About the service Homecare Assessment and Reablement Team (HART) Leicestershire provides assessment, equipment and support to people in their own homes. The service is usually provided for up to six weeks and aims to help people to learn to live as independently as they can and to assess people's needs for longer term care. At the time of our inspection, the service was supporting approximately 203 people.
The service also provides a Crisis Support Team, who provide personal care for up to 72 hours for people in their own homes in crisis situations. For example, when released from hospital, they can support people on a short-term basis whilst they find a longer-term care provider. At the time of inspection there were 16 people receiving personal care.
People’s experience of using this service and what we found
There was a registered manager at the service, they had been registered since February 2016.
The registered manager, managers and reablement support workers (care staff) were all dedicated to the reablement of people in their own homes.
People set their own goals and staff supported them to achieve these by promoting people’s independence. People received care from a multi-disciplinary team who assessed their needs in a holistic way; enabling people to access services such as occupational therapy, pharmacy, physiotherapy, assistive technology and personal care.
People were protected from the risks of abuse or unsafe care by staff who understood their responsibilities to report concerns. People had information about how to make a complaint and the registered manager responded using the providers policy.
People were allocated staff at regular intervals; this was reassessed and reduced as they became more independent. Staff received training and supervision that supported them to carry out their roles.
Staff assisted people to become more independent in preparing their meals and promoted healthy eating. Where people were unable to prepare their own meals, people were signposted to providers that could deliver meals.
People received care from staff that showed kindness and compassion. People were treated with respect and dignity.
The registered manager used learning from incidents, feedback and complaints to improve the service. They carried out audits to assess and monitor the service to look for areas of improvement.
The registered manager was proactive in developing relationships with other organisations to ensure a smooth transfer of care or to improve the resources available to people.
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.
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 5 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
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.