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Reablement Care Service Good

The provider of this service changed - see old profile

Reports


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Reablement Care Service on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Reablement Care Service, you can give feedback on this service.

Inspection carried out on 25 September 2019

During a routine inspection

About the service

Reablement Care Service is a domiciliary care agency. It provides personal care to people, and works with people to stay or become more independent and confident in their own homes. The service also provides a night care service between the hours of 22.00 and 07.00. Tricuro (the provider) is owned by the Local Authority (BCP & DCC).

People's experience of using this service and what we found

People felt safe. Staff training, and policies ensured people were safe. Staff knew how to recognise signs of abuse and who to report concerns to.

Risk assessments were in place to ensure people's safety. Staff understood the actions needed to minimise the risk of avoidable harm including the prevention of avoidable infection.

Staff supported people to take medicines safely. Staff were trained in medicines management and knew how to ensure that people received their medicines on time and as they had been prescribed.

People received personalised care which was responsive to their individual needs. Staff had an excellent understanding of the care and support people needed and provided this with great care and understanding.

Care plans were person centred, detailed and explained how people liked personal care provided and what activities they enjoyed.

Staff cared about the well being of people they supported and we received positive feedback from relatives and people about the kindness of staff. People described staff as being ‘pleasant, professional and kind’ and they were treated with respect.

There continued to be a range of checks in place to ensure people and staffs' safety. Staff were well supported through training and supervision.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The providers values of empowering, trustworthy, welcoming, innovative and inclusive were embedded in the culture of the service and reflected in all areas of the service, especially from the staff and feedback from people.

The service actively promoted assistive technology to help people to remain independent and safe.

The registered manager continually reviewed the service and sought ways to improve in order to benefit both the people receiving the service and staff. They had built strong relationships with relevant professionals and within the local community to promote learning and to meet people’s needs.

People had access to healthcare services and were involved in decisions about their care wellbeing. Partnerships with other agencies and health professionals enabled effective outcomes for people.

People received personalised care which was responsive to their individual needs. Staff had an excellent understanding of the care and support people needed and provided this with great care and understanding.

The registered manager was readily available to people, relatives and staff. They had an open and honest approach to complaints.

Governance systems and oversight of the service were robust. Issues were identified, and actions taken to address any shortfalls.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 31 March 2017).

The overall rating for the service has remained good. This is based on the findings at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 17 January 2017

During a routine inspection

This inspection was announced and took place on 17 and 18 January 2017. We told the provider one day before our visit that we would be coming to ensure that the people we needed to talk to would be available.

Home Care/ Reablement provides personal care and support to people who live in their own homes. At the time of our inspection the agency was providing personal care and support to approximately 75 people in their homes.

A registered manager was in post at the time of the inspection. 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.

People’s care and support needs were met. People or their representative informed us that care workers were kind, caring and respectful. People also felt that the agency had worked with them to achieve their goals in regaining their independence.

Staff had been trained in safeguarding adults and were knowledgeable about the types of abuse and how to take action if they had concerns.

Accidents and incidents were monitored to look for any trends where action could be taken to reduce likelihood of recurrence.

Robust recruitment systems were being followed to make sure that suitable, qualified staff were employed in the right numbers for effective running of the service.

Where assistance with medicines formed part of a person’s care package, this was managed safely.

The staff team were suitably trained to provide them with the knowledge and skills for them to fulfil their role effectively.

Staff were well supported through supervision sessions with a line manager, and an annual performance review.

Staff and the manager were aware of the requirements of the Mental Capacity Act 2005 and acted in people’s best interests where people lacked capacity to consent.

People and staff were very positive about the standards of care provided. People were treated compassionately as individuals, with staff knowing people’s needs.

People’s care needs had been thoroughly assessed and care plans put in place to inform staff of how to care for and support people, meeting a requirement made at the last inspection. The plans were person centred, up to date and accurate.

There were complaint systems in place and people were aware of how to make a complaint.

The agency was well led with a positive, open culture.

There were systems in place to audit and monitor the quality of service provided to people.

Inspection carried out on 18 and 24 November and 3 December 2015

During a routine inspection

The inspection was announced on 18 and 24 November and 3 December 2015. We told the registered manager two days before our visit that we would be coming. This was to make sure staff we needed to speak with were available.

Home Care/Reablement offers care and support to people in their own homes. The Reablement service provides time limited care and support to people in their own homes following a hospital admission. The Home Care part of the service provides on-going care and support to some people who have who have been with the service for a number of years. The service has a specific focus on assessing their long term care needs and promoting and encouraging people’s independence.

The service has been registered with a new registered provider Tricuro Ltd since July 2015. The service was previously registered with Bournemouth Borough Council as Home Care/Reablement Services.

The service has a registered manager who had been in post since April 2014 under the previous registered provider. 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.

There were systems in place to safely manage and administer medicines for people. Staff had been trained in the safe administration of medicines. However, there were no specific 'as needed' medicine plans in place for people or plans that described how people took their medicines.

People received care and support in a personalised way. Staff knew people well and understood their needs. They promoted people’s independence and supported them to achieve their goals. There were care plans in place so that staff knew what care and support to provide people. We found that people received the health, personal and social care support they needed.

However, some assessments, risk management plans and care plans for people who received the home care service needed reviewing to ensure staff had clear and up to date information as to what care and support people needed. The shortfalls in people’s assessments and care plans were a breach of the regulations.

People and their relatives knew how to raise concerns or complaints. People and relatives were regularly consulted by the managers. Learning from complaints was not consistently implemented to minimise the risk of reoccurrence. This was an area for improvement.

People and relatives said the staff were kind and respectful. They took the time to make sure people had everything they needed before they left them and did not rush them.

People told us they felt safe and relatives said their family members were safe with staff and they had confidence in staff.

Staff were caring and treated people with dignity and respect. People and staff had good relationships. People told us they liked all of their care workers.

Staff received an induction and core training so they had the skills and knowledge to meet people’s needs. There were enough staff employed and staff were safely recruited.

The culture within the service was personalised and open. There was a clear management structure and staff, relatives and people felt comfortable talking to the managers about any issues and were sure that any concerns would be addressed. There were systems in place to monitor the safety and quality of the service provided.