Background to this inspection
Updated
20 November 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on the 22 October 2018. One inspector carried out the inspection. We gave the provider two days’ notice of the inspection as we needed to make sure the registered manager would be available during the inspection. During the inspection we spoke with four people using the service and two relatives to gain their views about receiving care. We spoke with the registered manager, a reablement manager, a scheduling and support officer, three support workers and a senior support worker about how the service was being run and what it was like to work there. We looked at four people’s care records, two staff recruitment records and records relating to the management of the service such as medicines, staff training, supervision, quality assurance audits and policies and procedures.
Before the inspection we looked at all the information we had about the service. This information included statutory notifications that the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used this information to help inform our inspection planning.
Updated
20 November 2018
This inspection took place on the 22 October 2018. We gave the provider 2 days’ notice of the inspection as we needed to make sure the registered manager would be available. The Royal Greenwich Reablement Service provides personal care and support to people living in their own homes. It provides a short term programme to promote people’s independence and rehabilitation following an illness, injury or admission into hospital. At the time of this inspection 43 people were using the service.
At our last inspection on 7 and 9 June 2016 the service was rated Good. At this inspection we found the service remained Good. The service demonstrated they continued to meet the regulations and fundamental standards.
The service had a registered manager in post. 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. They were aware of the legal requirement to display their current CQC rating which we saw was displayed the providers website.
The service had safeguarding and whistle blowing procedures in place, and staff had a clear understanding of these procedures. Appropriate recruitment checks took place before staff started work. There was enough staff available to meet people’s needs. Risks to people were assessed to ensure their needs were safely met. People received their medicines as prescribed by health care professionals. Staff received training in infection control and they were aware of the steps to take to reduce the risk of the spread of infections. There were systems in place for monitoring, investigating and learning from incidents and accidents.
People were referred to the reablement service by hospital discharge teams and social services. Their care needs were assessed before they started using the service. Staff monitored people’s health and wellbeing, and when they had any concerns about people’s conditions they were referred to appropriate healthcare professionals. People were supported to eat and drink when required. Staff received supervision and training relevant to people’s needs. Staff were aware of the importance of seeking consent from the people they supported. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People received personalised care that met their needs. People told us staff were kind and caring and their privacy and dignity was respected. They had been consulted about their care and support needs. They knew about the provider’s complaints procedure and were confident their complaints would be dealt with appropriately. Staff supported people according to their diverse needs. People could communicate their needs effectively and could understand information in the written format provided to them. Information was available in different formats when it was required.
There were effective systems in place to assess and monitor the quality of service that people received. Feedback from people was used make improvements to the service where required. Staff said they enjoyed working at the service and they received good support from the management team and office staff. There was an out of hours on call system in operation that ensured management support and advice was available for staff when they needed it.