Updated 1 May 2019
The inspection:
• We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was 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.
Inspection team:
• Our inspection was completed by one inspector.
Service and service type:
• The Short-Term Assessment and Re-ablement Team [START] provides short-term care and therapy, to assist people to maximise their level of ability and independence in their own homes. The local authority is the provider and the service is situated in the Civic Offices in Sutton.
• The service is required to have 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our inspection, a manager was registered with us.
Notice of inspection:
• Our inspection was announced.
• We gave the service 48 hours' notice of the inspection visit because the location provided personal care in the community and we needed to be sure that staff and managers would be present in the office.
What we did:
• Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs).
• We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
• We spoke with 11 people who used the service and a relative.
• We spoke with the registered manager, the deputy manager, an assistant team manager, three support workers two of who were seniors, the lead training manager, a nurse consultant, the clinical lead for nurses, two social workers and an occupational therapist.
• We reviewed five people's care records, five staff personnel files, audits and other records about the management of the service.
• We requested additional evidence to be sent to us after our inspection. This was received and the information was used as part of our inspection.