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Middlesbrough Intermediate Care Reablement Team Good

Inspection Summary


Overall summary & rating

Good

Updated 4 April 2018

Middlesbrough Intermediate Care Reablement Team provides assessment and rehabilitation services for people in their own homes. The service provides short term support and therapy to people to promote their daily living skills and maximise independence. People are referred to the service following a stay in Middlesbrough Intermediate Care Centre. Middlesbrough Intermediate Care Centre provides residential intensive led therapy led rehabilitation. At the time of the inspection there were four people who were using the service. Not everyone using Middlesbrough Intermediate Care Centre receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At our last inspection we rated the service as good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe when staff from the reablement team visited them at home. The registered manager and staff knew what constituted abuse and who to report it to if they suspected people were at risk. Risks to people’s safety were identified and plans were in place to minimise those risks. This included ensuring appropriate equipment was in place to support people safely whilst maintaining their independence.

Medicines were managed safely with an effective system in place. Staff competencies, around administering medication, were regularly checked. Staff received training in infection prevention and control and were provided with a plentiful supply of aprons and gloves.

Pre-employment checks were made to reduce the likelihood of employing staff who were unsuitable to work with people.

The registered manager had systems in place for reporting, recording, and monitoring significant events, incidents and accidents. The registered manager told us that lessons were learnt when they reviewed complaints and any accidents and incidents to determine any themes or trends.

People were supported by a regular team of staff who were knowledgeable about people’s likes, dislikes and preferences. A training plan was in place and staff were suitably trained and received all the support they needed to perform their roles.

If needed, staff supported people to be independent with meal preparation and cooking. People were able to choose the food they wanted to eat.

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 told us they were happy with the standard of care and support they received from the reablement service. People were provided with the support they required in line with their care plans, which included meeting people’s personal care needs and supporting people to become more independent. People's care plans set realistic goals and were very regularly reviewed. Staff were respectful of people’s privacy and dignity.

People received information which detailed the complaints procedure. They told us they were confident that if they were required to make a complaint, the management would respond and resolve their issue promptly.

The registered manager was aware of the Accessible

Inspection areas

Safe

Good

Updated 4 April 2018

The service remains Good.

Effective

Good

Updated 4 April 2018

The service remains Good.

Caring

Good

Updated 4 April 2018

The service remains Good.

Responsive

Good

Updated 4 April 2018

The service remains Good.

Well-led

Good

Updated 4 April 2018

The service has improved to Good.