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Archived: North Lincolnshire Council Home First - Community Support Team

Overall: Good read more about inspection ratings

Sir John Mason House, 42 De Lacy Way, Winterton, Scunthorpe, DN15 9XS (01724) 298190

Provided and run by:
North Lincolnshire Council

All Inspections

26 July 2018

During a routine inspection

This inspection took place on the 26 and 27 July 2018 and was announced.

North Lincolnshire Council Home First Community Support Team provides both short-term and longer term personal care services to people in their own home. The service focuses on promoting self-care and enabling people to reach or regain an optimum level of independence. The service also provides out of hours duty cover for the local authority. At the time of the inspection the service was supporting 119 people.

At the last inspection in January 2016 we rated the service ‘Good’ overall and in each domain. At this inspection we found the service had maintained its overall rating of ‘Good’ and improved its rating in the ‘Is the service Caring?’ domain to ‘Outstanding.’

We found an extremely caring service. Staff demonstrated very caring values and showed a very positive regard for what was important and mattered to people. They had developed very positive relationships with the people they supported. The trust developed between people and staff helped promote people’s independence, confidence and helped them achieve good outcomes. We saw staff regularly went the extra mile for people, to provide compassionate care which ensured people’s comfort and met their preferences.

Respect for equality, diversity and human rights was thoroughly embedded within the service and integral to everything the staff did. People were treated with dignity and respect by staff who understood the importance of this. The new ‘Moving with Dignity’ initiative gave people more choice, involvement and dignity around their care support.

People continued to feel safe using the service and staff ensured that risks to their health and safety were reduced. Recruitment procedures remained robust. There were enough staff to ensure a consistent and reliable service. Safeguarding policies and procedures were in place and staff were aware of the procedures to follow in the event of concerns. People were supported to take their medicines safely.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff followed the principles of the Mental Capacity Act 2005 when there were concerns people lacked capacity and important decisions needed to be made.

People’s nutritional needs were assessed and staff supported people to make sure they ate and drank enough. Staff worked closely with healthcare professionals to make sure the care and support met people’s needs and they received medical attention when necessary.

Staff received a wide range of training and we received positive feedback about the effective care and support they provided. Staff received regular supervision and an annual appraisal to support their continued professional development.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. People praised staff skill and knowledge and said staff knew their needs well. People were involved in setting their own goals which contributed to the successful reablement outcomes. People had good access to a range of aids and equipment which supported their safety and return to independence.

People were signposted and supported to access local community groups to promote inclusion, independence and a healthy lifestyle.

We received very positive feedback about the management of the service. People, relatives, professionals and staff told us the registered manager was very approachable, caring and responsive to feedback. They were also committed to delivering high quality care and fostered a person-centred, open and inclusive culture within the service. The service had recently undergone review and there had been many changes including the model of care, staff teams and roles. Staff felt supported through this process. A range of audits and checks were undertaken to ensure the service continued to perform to a high standard. People’s feedback was regularly sought to determine whether any improvements were needed to the service. Effective systems were in place to manage complaints and concerns.

21 January 2016

During a routine inspection

North Lincolnshire Council Community Support Team is a Domiciliary Care Agency registered to provide personal care to people who live in their own homes. The aim of the service is to provide a short period of time limited rehabilitation and re-ablement support, to help people remain living in the community and be as independent as possible.

This inspection was carried out on 21 January 2016. This is the first time the service was inspected at this location. The last time the service was inspected was September 2013 when it was based at another location and was found to be compliant with the regulations inspected.

There was a registered manager in place. 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.

Support staff had been recruited safely to ensure they did not pose a risk to people who used the service. A range of assessments were completed to enable support staff to protect people from harm. People were provided with information about how to contact the service out of normal office hours. Support staff had received training about how to recognise potential abuse and policies and procedures were available to guide them when reporting safeguarding concerns.

A range of training was provided for support staff to ensure they could safely carry out their roles. Support staff received regular supervision and appraisal of their skills to enable their performance to be monitored and help them develop their careers. Support staff contacted and involved healthcare professionals in the community when required, to ensure people’s medical needs were appropriately promoted. Support staff communicated with people in a courteous and considerate way and obtained their consent when carrying out interventions and when providing care to people

People were involved and participated in making decisions and choices about their support to enable their wishes and feelings to be promoted. People were supported to be as independent as possible by support staff who maintained their dignity and respected their confidentiality.

People’s needs were assessed to ensure the service was able to meet them in a way that they understood and had been agreed. Support staff demonstrated a positive understanding of working with people’s individual strengths and preferences to enable them to achieve their personal goals. People who used the service were able to raise concerns when required and were confident the registered provider would investigate and resolve these, when required.

A range of governance systems were in place to enable the quality of the service to be effectively monitored. Regular meetings took place to ensure support staff were aware of their professional roles and responsibilities. Management feedback to staff was delivered in a way that was positive and constructive and enabled the values of the registered provider’s organisation to be upheld. People who used the service were consulted and encouraged to share their views about the service to enable it to develop and improve. Comments received from people who used the service were very positive and consistently good.