Middlesbrough Community Reablement Service received an overall Good rating across all five key questions on its first CQC inspection, with people and relatives consistently praising staff kindness, encouragement and dignity. Minor areas for improvement were identified in care plan personalisation, analysis of incidents and feedback data, and consistency of people's involvement in care decisions.
Concerns (5)
minor
Care planning
: “Care plans were task orientated and lacked detail about how to support people in line with their preferences.”
minorGovernance: “Information was gathered but was not always analysed to identify trends either positive or negative.”
minorIncident learning: “It was reviewed on an individual basis but not analysed to identify trends or patterns. The registered manager had recognised that improvements were needed.”
minorConsent / capacity: “The assessment did not ask questions relating to mental capacity and to support all the protected characteristics of the Equality Act.”
minorPerson-centred care: “People and relatives experienced different levels of involvement in decisions about their support... 'We don't really have any input in meetings, face to face.'”
Strengths
· Robust recruitment process with detailed pre-employment checks in place.
· People and relatives were consistently complimentary about staff kindness, encouragement and dignity.
· Consistent staff deployment supporting continuity of care for reablement.
· Medicines managed safely with competency reviews regularly conducted.
· Effective IPC measures with regular staff observations and PPE use confirmed by people.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
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
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: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service; Continuous learning and improving careGood