Background to this inspection
Updated
29 March 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type: This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing. It provides personal care to people living in their own houses and flats to predominantly older people through a short-term assessment and reablement program. This offers short-term support to help people regain their independence after an accident or ill health, or to help those with a disability remain independent.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 48 hours' notice of the inspection visit. We needed to be sure the registered manager would be available to facilitate this inspection.
Inspection site visit activity started on 28 February 2019 and ended on 5 March 2019. We visited the office location to see the manager and office staff; and to review care records and policies and procedures.
What we did: Before our inspection, we looked at information we held about the service. The provider sent us a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, such as notifications we had received from the registered manager. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority contract monitoring team prior to our visit. We used this information to plan the inspection.
During the inspection we spoke with four people who used the service and two relatives. We spoke with the registered manager, service manager and four care staff.
We looked at a range of documents and records related to people’s care and the management of the service. We viewed three people's care records, medication records, two staff recruitment, induction and training files and a selection of records used to monitor the quality and safety of the service.
Updated
29 March 2019
About the service: Hambleton Central & Hambleton North Reablement Services is a domiciliary care agency. It provides personal care to people living in their own houses and flats to predominantly older people through a short-term assessment and reablement program. This offers short-term support to help people regain their independence after an accident or ill health, or to help those with a disability remain independent. At the time of this inspection, 19 people were using the service.
People’s experience of using this service: People told us they were happy and felt safe. Staff had an excellent understanding of people’s care and support needs. Support was delivered by staff who had the skills, knowledge and relevant training. People received support at a time they preferred from a consistent team of staff.
People were treated with dignity and respect and their independence was promoted. Staff spent time getting to know people and their goals. Staff understood the importance of understanding people’s abilities and working with them to achieve positive outcomes.
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. Choices people made were respected.
Systems were in place to continuously monitor the service. People felt they were listened to and their views respected. People told us the service was responsive to their needs and the support provided had improved their well-being and independence. They were asked to provide feedback on the service provided which encouraged continuous improvements.
People and staff spoke positively of the management team. The service was well-run by a registered manager who was supported by a team leader. The registered manager attended regular forums and events in the local area to build relationships and share best practice. They were passionate about providing a high quality, effective service. The service had good links with the local community and other professionals to promote and improve people’s health.
More information is in the Detailed Findings section below. For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk
Rating at last inspection: At the last inspection the service was rated Good (report published 6 September 2016).
Why we inspected: This was a planned inspection based on the rating at the last inspection.
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.