The inspection was carried out on 27 and 29 October 2015. The provider was given 48 hours’ notice because the location provides a domiciliary care service to ensure the registered manager would be available for our inspection. The last inspection took place on 12 February 2014 and the provider was compliant with the regulations we checked.
The Reablement Service is run by the London Borough of Ealing. It provides short term packages of support to adults of all ages, usually following discharge from hospital, though also where a concern to someone’s welfare had been identified. It is registered for the regulated activity of personal care.
The service is required to have a registered manager in post and there is a registered manager for this service. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
People felt safe using the service and systems were in place to identify and manage risks within people’s homes. People were encouraged to be independent with medicines management and staff understood how to support them with this.
People were very happy with the service and were assisted to regain their independence whilst receiving the support they needed to do so.
Staff recruitment procedures were in place and were being followed to ensure only suitable staff were employed at the service. There were appropriate numbers of staff available to provide the care and support each person required.
Staff had received training and demonstrated an understanding of people’s individual choices and needs and how to meet them. Staff understood the importance of treating people with dignity and respect and people confirmed this.
Staff understood safeguarding and whistleblowing procedures and were clear about the process to follow to report concerns. Complaints procedures were in place and people confirmed they would raise any issues they might have, so they could be addressed.
We found the service to be meeting the requirements of the Mental Capacity Act 2005 (MCA). People using the service had capacity to make decisions for themselves and the registered manager and the staff understood their responsibilities in line with the MCA requirements. No person was being deprived of their liberty at the time of our inspection.
People received the support they required to meet their nutritional needs. Input from health and social care professionals could be accessed as part of the reablement process and systems were in place to respond to people’s healthcare needs.
Care records reflected the care and support people needed to regain their independence. Staff understood the importance of meeting people’s individual needs and provided the care and support they required.
The registered manager was committed to the provision of good quality care to enable people to regain and maintain their independence. They provided staff with training, experiences and support to maintain a high standard of care to people using the service.