Background to this inspection
Updated
17 February 2017
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 6 and 11 January 2017 and was announced. The provider was given 24 hours' notice because we needed to be sure the registered manager and staff would be available to speak to us. It was carried out by one adult social care inspector.
We reviewed information about the service before the inspection. The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with information we held about the home. This included previous inspection reports and notifications sent to us. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing any potential areas of concern.
On the first day of the inspection we met the registered manager, resource manager and team leaders. During the inspection we spoke with four members of staff. We visited two people living in their home with their permission and we spoke with a further three people on the phone. We also spoke with four relatives and one health and social care professional involved in people’s care. Prior to the inspection we sent out 17 questionnaires to ask people about the service they received. We received replies from 7 people. We also sent questionnaires to relatives and received a response from one person.
We reviewed four people’s care records; staff training records, three staff recruitment and support files and other records which related to the management of the service.
Updated
17 February 2017
Social Care Reablement - St Michaels is registered to provide personal care to people in their own homes. It is one of six reablement services provided by Devon County Council. The service provides reablement support to people for up to four weeks following an illness, injury or hospital admission to help them regain independence and confidence. The focus of the service is to enable people to maximise their potential to manage their own care without further support, or with minimal assistance.
At the time of the inspection 29 people were receiving a service. The service employed 25 staff.
We last inspected the service on the 24 January 2014. At that inspection we found the provider was meeting all of the regulations we inspected.
This inspection took place on 6 and 11 January 2017.
There was a registered manager in post. 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.
Feedback from people using the service was positive and they were keen to tell us how they valued the service. People said they were safe using the service because it was reliable; staff were well trained and caring. There were sufficient numbers of staff employed to provide people with their planned service. People said they had never experienced a missed visit; that staff arrived when expected and visits were never rushed. There was an effective recruitment and selection process in place and the necessary relevant checks had been obtained before staff started to work alone.
People benefited from a service where staff understood their safeguarding responsibilities and they knew how to keep people safe from avoidable harm. Risks to individuals had been identified and there was guidance for staff on how to keep people safe. Staff supported people to be independent when managing their medicines. We have made a recommendation to ensure any medicines administered by staff are recorded accurately.
People were provided with the care and support they wanted by staff who had the knowledge and skills they needed. People’s right to make decisions for themselves was respected and staff sought consent when delivering care and support. People received support from staff who understood and responded to their health needs.
People were very happy with the care and support they received. People said staff were kind and caring and offered support which met their needs and promoted their independence. They said this enabled them to regain independence and control and to continue to live in their own home. Staff demonstrated a caring and respectful attitude towards people and knew people well and how they preferred their care and support to be delivered.
People were able to express their views and be actively involved in making decisions about their care and the goals they set. Staff were friendly and approachable. They were also respectful of people’s dignity and privacy.
The service was well managed by the registered manager and their team. Regular audits and surveys were used to monitor the quality of the service. Feedback from people showed the service was valued and performing well.