Home Sweet Home Reablement Services was rated Good across all five key questions, with consistent timely visits, strong staff-person matching and exceptionally positive feedback from people, relatives and professionals. The overall rating dropped from Outstanding (2019) to Good, with Safe and Caring stepping down from Outstanding to Good while Effective, Responsive and Well-led remained Good.
Strengths
· Staff had in-depth knowledge of people's needs through extended induction every time they started supporting a new person
· Same small group of care staff supported each person, developing trusting and friendly relationships
· Care visits were completed timely with people informed if staff were running late, and staff often stayed longer than specified
· Staff received training in safeguarding, moving and handling, first aid, MCA, equality and diversity, and infection control
· Robust recruitment processes including DBS checks and references
Quality-Statement breakdown (24)
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 diet; access healthcareGood
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 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: 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 care; Working in partnership with othersGood