Bristol South Intermediate Care Service was rated Good across all five key questions at this May 2019 inspection, with 40 people receiving short-term reablement support at home. The service demonstrated strong person-centred practice, effective multi-disciplinary working, and a well-supported workforce operating within a transparent and learning-oriented management culture.
Strengths
· People consistently felt safe with staff, who demonstrated clear knowledge of safeguarding procedures and reporting responsibilities.
· Staff supported people to maintain and regain independence through personalised, goal-oriented reablement care.
· High compliance with staff training records and regular competency checks for medicines administration.
· Staff received regular one-to-one supervision and annual appraisals, and felt well supported and valued.
· Personalised care plans were detailed, regularly reviewed, and co-produced with people and multi-disciplinary teams.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Planning and promoting person-centred, high-quality care and support with opennessGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Continuous learning and improving careGood
well-led: Working in partnership with othersGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
Bristol South Intermediate Care Service received a 'Good' rating across all five key questions at its November 2016 inspection, with no regulatory breaches identified. The service demonstrated strong person-centred practice, safe staffing and medicines management, effective staff training and supervision, and responsive leadership.
Strengths
· People and relatives spoke highly of staff, describing them as kind, caring, respectful and a 'lifeline'
· Robust medicines management with accurate charts, regular supply checks and competency-assessed staff
· Sufficient staffing levels with visit times adjusted to meet individual needs; consistent staff used for cover
· Strong safeguarding awareness: staff trained, had access to procedures and understood whistleblowing
· Person-centred care planning involving people in decisions about visit times, gender of carer and support type