26 July 2018
During a routine inspection
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.