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Intermediate Care at Home Outstanding

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 9 August 2018

This inspection took place on 10 July 2018 and was announced.

Intermediate Care at Home generally provides short-term personal care services to people in their own home. The service focuses on promoting self-care and enabling people to reach or regain an optimum level of independence. Three separate teams make up the service. The Crisis Support Team provides more urgent and personal care support lasting up to seven days and if people require longer support the Peri Team manage this. The Short Term and Reablement Team (START) provide support for up to six weeks. At the time of the inspection the service was supporting 32 people.

At our last inspection we rated the service outstanding. At this inspection we found the evidence continued to support the rating of outstanding and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

We received outstanding feedback about Intermediate Care at Home. All comments from people who used the service, relatives, health and social care professionals were extremely complimentary and consistent stating they were really happy with the care, treatment and support the service provided. We also saw very high volumes of positive feedback people had given directly to the service, either in the form of thank you letters and cards, or in the questionnaires they had completed once the programme of reablement was completed.

The service was exceptionally well-led. The registered manager was well-respected by the staff team and partner agencies and had fostered a very open and transparent culture. They placed a strong emphasis on providing a high-quality service and looked for ways to continually improve to benefit people and to meet the demands of a changing local health and social care picture. Staff were proud to work for the service and felt valued for their work and their contribution to continuous improvement.

There were very effective processes in place to monitor quality and understand the experiences of people who used the service. Where improvements were needed, these were addressed. People's views were continuously sought, they felt listened to and assured any complaints they made would be taken seriously and acted upon.

Personalised reablement programmes with varying degrees of intervention and flexible staffing arrangements continued to enable people to reach or regain an optimum level of independence.

Through continuous review, any changes in people’s needs were quickly identified and their care package amended accordingly. The service was flexible and responsive, any additional support was provided where necessary, including assistance with nutrition and hydration. People received very positive outcomes as a result of the high quality and effective care they received which helped reduce avoidable hospital and care home admissions.

People were at the heart of the service. Staff worked in partnership with people, their families and other agencies to support them to reach their full potential. Support plans were personalised and contained agreed goals that people wished to achieve, which were reviewed and updated as support progressed. People had good access to a range of aids and equipment which supported their safety and return to independence.

Equality, diversity and human rights were at the forefront of how support was provided. The strong person-centred culture apparent at our previous inspection continued through the exceptionally kind, caring and compassionate approach from the registered manager and all members of the team.

Staff were creative in overcoming obstacles and finding opportunities to go ‘over and above’ to promote people’s independence and wellbeing. People told us that staff were very professional and always respected their dignity when undertaking

Inspection areas

Safe

Good

Updated 9 August 2018

The service remains Good.

Effective

Good

Updated 9 August 2018

The service remains Good.

Caring

Outstanding

Updated 9 August 2018

The service remains Outstanding.

Responsive

Outstanding

Updated 9 August 2018

The service remains Outstanding.

Well-led

Outstanding

Updated 9 August 2018

The service remains Outstanding.