Community Rehabilitation Management

Updated 2 July 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by an adult social care inspector

Service and service type:

Community Rehabilitation Management is a domiciliary care agency. It provides personal care to people living in their own homes. People's care and housing are provided under separate contractual agreements. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

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.

Notice of inspection:

We gave the service short notice of the inspection visit because we needed to be sure that the registered manager would be available

Inspection activity started on 9 May and ended on 17 May 2019. We visited the office location on 9 May 2019 to see the registered manager and to review care records and policies and procedures, and from 14 to 17 May we carried out telephone interviews with staff and people using the service

What we did:

We reviewed notifications we received from the service and reviewed information we received prior to the inspection from people using the service, their relatives and care staff.

We looked at the provider information return [PIR]. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We looked at three people’s care records. We checked records relating to the management of the service and spoke with two of the five people receiving a regulated activity from the service, four members of staff and the registered manager.

Updated 2 July 2019

About the service:

Community Rehabilitation Management is a domiciliary care agency providing personal care to people in their own homes. It specialises in providing long term care packages for people living with acquired brain injury, spinal cord injury and other neurological disorders. At the time of this inspection it was providing personal care to five people based around the country.

People’s experience of using this service:

We found that people received a good service. The provider ensured care was delivered in a safe way, and monitored the care provided closely. People told us they received a good standard of care, and told us the staff were kind and respectful.

People told us they felt the staff were caring. They told us they got on well with staff and described their relationship with staff as positive. One person told us: “They’re a good team, I like them all and we work well together.” People told us the care was tailored to their specific needs, and one said: “Nothing happens without my say so.”

Staff received training which was relevant to their roles. Staff we spoke with told us the training was plentiful and appropriate to their roles. A lot of training was provided in house, which meant it could be tailored to the needs of people using the service.

People’s needs and risks to their safety were assessed, and detailed plans of care drawn up. People told us they felt safe and staff had been trained to recognise and report suspected abuse. A complaints procedure was in place although no formal complaints had been received at the time of the inspection. The approach the registered manager had of maintining a high level of contact with people using the service meant concerns and issues were addressed immediately as they arose.

People were supported in maintaining good health, and staff liaised with external healthcare providers to ensure that care was provided in a way that met people’s needs.

Systems were in place to monitor the quality of care provided and further areas were being developed. People were extremely positive about the care provider and management team and said they were approachable and supportive. One person said: “Any time of day or night I can call [the registered manager] and they’re always there for you or they get straight back to you.”

The service continued to meet the characteristics of good in all domains.

More information is in the full report

Rating at last inspection:

Good. The report was published in November 2016

Why we inspected:

This was a scheduled inspection based on the last rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.