Background to this inspection
Updated
27 March 2020
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 was carried out by one inspector.
Service and service type
The service is a short-term reablement service which helps people regain their independence following periods of illness or time in hospital. People who use this service are not given specific visit times and the length of stay is dependent on the support they require at each visit. Referrals to the service are usually from the community, Gateway to Care or following hospital discharge.
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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
We spoke with six people who used the service and three relatives via telephone about their experience of the care provided.
During the inspection
We spoke with the registered manager and seven members of care staff. We reviewed a range of records. This included six people’s care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
27 March 2020
About the service
The Support and Independence Team Upper Valley 1 is short-term rehabilitation, domiciliary care service. At the time of our inspection there were 32 people receiving personal care. The service provided by Calderdale Metropolitan Borough Council works in partnership with the local NHS foundation trust and the office base is situated in Beechwood Health Centre.
People’s experience of using this service
The service had systems in place to help safeguard people from harm. People’s individual risks and environmental risks were identified and managed to minimise the risks. The service had systems in place to help ensure staff were recruited safely. People said they did not have missed or late visits from the service. Medicines were managed safely by the service. Staff were aware of procedures to be used to help prevent the spread of infection.
The service carried out thorough assessments of people’s needs prior to admitting them to the service. The service provided a thorough induction and on-going training for all staff. People’s nutritional needs were documented and adhered to.
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 said they were treated very well by staff from the service. People were as involved as possible in planning and delivering care and support. People were encouraged to express their views in person and via regular surveys. The service promoted and encouraged independence and people said their dignity and privacy were respected.
The service was flexible and person-centred. People’s choices and preferences were documented within their care plans. People’s communication needs were noted and used by staff to ensure people were fully involved. Systems were in place to record complaints, but there had not been any made recently.
The service ensured there was open and honest dialogue with people. The management completed regular spot check phone calls to people to ensure they remained satisfied with the support provided. The service worked closely with therapists to achieve good outcomes for people with regard to rehabilitation.
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 6 September 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.