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Inspection Summary


Overall summary & rating

Good

Updated 27 September 2017

The Assessment and Rehabilitation Centre (The ARC), had recently changed to an integrated provider with the national health service and social services working together to provide care and support for 33 people. The staff team consists of rehabilitation support workers, occupational therapists, physiotherapists and nurses. The team all work together to assess and rehabilitate people over a period of approximately four weeks to enable them to live independently in their own home. Accommodation is located on two floors with a lift available to facilitate access to the second floor.

At the last inspection the service was rated Good. At this inspection we found the service remained Good.

People staying at the ARC told us they were happy with their care and liked the staff who looked after them. We observed care practices throughout our inspection visit and saw staff were kind and patient with the people in their care. One person staying at the ARC said, “The staff are very kind and very caring.”

The service had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.

Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care. These had been kept under review and were relevant to the care provided.

We saw staff assisting people with mobility problems. They were kind and patient and assisted people safely.

The service had sufficient staffing levels in place to provide support people required. We saw staff members could undertake tasks supporting people without feeling rushed. People staying at the ARC told us staff were responsive to their needs.

Medication procedures at the ARC were safe. Staff responsible for the administration of medicines had received training to ensure they had the competency and skills required. Medicines were safely kept with appropriate arrangements for storing in place.

We looked around the building and found it had been maintained, was clean and hygienic and a safe place for people to live. We found equipment had been serviced and maintained as required.

The service had safe infection control procedures in place and staff had received infection control training. Staff wore protective clothing such as gloves and aprons when needed. This reduced the risk of cross infection.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People had been consulted about their care and had agreed with the support to be provided.

People told us they were happy with the variety and choice of meals available to them. We saw regular snacks and drinks were provided between meals to ensure people received adequate nutrition and hydration.

People staying at the ARC were supported by occupational therapists and physiotherapists with their rehabilitation. They had access to nursing staff to attend to their nursing needs and General Practitioners (GPs) visited the service daily between Monday and Friday to monitor people’s health needs.

The design of the building and facilities provided were appropriate for the care and support provided.

People told us staff were caring towards them. Staff we spoke with understood the importance of high standards of care to give people meaningful lives.

People’s care and support was planned with them. People told us they had been consulted and listened to about how their support would be delivered.

The service had information with regards to support from an external advocate should this be required by them.

The service had a complaints procedure in place. People we spoke with told us they were happy and had no complaints.

People told us their privacy was respected and staff treated them with re

Inspection areas

Safe

Good

Updated 27 September 2017

The service remains Good.

Effective

Good

Updated 27 September 2017

The service remains Good.

Caring

Good

Updated 27 September 2017

The service remains Good.

Responsive

Good

Updated 27 September 2017

The service remains Good.

Well-led

Good

Updated 27 September 2017

The service remains Good.