Plymouth City Council Independence@Home Reablement Service received a Good rating across all five key questions at its first CQC inspection in November 2019. The service demonstrated strong person-centred, reablement-focused care, with the only notable shortcoming being insufficient detail in some care plans, which the registered manager began addressing immediately during the inspection.
Concerns (2)
moderate
Care planning
: “not all care plans held detailed information about what people were able to do for themselves, or specific guidance for staff about how to meet people's care needs”
moderateCare planning: “one person's care plan did not describe how staff should care for their catheter. In another, for a person who was only able to stand for a short period of time, there was no guidance”
Strengths
· People felt safe and well cared for; staff were described as kind, caring and compassionate
· Sufficient staffing levels with flexible, reablement-focused visit approach and consistent staff allocation
· Medicines administered safely by trained and competency-assessed staff with audit checks in place
· Strong multi-agency working with Livewell Southwest, occupational therapist, community nurses and GPs
· Robust quality assurance and governance systems including service improvement plan and regular audits
Quality-Statement breakdown (21)
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: Supporting people to live healthier lives, access healthcare services and supportGood
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: 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 staff; working in partnership with othersGood