Reablement West, a domiciliary care agency supporting 41 people with short-term reablement, was rated Good overall and across all five key questions. Inspectors found safe, effective, caring, responsive and well-led services with strong person-centred practice, though people requested more consistency of staff which the provider was addressing.
Concerns (4)
moderate
Safeguarding
: “Risk assessments around self-neglect and audits have been put in place following a safeguarding incident.”
minorStaffing levels: “People told us they were happy with the staff who came to support them; however, they would like more consistency as to who came to support them.”
minorMissed or late visits: “following a missed care visit all staff now need to ensure they record the date and who they spoke with if a person wishes to cancel a call.”
minorMedication management: “'drop in' sessions for staff had been set up to address any concerns around medicine administration following gaps in recording being found.”
Strengths
· Safe recruitment practices and staff understood safeguarding responsibilities
· Effective infection prevention and control measures with appropriate use of PPE
· Staff were skilled, well-trained and received regular supervision
· Person-centred care promoting independence and dignity
· Strong partnership working with health and social care professionals
Quality-Statement breakdown (22)
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staff; Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated