This inspection was undertaken on 7 and 8 June 2016. We gave the provider 24 hours’ notice that we would be visiting their head office. We gave the provider notice as we wanted to make sure the registered manager was available on the day of our inspection. Haringey Community Reablement Service provides a domiciliary care service to adults of any age in their own homes. The service aims to offer a period of intensive reablement for up to six weeks to help people regain their independence after a period of ill health or hospital stay. At the time of our visit, the service was providing personal care for approximately 30 people living in the London Borough of Haringey. However, the short-term nature of this reablement service meant that up to 600 people a year used the service.
There was a registered manager in post at the time of our inspection. 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 and associated Regulations about how the service is run.
People told us they were well treated by the staff and felt safe and trusted them.
Staff could explain how they would recognise and report abuse and they understood their responsibilities in keeping people safe.
Where any risks to people’s safety had been identified, the management had thought about and discussed with the person ways to mitigate these risks.
People told us that staff came at the time they were supposed to or they would phone to say they were running late.
The service was following appropriate recruitment procedures to make sure that only suitable staff were employed.
People told us they were satisfied with the way their medicines were managed.
People who used the service were positive about the staff and told us they had confidence in their abilities and staff told us that they were provided with training in the areas they needed in order to support people effectively.
Staff understood that it was not right to make choices for people when they could make choices for themselves and people’s preferences and choices were recorded in their support plans, which were being followed by staff.
People told us they were happy with the support they received with meal preparation.
People were involved in the planning of their care and the development of their goals of reablement. They told us that the management and staff were quick to respond to any changes in their needs and that the service they received was flexible and effective.
People told us they had no complaints about the service but said they felt able to raise any concerns without worry.
The service had a number of quality monitoring systems including spot checks and exit surveys. People we spoke with confirmed that they were asked about the quality of the service and had made comments about this. They were very positive about how the service was run and told us it had improved their independence.