Background to this inspection
Updated
9 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of
our regulatory functions. We checked whether the provider was meeting the legal requirements and
regulations associated with the Act. We looked at the overall quality of the service and provided a rating for
the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
We gave the service 24 hours’ notice of the inspection. This was to ensure that people we needed to speak to were available.
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Inspection activity started on 29 August 2019 and ended on 5 September 2019.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report., We reviewed information we had received about the service since the last inspection. We used the information the provider sent us to inform us of changes within the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and three of their family members about their experience of the care provided. We spoke with seven members of staff, the registered manager and a senior service manager for the registered provider who is Knowsley Metropolitan Borough Council. We reviewed a range of records. This included four people's care records, records relating to staff supervision and training and a variety of records relating to the management of the service, including policies and procedures.
Updated
9 November 2019
About the service
Knowsley Reablement Service provides people with care, support and re-ablement within their own home. The service is provided, together with other health care professionals for a short period of time to enable people to maintain or regain their independence. Thirty four people were using the service at the time of this inspection.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People's needs and wishes were assessed and planned for. Care plans identified the intended outcomes for people and how their needs were to be met. People received care and support from staff who had received training for their role. People received the support from health care professionals and services as part of their re-ablement plan.
People were protected from abuse and the risk of abuse and staff understood their role in relation to this. People and their family members told us that the service was safe. Risks to people and others were identified and measures put in place to minimise harm. Good infection control procedures were in place.
Staff got to know people well and were knowledgeable about individual's needs and how they were to be met. People and their family members knew how to raise a concern or make a complaint about the service. People were treated with kindness by staff. Staff provided care and support with positive outcomes for
people.
The service worked with other agencies to plan for and deliver the changing needs of people living within the borough of Knowsley. Links to community groups were in place to promote positive social wellbeing for people at risk from social isolation.
Systems for assessing and monitoring the quality and safety of the service were effective in identifying areas of improvement within the service. People and their family members spoke positively about the service they received and the staff supporting them. Systems were in place to gather people's views on the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 21 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.