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Joint Community Rehabilitation Service Good

Inspection Summary


Overall summary & rating

Good

Updated 28 March 2020

About the service

The Joint Community Rehabilitation Service (JCR) provides reablement and rehabilitation for people in their own homes. It is a partnership between the local authority and East Sussex Healthcare NHS Trust. The service provides support for people for up to six weeks, in most cases following discharge from hospital following an accident or illness. Some people were referred to the service from GP’s or other health care professionals. The service aims to maximise people’s chance of continuing to live independently in their own homes. The service was supporting 50 people at the time of the inspection.

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

People told us that they were supported safely. People were protected from abuse and harm and all staff had completed safeguarding training and were able to tell us what steps they would take if they had concerns. Accidents and incidents were reported, recorded and dealt with appropriately with any learning being taken forward and shared with staff. Risk assessments were personalised to individual needs and were reviewed weekly. There were sufficient numbers of trained staff to cover all visits to people. Calls were never missed and were rarely late. If a staff member was delayed in reaching a visit, a contingency plan enabled other staff to cover. Staff were recruited safely. Some people were supported with taking medicines and this was done safely.

Staff induction was comprehensive and involved staff completing a probationary year before being fully signed off. Ongoing support was provided through supervision and appraisal meetings. Ongoing training was provided and in addition to mandatory courses, staff were able to choose training courses that they felt would help them develop. People were supported to access health and social care professionals and care calls were adapted to fit around people’s appointments.

Staff had been trained in mental capacity and were aware of the importance of consent and choice. 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.

People using the service were treated with respect and dignity. Comments from people included: “Went well beyond what I’d expected,” “They are 100%. Perfect” and “Without their help I wouldn’t be at home now.” People’s privacy was respected but their safety never compromised. Staff supported people to regain their confidence and independence with personal care and tasks around their homes.

Despite the relatively quick turnover of people using the service, staff knew people well. Care and support were person-centred, and this was reflected in people’s care plans. A complaints process was in place and accessible to everyone using the service, a copy of the policy and process was left in people’s homes. There was a process for dealing with minor issues and concerns and those received had been dealt with appropriately. Staff had received training in end of life care.

The registered manager fostered a positive culture across the service. They were aware of their responsibilities under the duty of candour. A new computer system was being introduced which made recording visits much more efficient for staff. People and staff were provided a variety of ways to feed back about the service and we saw that the service management listened to feedback and made changes when appropriate. Audits were carried out and often these were done across all three JCR services in East Sussex which provided managers an opportunity for sharing best practice across the service. JCR had established positive working relationships with local hospitals, GP’s community nurses and other key local authority services.

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

Rating at last inspection

Good. (Report published 28 July 2017)

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 areas

Safe

Good

Updated 28 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 28 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 28 March 2020

The service was well-led.

Details are in our well-Led findings below.