You are here

Inspection Summary


Overall summary & rating

Good

Updated 20 November 2020

About the service

The Assessment and Rehabilitation Centre (The ARC), is an integrated provider with health and social services working together to provide care and support for up to 33 people. The staff team consists of rehabilitation support workers, occupational therapists, physiotherapists and nurses. Accommodation is located on two floors with a lift available between floors. Twenty-three people were staying at The ARC when we made the site visit.

People’s experience of using this service and what we found

People told us they felt safe at the ARC and the staff team supported them safely. People were able to be as independent as possible because staff assessed risks and helped them manage avoidable risks. Staff demonstrated a good understanding about how to safeguard people from the risk of abuse. Staff supported people with their medicines according to national guidelines. Staff recruitment procedures were robust and there were enough staff to care for people safely.

Staff were knowledgeable about how to use PPE and how to prevent and control infection and followed national and local guidance. The infection prevention and control policy was up to date. The building was clean and hygienic, so the risk of infection outbreaks was reduced and managed. They were knowledgeable about infection and from the start of the pandemic, the service had been supporting people who were COVID-19 positive. The building was maintained and equipment serviced as required to make sure this was safe and in working order.

Care records were personalised, and it was clear they had been planned and agreed with the individual. We saw examples of person focused discussions. The provider had a complaints policy. People knew how to complain and said any concerns were dealt with promptly and to their satisfaction. Staff had assessed and knew people’s specific communication needs. The service did not support people needing end of life care.

We received positive feedback from people supported and staff about the leadership and management at The ARC. People told us they felt involved in how their care was provided and understood the restrictions in The ARC related to the COVID-19 pandemic. Staff felt well supported. The manager and senior team monitored and audited the service to make sure the quality of care was good. They understood and acted on legal obligations, including conditions of CQC registration and those of other organisations. They worked in partnership with other services and organisations to keep people safe and improve their well-being.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update:

The last rating for this service was requires improvement (published 1 April 2020) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating. We carried out an unannounced comprehensive inspection of this service on 03 March 2020. A breach of legal requirements was found in relation to good governance.

We undertook this focused inspection to check the service had followed their action plan and to confirm they now met legal requirements.We found improvements had been made and the provider was no longer in breach of regulations. This report only covers our findings in relation to the Key Questions safe, responsive and Well-led which contain those requirements. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The ARC on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance the service can respond to coronavirus and other infection outbreaks effectively.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 20 November 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 20 November 2020

Caring

Good

Updated 20 November 2020

Responsive

Good

Updated 20 November 2020

The service was responsive

Details are in our well-Led findings below.

Well-led

Good

Updated 20 November 2020

The service was well-led.

Details are in our well-Led findings below.