Background to this inspection
Updated
14 March 2024
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 an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 CQC 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 we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 01 December 2023 and ended on 14 December 2023. We visited the location’s office on 04 December 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 10 people about their experience of using the service. We also spoke with the registered manager, reablement assessors, reablement flow managers, support workers, the service lead reablement manager and external professionals who regularly work with the service.
We also reviewed care and support plans and documentation related to safety, audit and quality assurance.
Updated
14 March 2024
About the service
Central Reablement Service & Home Pathway provides support to people in their own homes, who would benefit from short term interventions which help people maximise their independence. The service operates 7 days a week, 365 days of the year. The focus is centred on people who are able to actively participate in a process to learn or regain abilities to complete tasks associated with daily living. The service also plays a critical role in supporting safely and timely discharges from hospital.
At the time of the inspection 30 people were using the service.
People’s experience of using this service and what we found
Placing people at the heart of the service was a golden thread that ran through every aspect of service delivery. We saw multiple examples of how the service had enriched people’s lives and empowered people to be as independent as possible. Statements such as ‘positive and very encouraging’, ‘nurturing without imposing their opinion’ and ‘friendly, like good friends of mine’ were all terms used by people to describe staff and their experience of using the service.
The service followed a truly multi-disciplinary, holistic, team approach focused on innovative and outstanding quality-of-life outcomes for people. This approach had been greatly enhanced by the introduction of in-house occupational therapy which improved the service ‘offer’ for people and professionals alike.
Assessments looked at the ‘whole person’ which meant support interventions were truly person-centred and provided a framework for other members of the team to follow as part of the reablement package. This enabled people to live their best life, and do the things they wanted to do, when they wanted to do it.
The reablement team benefited from having access to a number of neighbourhood apartments, managed in partnership with local social housing providers. This meant people could temporarily move into an apartment, often at a time of crisis, to receive reablement support. This innovative and proactive model enabled people to be fully involved in decisions about their future, whilst maintaining their independence in the community, and being able to receive therapeutic and social care support.
Staff were caring, motivated and passionate about their work. People’s individual characteristics, likes, dislikes and personal preferences were fully embraced and recognised by staff. Staffing levels within the service were good. A range of roles were deployed within the service which meant the right people, delivered the right support, at the right time.
A significant standout feature of the service was the positive workplace culture. The registered manager and service lead manager led by example, embedding a positive culture and ethos where everyone felt valued, and their individual contributions recognised.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 December 2017)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.