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Archived: Mole Valley Reablement Service

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All reports

Inspection report

Date of Inspection: 18 December 2012
Date of Publication: 23 January 2013
Inspection Report published 23 January 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 18 December 2012, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We could not observe staff delivering care and support, as this took place in people’s own homes. However, from our review of the available information and discussion with people using the service and staff we found that people’s needs were assessed and care and treatment was planned and delivered in line with their individual support plans.

The provider told us that before the service started providing care they would visit people to assess their needs. We looked at three assessments and saw these were comprehensive and covered a person's health and medical background, all aspects of personal care and daily living, general mobility and involvement in community activities.

As a result of the assessments a support plan was drawn up and agreed with the person or their representative.

The support plan was kept in the person's home and a copy held in the provider's office. We saw that the plans were based on the individual needs and preferences of people using the service. We spoke to four people who used the service and two relatives. They all confirmed that the support they had received had been in line with the plan agreed.

From records we saw that the Reablement Assistants (RAs), who performed the assessments and provided the daily support and care, were able to provide people with various items of occupational therapy equipment such as walking frames and bed rails. We looked at three support plans and saw that the RAs also referred to other agencies to support people's wider care and welfare needs. For example we saw referrals to the district nurses; the community alarm service and to the provider's own occupational therapist.

The manager told us that a two week review date was set for every support plan, but often it would be reviewed by an RA earlier than this. Two people we spoke with gave us examples of how their support plans had changed as their needs had altered. This indicated to us that the RAs understood the importance of reviewing and changing plans based on a person's individual circumstances.

The RAs kept a diary of each visit to a person's home. Copies of the diary sheets were returned to the office where a supervisor reviewed these and added them to the provider's electronic copy of the person's record. We saw that the sheets showed the date and time that the RA arrived at and left each person's home, and a summary of the support provided during their visit. This meant that the provider could monitor that support was being delivered in line with the support plans.

We saw that as part of their initial assessment the RAs performed a detailed risk assessment relating to the person's home premises. This looked at the risks to people using the service and to the staff caring for them. The assessment covered subjects such as the risk of falls, the risk of harm from electrical appliances, cleanliness, diet and nutrition, physical dangers associated with smoking and manual handling constraints. We spoke to two RAs about the risks associated with visiting people in their homes. From their replies it was evident that they fully understood the need to balance safety issues with a person's rights to make choices about the way they live.