Community Response Team South East received a Good rating across all five key questions at its first inspection under the current registration, with people and professionals praising kind, person-centred reablement care and a supportive staff culture. A recommendation was made regarding risk management records, which lacked sufficient detail about individual health conditions, and minor gaps were noted in care plan specificity and outcome measurement.
Concerns (3)
moderate
Record keeping
: “Records did not always detail how risks in relation to people's individual health conditions should be managed.”
minorCare planning: “The manager had already identified these records required more detail to ensure guidance for staff was specific and more person-centred for people.”
minorGovernance: “A formal system was not in place to measure outcomes across the service. We discussed this with the manager who told us of their plans to implement this.”
Strengths
· People spoke positively about their experiences and felt the service responded effectively in meeting their individual needs.
· Staff were well trained with skills and knowledge to support people effectively, including a comprehensive induction process with a dedicated inductee lead.
· Effective multi-disciplinary working with a wide range of health and social care professionals including in-house occupational therapists and sensory team.
· Strong person-centred reablement approach promoting independence, with documented goals and regular review of people's needs.
· Positive staff culture with good management support, clear roles, and a staff-led Continuous Improvement Group.
Quality-Statement breakdown (24)
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood