Background to this inspection
Updated
26 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. Inspection site visit activity started on 22 May 2019 and ended on 3 June 2019. We visited the office location on 22 May 2019 to see the manager and office staff; and to review care records and policies and procedures.
What we did:
We reviewed the information we held about the service. This included the previous inspection report, notifications since the last inspection and feedback from the local authority. Notifications are changes, events and incidents that the service must inform us about. We reviewed information the provider sent us in their Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection, we reviewed four people’s care records, three staff files around staff recruitment, training and supervision. Records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were also reviewed.
After the inspection we conducted telephone interviews with three people, five relatives and seven staff members.
Updated
26 June 2019
About the service:
North West Surrey Area Reablement Service provides short-term support and personal care to people with the aim of enabling them to live independently in their own homes. The service also supports a hospital discharge assessment programme. The service provides reablement and personal care to older and disabled people living in their own houses and flats in the community. At the time of the inspection there were 57 people receiving the service.
People’s experience of using this service:
People and their relatives told us they felt supported and safe with staff. There were many success stories of people returning back to independent life after receiving support and care from the staff at this service. The organisation of this service achieved its aim and purpose of reablement for people who were receiving ongoing treatment or care.
People’s needs were consistently met and assessed to enable improvements and progress in their lives. Risks to people were assessed and managed to balance people’s safety and right to lead a non-restricted life. There were enough well trained staff to ensure people were supported safely at all times.
People, relatives and staff were engaged via meetings so that everyone could contribute to the development of the service. There was a credible strategy in place with plans for service improvements. This was being implemented by the registered manager who was pro-active in considering how the service could be improved.
People were protected from the risk of abuse by staff who understood how to safeguard people. People told us that they were supported by kind, caring and attentive staff who always promoted independence and respected peoples’ privacy.
Peoples’ care was person centred and staff communicated with each other effectively to ensure consistency. Where required, staff provided end of life care which was personalised and responsive.
Rating at last inspection:
At the last inspection the service was rated Good (September 2016).
Why we inspected:
This was a scheduled comprehensive inspection. We inspect all services rated as 'Good' within 30 months to ensure that we regularly monitor and review the quality and safety of the service people receive.