Joint Community Rehabilitation Service achieved a Good rating across all five key questions at its April 2016 announced inspection, demonstrating effective reablement support that enabled people to regain independence following hospital discharge. No regulatory breaches were identified, with inspectors highlighting strong leadership, specialist staff training, robust governance, and consistently positive feedback from people using the service.
Strengths
· Personalised reablement and rehabilitation support enabling people to return to independent living through individual goal setting
· Strong staff training programme including specialist REAP training with competency assessments before unsupervised working
· Robust safeguarding awareness with clear reporting pathways, whistleblowing policy and regular competency checks
· Effective multidisciplinary joint working with physiotherapists, OTs, GPs, district nurses and other healthcare professionals
· Open and positive culture led by an approachable registered manager with effective quality assurance and audit systems
Joint Community Rehabilitation Service achieved an overall Good rating at its January 2019 inspection, with Caring rated Outstanding due to an exceptional person-centred culture in which staff empowered people to regain independence. No regulatory breaches were identified and the service had improved since its previous Good rating in June 2016.
Strengths
· People were fully involved in developing their support plans and said staff understood exactly how much support they needed.
· Staff were highly motivated, compassionate and inspired to provide kind, person-centred care that enabled people to regain independence.
· Robust competency framework, buddy system, and ongoing training programme ensured staff were skilled and knowledgeable.
· Strong partnership working with occupational therapists, physiotherapists, falls team, stroke team, GPs and community nurses.
· Comprehensive audit systems and proactive management culture drove continuous improvement, including visits to other reablement services to share best practice.
Quality-Statement breakdown (20)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Using medicines safely; learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the law
Not rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot 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 meet people's needs, preferences, interests and give them choice and controlNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated