Further information is in the detailed findings below.