We carried out a review of the data available to us about Community Reablement Team on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Community Reablement Team, you can give feedback on this service.
Recovery and Independence provides short term care and support for people living in their own homes to support with recovery from illness or injury. The service has two distinctive roles, a rapid response service which provides support to people for up to seven days, and a recovery and independence service which provides reablement support for up to six weeks. Some people who access the service are living with dementia and/or mental health conditions. At the time of the inspection there were 32 people receiving personal care from the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People and their relatives told us they were extremely happy with the care and support they received. People said, “Staff are extremely caring and always manage to cheer me up and lift my spirits” and “Staff always go the extra mile, they are a credit to the team.”
Through good care planning people had become significantly more independent and less socially isolated. People were supported to access new activities, which had led to the development of hobbies, friendships, self-confidence and independence. Care and support plans were person-centred, detailed and followed in practice to achieve people's outcomes. It was clear staff and the management team were extremely dedicated, committed and passionate about the people they supported.
All staff told us the management team were caring and supportive and that everyone worked together to ensure people received the highest standards of support to regain their independence. Staff spoke passionately about working for the organisation and told us how they cared for people like they would for their own family.
The management team made every effort to ensure people received their support from a consistent staff team who quickly built trusting relationships with people and were knowledgeable about their likes, dislikes, communication needs and preferences.
Staff were safely recruited, well- trained and supported with personalised training programmes. An out- of- hours service was available to support staff with any emergencies. Staff understood the procedures they needed to follow if they suspected abuse and were confident these would be acted upon by managers. Staff told us they felt listened to and were part of an organisation that cared for their well-being as well as the people they were supporting.
People and their relatives told us how staff treated them with the greatest respect for their dignity and privacy. We heard evidence of trusting, caring relationships and a clear commitment to support people at difficult times with compassion, respect and kindness.
People were involved in decisions about the care they received from the very beginning and throughout their time with the service. Staff knew how to communicate with each person to help them to make choices. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported safely and risks regarding their health were assessed and met. Risks to people’s home environment were identified and action taken to reduce risk. Where people required support with their medicines, these were administered safely and in accordance with the prescribing instructions
Systems were in place to help staff keep safe while lone working. Regular audits and spot checks were carried out; people were asked their views in person and via questionnaires and changes were quickly made if issues were identified. The service learned from incidents, concerns or accidents to help prevent a reoccurrence .
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 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The service had a registered manager in place. 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 Recovery and Independence Team provides a free and flexible service to people in their own homes for a period of up to six weeks (and beyond if necessary though not open ended). Staff provide support, rehabilitation and advice to people with the aim of them regaining their independence. The service is available to people aged 18 and above who live in the Redcar and Cleveland area and who have the potential to improve their independence. For example, someone who is to be discharged from hospital after a period of illness. The service supports people with meal preparation, attending to personal hygiene, administering medicines, mobilising, shopping, accessing community facilities and domestic support. This service is provided to people within 72 hours from referral.
There is also a rapid response element to this service for people who require urgent support to enable them stay at home and prevent admission to a care home or hospital. The only exclusion for the rapid response service is that if a person has overnight needs. This service is provided to people within two hours from referral. The service operates between 7am and 10pm and will be provided for a maximum of one week. If the person as the potential to improve their independence then staff will continue to work with them for up to six weeks.
Staff understood the procedure they needed to follow if they suspected abuse might be taking place. Risks to people and the home environment were identified and plans were put in place to help manage the risk and minimise them occurring. Medicines were managed safely with an effective system in place. Staff competencies, around administering medication, were regularly checked.
There were sufficient employed to meet the needs of people who used the service. We found that safe recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work.
People were supported by a regular team of staff who were knowledgeable about people’s likes, dislikes and preferences. A comprehensive training plan was in place and all staff had completed up to date training. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to prepare and choose meals of their choice.
People were supported to maintain good health and had access to healthcare professionals and services. People received the support they needed from recovery assistants, physiotherapists and occupational therapists. Where needed, referrals were made to dietician or speech and language therapy.
People’s care plans described the care, support and rehabilitation they needed. Care plans detailed people’s needs and preferences and were person-centred. Meetings took place regularly to review people’s progress and new goals were set. People told us they were involved in all aspects of their care and rehabilitation.
The registered provider had a system in place for responding to people’s concerns and complaints. People were regularly asked for their views.
People received a consistently high standard of support and rehabilitation because staff were led by an experienced and proactive registered manager. The staff team were highly motivated and enthusiastic and committed to ensuring people regained their independence. There was a clear management structure in place and oversight from the registered provider. There were systems in place to monitor the safety and drive the continuous improvement of the quality of the service.
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, and to pilot a new process being introduced by CQC which looks at the overall quality of the service.
This was an announced inspection carried out on 16 July 2014.
The Recovery and Independence Team provides a free and flexible service to people in their own homes for a period of up to six weeks. Staff provide care, support, encouragement, rehabilitation and advice to people with the aim of them regaining their independence. The service is available to people aged 18 and above who live in the Redcar and Cleveland area and who have the potential to improve their independence. For example, someone who is to be discharged from hospital after a period of illness. The service supports people with meal preparation, attending to personal hygiene, administering medication, mobilising, shopping, accessing community facilities and domestic support.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.
The co-ordinator and staff that we spoke with had a good understanding of the principles and their responsibilities in accordance with the Mental Capacity Act (2005). People told us they felt safe. We saw there were systems and processes in place to protect people from the risk of harm.
We found people were encouraged and supported to take responsible risks. People were encouraged and enabled to take control of their lives.
People told us they were cared and supported to regain their independence by experienced and knowledgeable staff. People told us that staff were reliable. Robust recruitment and selection procedures were in place and appropriate checks had been undertaken before staff started work.
Staff who worked at the service were extremely knowledgeable about the care that people received. People told us that they received person centred care. People who used the service and relatives told us they were very happy with the care that they received.
People told us they were supported to prepare food and drinks of their choice. This helped to ensure that nutritional needs were met. People told us they were encouraged and supported to be independent with meal preparation.
People were supported to maintain good health and had access to healthcare professionals and services. Where needed people were seen or referrals were made to the district nursing service, occupational therapist, community physiotherapist and dietician.
People and relatives told us they were supported by caring and compassionate staff. People we spoke with said they were happy with the care and support provided and could make decisions about their own care and how they were looked after.
People told us staff respected their privacy and dignity. Staff were aware of the values of the service and knew how to respect people’s privacy and dignity.
People’s care and support needs had been assessed before the service began. Care records we looked at detailed people’s preferences, interests, likes and dislikes and these had been recorded in their care plan.
Appropriate systems were in place for the management of complaints. People and relatives told us the registered manager was approachable. People we spoke with did not raise any complaints or concerns about the service.
There were effective systems in place to monitor and improve the quality of the service provided. Staff told us that the service had an open, inclusive and positive culture.