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Portsmouth Rehabilitation and Reablement Team (ILS) Good

Inspection Summary


Overall summary & rating

Good

Updated 20 August 2019

About the service: Portsmouth Rehabilitation and Reablement Team (ILS) (PRRT) is an integrated health and social care service, provided by Portsmouth City Council together with Solent NHS Trust. It provides short term support for people who may need care, equipment or rehabilitation. The team includes nurses, social workers, physiotherapists, occupational therapists and rehabilitation assistants. Since the last inspection the provider had employed a paramedic. The majority of care is provided to people in their own homes and focuses on supporting people to remain at home for as long as possible and preventing their admission to hospital.

People’s experience of using this service:

The management provided good leadership and were actively working to drive improvement. Feedback from people, staff and relatives confirmed the management were respected and led by example.

Staff told us that they felt their achievements were recognised and that they felt valued. Staff had a clear understanding of their roles and responsibilities. We observed staff were confident in performing their jobs and when speaking with people, other staff and the registered manager.

People, their families and professionals told us they felt the service was safe. Staff had received safeguarding training and had their competency in this subject checked. They were aware of the types of abuse that could happen to people, what signs to look out for and their responsibilities for reporting any concerns.

The registered manager had a good understanding of their responsibilities to notify the CQC of important events that happened within the service. People and their families had been given information so that they knew what to expect from the service.

People who required assistance with their medicines were supported by appropriately skilled and qualified staff. They had received training and competency checks and had a good understanding of the risks associated with the medicine people were taking.

Staff received appropriate induction into their role and learning opportunities were made available.

Staff said they felt supported in their role. They told us they received regular supervision and had a yearly appraisal.

Staffing levels met the needs of the people using the service. Staff had been recruited safely.

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 had good access to healthcare services.

People, their families and other professionals had been involved in an assessment before the service provided any support. The assessment had been used to create care and support plans that addressed people’s individual identified needs. Staff demonstrated a good understanding of the actions they needed to take to support people.

A complaints procedure was in place and people told us they were confident, and concerns would be dealt with appropriately by management.

Staff were supported and encouraged to share ideas about how the service could be improved and had been pro-active in supporting changes. They spoke enthusiastically about the positive teamwork and support they received.

The provider had good systems in place to support staff to learn lessons and implement change.

Rating at last inspection: We previously inspected the service on 18 and 20 January 2017 and rated the service good.

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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

Inspection areas

Safe

Good

Updated 20 August 2019

The service remains safe.

Details are in our Safe findings below.

Effective

Good

Updated 20 August 2019

The service remains effective

Details are in our Effective findings below.

Caring

Good

Updated 20 August 2019

The service remains caring

Details are in our Caring findings below.

Responsive

Good

Updated 20 August 2019

The service remains responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 20 August 2019

The service remains well-led

Details are in our Well-Led findings below.