Joint Community Rehabilitation Service received a Good rating across all five key questions at its first CQC inspection in April/May 2017. The service demonstrated strong person-centred reablement practice, safe care delivery and well-embedded governance, with the only minor concerns relating to inconsistent visit times and staff continuity which management had already identified and begun to address.
Concerns (2)
minor
Missed or late visits
: “'The care plan says 8.30 but they can come anytime between 7-10, it would be better if we knew as (name) gets a bit distressed'”
minorPerson-centred care: “'(Name) sees different girls, maybe up to 10 in a week. We never know who is coming or a time'”
Strengths
· Strong safeguarding culture with regular staff training and competency assessments
· Robust risk assessment and risk management planning promoting independence
· Safe medicines management with weekly MAR chart audits and competency checks
· Comprehensive staff induction, mentoring, supervision and appraisal processes
· Person-centred, goal-focused care planning with weekly reviews and people actively involved
The Joint Community Rehabilitation Service achieved Good across all five key questions at its February 2020 inspection, maintaining its previous 2017 rating. The service demonstrated safe, person-centred reablement care with no missed visits, strong staff support structures, effective multi-agency partnership working, and a positive leadership culture driven by the registered manager.
Strengths
· No missed care calls; contingency system ensured full coverage and timely visits
· Comprehensive staff induction with probationary year, mentoring, and care certificate pathway
· Personalised, weekly-reviewed risk assessments with falls prevention and mobility focus
· Strong partnership working with hospitals, GPs, community nurses and allied health professionals
· Person-centred care plans reflecting cultural, spiritual, equality and communication needs
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
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: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
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, the public and staffGood
well-led: Continuous learning and improving careGood