West 1 Reablement Service

During our assessment, we gathered feedback from people who used the service, their relatives, and professionals who worked with the service. We also spoke with the registered manager, the nominated individual, managers, including team leaders, and reablement staff to hear their views about the service. The nominated individual is responsible for the delivery of regulated activities on behalf of the provider.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

We found the service was meeting this guidance, which meant people were supported in a way which maximised their dignity, choice and independence.

People’s support was planned and delivered in line with reablement principles, ensuring care was personalised, outcome-focused and developed in partnership with them. The service adopted a strengths-based approach, building on people’s abilities to enhance confidence and promote independence.

The provider had adapted the service to ensure it was accessible and inclusive for people who needed it, including tackling barriers to access where these were identified.

Leaders and staff understood the provider’s values and consistently demonstrated these in their day-to-day work. Staff were committed to providing an exceptionally high-quality service to the people they supported. They spoke with enthusiasm about the work they did and the positive outcomes this achieved for people.

The service had a culture which fostered collaborative working and open communication. Leaders actively encouraged feedback from people who used the service, staff, and external stakeholders and used this to improve the service.

The service demonstrated an exceptionally strong culture of collaborative working, which supported the delivery of well-coordinated, joined-up care for people.

The provider had strong governance arrangements which ensured the service was sustainable, well run, and met the needs of people using the service.

There was a positive safety culture within the service. Feedback and incidents were used as opportunities for improvement, and lessons were learned to embed good practice.

Staff took a balanced and proportionate approach to managing risk in line with reablement principles, supporting people to take positive risks in order to progress towards achieving their goals.

The provider had effective safeguarding systems in place to protect people from abuse and avoidable harm. Safeguarding practice was integrated within the service.

Staff had access to the induction, training, and ongoing support they needed to provide safe and effective care which met people’s individual needs. The provider recognised the importance of investing in its workforce and supported staff to undertake a range of further qualifications relevant to their roles.

People’s consent to their care was sought at their initial assessments and staff understood the importance of gaining people’s consent on a day-to-day basis.

The provider had systems in place to ensure people’s medicines were managed safely, and that people were protected from the risk of infection.