Background to this inspection
Updated
17 March 2020
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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
This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection. Inspection activity started on 6 February 2020 and ended on 12 February.
What we did before the inspection
We reviewed information we had received about the service since it was registered. The provider was not asked to complete a provider information return prior to this inspection. 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 took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service about their experience of the support provided. We spoke with four members of staff and the registered manager.
We reviewed a range of records. This included five people’s support records. We looked at two staff files in relation to recruitment and an overview of training and supervision for all staff. A variety of records relating to the management of the service were reviewed.
After the inspection
We received feedback from three professionals who have regular contact with the service.
Updated
17 March 2020
About the service
Wiltshire Council Reablement Service provides short term personal care to people who live in their own home. The aim of the service is to support people to regain their independence so they can continue to live at home. At the time of the inspection 11 people were using the service.
People’s experience of using this service and what we found
People were happy with the support they received from Wiltshire Council Reablement Service and said they felt safe. Staff knew what to do to keep people safe and were confident any concerns would be taken seriously.
Risks to people’s well-being and safety were assessed, recorded and kept up to date. Staff supported people to manage these risks effectively. People received support to manage their medicines safely and maintain their independence.
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 were supported to develop support plans that were specific to them, with goals to support their reablement. These plans were regularly reviewed with people and updated when needed. The plans contained clear information about people’s communication needs.
People said staff were caring and treated them in ways that maintained their privacy and dignity. Staff spoke with passion about reablement and supporting people to achieve their goals.
People were supported to prepare food and drinks where needed, ensuring this met their needs and minimised identified risks. Staff worked well with health and social care teams to ensure people were able to access the services they needed.
Staff were very positive about the leadership of the service. They spoke of a supportive management team, that respected and listened to them. Staff said they were able to have open discussions and saw changes as a result.
Quality assurance systems were in place, based on feedback from people, observations of practice and reviews of records. Actions were developed in response to the checks and reviewed to ensure they were completed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12/02/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on date the service was registered.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.