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Joint Community Rehabilitation Service Good

Inspection Summary


Overall summary & rating

Good

Updated 24 May 2019

People’s experience of using this service:

People said they received an excellent service from JCR. They were fully involved in decisions about the support they received and developed their support plan with staff. One person told us, “The staff are very good, they know exactly how much support I need, I have been very lucky.”

People were clearly at the centre of the service; they were consulted about every aspect of the support they received and felt respected and listened to. One person said, “We planned what I would do and how staff would support me, it has worked out really well. Really pleased.”

Staff were motivated to respect people’s privacy and dignity and provide personalised care in a kind and compassionate way. One member of staff told us, “I am so happy doing this job, it is the best job I have ever done.”

Staff said they got to know people very well as they talked to them about their needs, life story, interests and preferences and used this information to discuss and agree their specific goals. “One person said, “I was having difficulty getting around my home, but since they have been helping me I can walk with sticks and I will be learning to get in and out of cars soon, so I can go shopping, really looking forward to that.”

People said they felt very safe when staff provided the support they needed. Staff demonstrated a good understanding of abuse and how to protect people from harm. They knew who to contact if they had any concerns and were confident appropriate action would be taken.

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. Staff consistently asked for people’s consent before assisting or encouraging people to be independent in a safe way.

Risk was reduced as much as possible through an assessment of the person’s physical and mental health needs, with guidance for staff to reduce risk as much as possible. An environmental risk assessment of people’s home’s identified potential risk and aids were provided to support people to make safe decisions. Such as, a mobility aid to assist a person to move around safely. One person told us, “They were all lovely. They made sure I was safe as I moved around the home after my fall and I can do most things for myself now.”

About the service:

Joint Community Rehabilitation Service (JCR) is based in Firwood House, in the Hampden Park area of Eastbourne, and supports people living in the surrounding areas. The service provides personal care to older people and younger adults living in their own homes, with the focus on staff supporting people to regain their independence. This may be following a period in hospital, or if the person’s health and care needs have changed whilst at home, support from JCR staff means people are able to stay at home and remain at their optimum level of independence. The service is available from one to six weeks, dependent on people’s individual needs and, can be extended if alternative care arrangements are required for ongoing support. At the time of our inspection, 80 people used the service.

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 I June 2016).

At this inspection we found the service remained Good with caring question rated as Outstanding.

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.

Inspection areas

Safe

Good

Updated 24 May 2019

The service remained safe

Details are in our Safe findings below.

Effective

Good

Updated 24 May 2019

The service remained effective

Details are in our Effective findings below.

Caring

Outstanding

Updated 24 May 2019

The service has improved to outstanding

Details are in our Caring findings below.

Responsive

Good

Updated 24 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 24 May 2019

The service remained well-led

Details are in our Well-Led findings below.