Community Rehabilitation Management

At the time of this inspection, 11 people received support. However, only 10 people received the regulated activity of personal care. We therefore only reviewed the specific care provided to those 10 people, but we did inspect the general staffing, and management arrangements in place. Each person had their own care team assigned to them in their own property, and 24-hour support was provided for people.

The service had been rated as ‘Good’ at their previous inspection (report published 2 July 2019), and we carried out this inspection because it was an aged rating. This inspection was carried out by one inspector. We gave the provider 48 hours’ notice of our inspection. This was because it is a small care provider, and we needed to ensure the registered manager would be available to meet with the inspector at the provider’s office.

The provider had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. Staff understood and managed risks well. There were enough staff with the right skills, knowledge, and experience. Staff received regular and relevant training. Staff understood their roles and responsibilities. Staff managed people’s prescribed medicines well.

People decided how they individually received care. People’s person-centred care plans and risk assessments took account of their individual communication needs as well as their personal care and health care needs. Staff monitored people’s health to encourage healthy living and made sure people always had enough to eat and drink. People were involved in choosing which staff were employed and directed the support they received from their individual care team. People made their own decisions about the care they received, and the provider’s staff enabled people to maintain control over how they wanted to live their own life.

The registered manager and staff had a shared vision and culture based on listening, learning, and trust. The registered manager was knowledgeable and supportive, helping staff develop in their roles. They treated staff fairly and respected their well-being. The registered manager collaborated with the community healthcare teams to ensure people received consistent and effective healthcare support. There was a culture of continuous improvement and of learning lessons from incidents to help reduce re-occurrences.