Manchester City Council's Short Term Intervention Service received a Good rating across all five key questions at its first CQC inspection in May 2017, demonstrating safe, person-centred care that effectively promoted independence for adults with learning disabilities. Minor shortfalls included overdue medicines refresher training for three staff and five overdue supervisions, both of which the registered manager had already taken steps to address.
Concerns (3)
moderate
Medication management
: “three members of staff had not completed medicines administration refresher and this was now overdue from March and April 2017”
moderateSupervision / appraisal: “the registered manager acknowledged that supervisions of staff had not been done as regularly as they should have been. We saw there were five supervisions from March and April that were overdue.”
minorGovernance: “We saw no evidence of formal feedback gathered from people whilst using the service and the registered manager told us this was something they were planning on introducing.”
Strengths
· People felt safe with staff and care provided; robust safeguarding awareness and reporting culture among staff.
· Detailed, individualised risk assessments in place including environmental hazard identification assessments.
· Medicines administration records were accurate, well-maintained and reflected good practice guidance.
· Staff demonstrated strong understanding of the Mental Capacity Act 2005 and acted in people's best interests.
· Service promoted independence effectively, using creative approaches such as coloured sticker systems for microwaving meals.
Quality-Statement breakdown (18)
safe: Safeguarding people from abuseGood
safe: Risk assessment and managementGood
safe: Medicines managementGood
safe: Staffing levels and recruitmentGood
effective: Staff training and competencyGood
effective: Supervision and supportGood
effective: Mental Capacity Act complianceGood
effective: Healthcare needs supportGood
caring: Person-centred care and support planningGood
caring: Dignity, respect and privacyGood
caring: Promoting independenceGood
responsive: Needs assessment and care planningGood
responsive: Flexibility and responsiveness to individual needsGood
Manchester City Council's Short Term Intervention Service received a Good rating across all five key questions at its January 2020 inspection, maintaining its previous 2017 rating. The service demonstrated strong person-centred reablement practice, robust safeguarding and governance, and consistently positive feedback from people, relatives and staff.
Strengths
· Person-centred reablement care promoting independence and community integration for adults with learning disabilities
· Consistent staffing ensuring people had regular, familiar staff who knew them well
· Robust recruitment procedures including DBS checks and involvement of a service user volunteer on interview panels
· Staff received ongoing training meeting Care Certificate standards with competency assessments for medicines administration
· Registered manager maintained fortnightly multi-service meetings to review accidents, incidents, near misses and trends