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Homecare Reablement Team Good

Inspection Summary


Overall summary & rating

Good

Updated 27 October 2017

This inspection took place over a number of days and included 2, 3, 4 and 10 October 2017. We inspected this service in November 2016 and although no breeches of regulations were found we did identify that improvements were required in the areas of Safe and Responsive. The service submitted an action plan and this inspection was to establish whether this had been fully implemented and what improvements had been made to the service.

We found that improvements had been made to the service since our last inspection and the service had continued to develop and progress. We found that systems had been implemented to help manage the safety and quality of the service. Improvements had been made to staffing levels of the service and feedback gained from people showed that the service had now improved. Management advised that they are looking to continue to increase the number of staff to ensure they have sufficient available to help meet the needs and care of the people who used the service within an acceptable time frame.

The Homecare Reablement Team (HRT) provides personal care and support to adults who live in their own homes in the geographical areas of Thurrock between the hours of 7am to 11pm. They provide care and support within people’s homes and a reablement service for up to six weeks for people who have been discharged from hospital. The focus of their support is to reable people back to independence. The service is also a ‘provider of last resorts (POLR).’ This means when Thurrock Borough Council are unable to find another contracted service to provide care that HRT will assist with care until another provider can be found. This is aimed to be a short term service and management had been working to organise a separate domiciliary service so that HRT could refer people on quicker who were identified as needing long term support.

The service has a registered manager in post, but on the day of our inspection we were assisted by the deputy manager and service manager, due to the registered manager not being available. 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.

Staff had a good knowledge of safeguarding procedures and were clear about the actions they would take to help protect people. Risk assessments had been completed to help staff to support people with everyday risks and help to keep them safe.

Sufficient recruitment checks had been carried out before staff started work to ensure that they were suitable to work in a care setting. Staff had been provided with regular supervision and training and stated they felt well supported to carry out their work. Effective communication was now in place between staff and management.

The service had safe systems in place to assist people with the management of their medication and to help ensure people received their medication as prescribed. Documentation was in place to clearly record what assistance was needed.

Management had a good understanding of Mental Capacity Act 2005 and who to approach if they had any concerns and the appropriate government body if people were not able to make decisions for themselves. Staff have now been provided with training for the MCA and systems were in place to ensure this was regularly updated.

People received the support they needed to eat and drink sufficient amounts to help meet their nutritional needs. Staff knew who to speak with if they had any concerns around people’s nutrition.

People were supported by staff to maintain good healthcare and were assisted to gain access to healthcare providers where possible. They also had multidisciplinary working within their own team of professionals who assisted people to gain the healthcare they need

Inspection areas

Safe

Good

Updated 27 October 2017

The service was safe.

There were enough staff available to help meet the needs of the people who used the service within an acceptable time frame.

People could be sure that they would receive the assistance they needed when being supported with medication.

The provider had systems in place to manage risks, which included safeguarding matters and this helped to ensure people�s safety.

Effective

Good

Updated 27 October 2017

This service was effective.

Training was being provided to staff to ensure they had knowledge of the Mental Capacity Act (2005), how to keep people�s rights protected and had gained consent to care.

People were cared for by staff that were well trained and supported.

People had gained assistance regarding their health and support when needed.

Caring

Good

Updated 27 October 2017

This service was caring.

People were provided with care and support and their privacy and dignity were respected.

Staff had a good understanding of people�s care needs and were caring.

Responsive

Good

Updated 27 October 2017

The service was responsive.

People received personalised care that was responsive to their needs.

People�s needs were assessed and their care and support needs were routinely reviewed and updated.

People were provided with information to encourage them to raise concerns and share their experiences.

Well-led

Good

Updated 27 October 2017

This service was well-led.

Management understood their responsibilities and demonstrated good management and leadership skills.

Staff understood their roles and were seen to be confident in questioning practice and reporting any concerns.

Effective quality assurance systems were now in place to monitor the service and identify any areas that needed further improvement.