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North Lincolnshire Council Home First Residential Good

Reports


Inspection carried out on 27 September 2018

During a routine inspection

North Lincolnshire Council Home First Residential is a rehabilitation and re-ablement service registered to provide personal care for up to 30 people. The service is located on one floor and shares the building with community services. The service aims to facilitate timely discharges from hospital and supports people to return home. In order to do this, people who use the service receive support from on-site nurses, occupational therapists, physiotherapists and the social work team. They are supported to improve their independence through regaining skills and abilities. On average, people who use the service stay for 14 days. At the time of our inspection, 29 people were using the service.

At our last inspection we rated the service 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 ongoing 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.

People continued to be protected from harm and abuse and risks to people safety were managed whilst respecting their freedom. People received their medicines as prescribed and systems were in place to prevent the spread of infection. The environment was clean, comfortable and aided people’s rehabilitation. Lessons were learned from accidents and incidents. Staffing levels and recruitment processes remained safe.

Staff had the skills and knowledge to meet people’s needs and support them to achieve positive outcomes. Training needs were identified through appraisals and supervision which, was used to embed learning. People’s dietary needs were met and they were supported to access health services in a timely manner. Staff sought consent from people.

People were supported by staff who showed kindness, respect and compassion and built positive relationships with people in a short amount of time. Equality and diversity was considered and people were included in decisions, care planning and activities. Staff maintained people’s privacy, dignity and confidentiality whilst promoting their independence.

Staff were responsive to people’s changing health needs and ensured care plans were reviewed and updated accordingly. People were included in activities that reduced isolation and aided their rehabilitation. People were respected as individuals and support was available to ensure people had pain-free and dignified deaths. A policy was in place to provide information in line with the accessible information standards (AIS). Complaints were responded to in line with the providers policy.

The registered manager led by example and promoted an open, honest and inclusive culture. People and staff were included in the development of the service. The service worked closely with other organisations and was integrated within the local community.

Audits were completed but had not identified or addressed all shortfalls in quality. Policies were in place but now always followed. We have made a recommendation about this.

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.

Further information is in the detailed findings below

Inspection carried out on 16 December 2015

During a routine inspection

This unannounced inspection was carried out by one adult social care inspector over one day on 16 December 2015. This was the first inspection of North Lincolnshire Council Intermediate Care Centre since it was registered in March 2015.

North Lincolnshire Council Intermediate Care Centre is a rehabilitation and re-ablement service registered to provide personal care to up to 30 people and is based in the village of Winterton, near Scunthorpe. The average stay is 28 days and people who use the service are provided with input from a range of disciplines, including physiotherapy, occupational therapy and nursing. The service provides rehabilitation for people who have experienced a change of circumstances and require a period of intensive rehabilitation. The service is designed to assist people to regain the skills and abilities they need to return home. The service aims to contribute to preventing unnecessary admission to hospital, and facilitating timely hospital discharge, and preventing avoidable admission of people to long-term care. At the time of our inspection there were 29 people using the service.

There was a registered manager in post. 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.

A range of recruitment checks were carried out before staff were allowed to start work to ensure people who used the service were protected from harm. Safeguarding training was provided to staff to ensure they knew how to recognise and report potential abuse. Staff were available in sufficient numbers to meet the support needs of people who used the service. Staff were provided with a range of training to enable them to effectively carry out their roles. Supervision and support systems were in place to enable staff performance to be monitored and they were able to develop skills.

Comments from people who used the service confirmed they were treated with kindness and consideration and satisfied with the support they received. We observed staff engaged positively with people and provided support to enable their confidence and skills to be developed. Staff demonstrated a good understanding of working with people’s individual strengths and needs and supported them to maintain links with the community and participate in activities to enable their independence to be promoted. People were supported to make decisions about the support they received by staff who followed the principles of the Mental Capacity Act 2005 and understood the need to gain consent from people before support was delivered. People were provided with a range of nourishing meals with support obtained when required to ensure their nutritional needs were supported.

People were provided with an environment that was safe and aids and equipment were regularly checked to ensure it was appropriately maintained. A range of assessments were carried out of known risks to ensure people were protected from potential harm.

The organisational culture was open and based on values that put people who used the service at the centre of decisions about them. Quality monitoring systems were in place to ensure checks of the service were made and enable people to provide feedback and help the service to develop.