Home Support Reablement Service received an overall rating of Good across all five key questions at its December 2023 inspection, maintaining the same rating as its previous inspection in 2017. The service demonstrated particular innovation through its 'Hospital to Home' referrals team and robust reablement-focused care planning, with no failure themes identified.
Strengths
· Innovative 'Hospital to Home' referrals team reduced discharge waiting times and hospital readmission rates with measurable improvements.
· Robust electronic call-monitoring system enabled effective tracking of late calls; records showed no recent missed calls.
· Person-centred Independence Plans used throughout reablement to promote autonomy and assess ongoing support needs.
· Strong multi-agency partnership working with healthcare professionals, including the admissions avoidance team.
· Open and transparent culture fostered by registered manager, with effective duty of candour processes and regular feedback loops.
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
safe: Learning lessons when things go wrongGood
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: Staff working with other agencies to provide consistent, effective, timely careGood
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 ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive, and empoweringGood
well-led: How the provider understands and acts on the duty of candour; Continuous learning and improving careGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks, and regulatory requirementsGood
Home Support Reablement Service received a Good rating across all five key questions at its first rated inspection in September 2017. The service demonstrated robust safeguarding, medicines management, staff training and governance arrangements, with people consistently reporting kind, flexible and effective reablement support.
Strengths
· Robust recruitment procedures with enhanced DBS checks and sufficient staffing levels maintained through ongoing recruitment
· Embedded pharmacy team providing on-site medicines support, training, monthly audits and weekly drop-in for staff
· Comprehensive multi-agency integrated workforce including occupational therapists, physiotherapists and nurses enabling holistic rehabilitation
· Electronic visit monitoring with real-time alerts and a missed visits procedure ensuring timely service delivery
· Regular staff supervision, annual personal development reviews and competency audits reported to quality governance board