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Archived: Joint Community Rehabilitation Service

This service was previously registered at a different address - see old profile

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Inspection report

Date of Inspection: 18 December 2013
Date of Publication: 29 January 2014
Inspection Report published 29 January 2014 PDF | 89.22 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 18 December 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People's needs were assessed and support was planned and delivered in line with their individual plan. We looked at eight people's records. These had been drawn up after an initial assessment or a review. We saw that they held an assessment of need and a support plan. We saw that people's main support objectives were documented. It was recorded what an individual wanted and how this was to be achieved. It was clear from the people's plans what support was being delivered. There were specific times recorded for workers to call and these were accompanied by a precise and detailed description of the support needed. It was evident from the records that people's support plans had been kept under review and updated when required. It was explained to us that the Joint Community Rehabilitation Service offered support for a time limited period. We were told, “All clients stay with us for six weeks or less. All clients stay with us for a period of reenablement working towards achieving independence. For those clients who require it there will be further assessment and a package of care will be provided by another agency.”

We saw there were a range of professionals and agencies involved in providing support. We found a wide range of skills represented within the Joint Community Rehabilitation Service. The manager told us, “We’ve expanded quickly over a short period of time following the merger of elements of Health and Adult Social Care. We have been able to refer a client for an reenablement service within two or three hours of becoming aware of, for example, a crisis of care on a person’s home life. For that client, that personal care needs to happen immediately.” We were told by a support worker of a development in a person’s support plan that had occurred on the morning of our visit, “I had been out on a call this morning and I had to phone the office because the client needed more occupational therapy (O/T) input. I put the query forward about the support and they dealt with it. When I returned to the office I heard the O/T talking to the client on the phone about extra support. It was excellent example of good quality care.” This demonstrated a commitment to good quality, person centred approach to care.

We attended a monitoring visit to a client’s home. We were able to see that the support reflected that set out in the plan. Daily records we viewed on these visits confirmed that care was given according to the plan. People told us their needs were met. One person said, “The girls encourage me to ask myself what have I achieved in the last week. Looking at it like that makes me feel so much more positive.” This showed care and treatment was planned and delivered in line with people’s individual care plan.

People told us that they had received information about the service and knew who they could speak to if they had any concerns. They had been happy with the support provided and felt safe. The service monitored concerns and we saw this record. We saw feedback from many sources, including family members; it included the following, “We never had any cause to need social services during our life. Since need arose we have been treated with dignity and respect.” Another person described, “An excellent service, carers are always helpful. These are my mother’s words and I would strongly endorse them – a first class service, including prompt and clear communication with me when necessary.” This indicated that people were pleased with the service provided.

There were systems to support workers and people who used the service. We saw that the office was staffed seven days a week during the times when support workers were making their calls to clients. We were told by support workers that help and advice was always available to them, “We phone this number, we speak with someone we know and they know me. It’s brilliant.” We saw a bad weather plan which included the provision for additional resources to provide support to all the people u