Short Term Assessment and Re-ablement Service

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question good. At this assessment the rating has remained as good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centered care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.
The management and provider were passionate about providing personalised care which empowered people. Regular staff meetings and a culture of open communication ensured that staff understood this and knew how to achieve it. One staff member told us, “Our mission statement is, to deliver person-centred support that empowers individuals to achieve their wellbeing goals, build independence, and thrive within their communities. This sets out our goals and aims and is the bench mark for all our roles.”
A robust and flexible induction period ensured new staff fully understood the aims and culture of the service before they completed visits independently.
 

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.
The registered manager was very experienced and passionate about providing care to people in their own homes. An effective structure within the service ensured that staff were supported as soon as their employment commenced, with a robust induction process and detailed and thorough observations and competency checks.
The service was very well organised which ensured staff knew where to seek advice or guidance from when needed. Regular meetings and training and a positive culture within the service ensured that staff felt supported to provide a high standard of care to people in their homes.
 

The provider fostered a positive culture where people felt they could speak up and their voice would be heard.
All the staff we spoke to said they felt comfortable to raise concerns and had the opportunity to do so. Staff said they felt listened to and were confident that any concerns they did raise would be dealt with appropriately. One member of staff said, “I don't have any concerns about the way I am treated within the service. My voice is heard and I feel listened to and heard if I have any problems.”
 

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.
The management team ensured that people were treated equally. Staff received training on equality and diversity and a flexible working policy ensured that people were not discriminated against due to specific needs, such as childcare.
The provider recognised that they had limited cultural backgrounds within their workforce and was proactively seeking ways to recruit staff who better represented the people that they supported.
 

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.
The service demonstrated highly effective governance and management, with strong oversight of quality, safety and performance. Management used clear systems to monitor incidents, identify themes and drive continuous improvement.
The registered manager had oversight of the delivery of care at each stage and where areas of risk or improvement were identified swift and appropriate action was taken. Information and learning were shared with staff and the wider service as appropriate.
 

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement.
The service worked in partnership with other healthcare providers such as bowel and bladder, the district nurses and the falls team. Information was shared in a timely manner to promote safe and consistent care.
Staff understood their responsibility to provide care that was holistic and well -coordinated, One staff member said, “We are passionate to deliver great service to people in the community.”
 

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research.
There was a culture of learning and development in the service which was fostered by the management team. Staff understood the importance of learning from errors and feedback. The provider offered on going training and shared updates and information in regular briefings and encouraged feedback from the staff.
Regular supervisions, team meetings and training sessions were used to reinforce learning, celebrate good practice and encourage innovation. This commitment to continuous improvement ensured the service remained resilient, forward thinking and consistently focused on delivering safe, high quality and person centred care.