Wiltshire Council Reablement Service (Chippenham Hub)

People were fully assessed to ensure the service was suitable to meet their needs. Within the assessment process, people were able to discuss their expectations of the service and their perceived goals. They were also assessed for any equipment that might help them with their independence.

People were complimentary about the service they received. Their support had enabled them to regain skills such as getting ready for their day and meal preparation. People generally found after their period of support, they no longer needed any registered service.

Each person had a support plan, which detailed their needs. However, the information did not show the stages of people's reablement journey. The registered manager told us there were plans to improve the information to ensure it was more person centred.

Each person's progress and goals were discussed at a weekly meeting. This enabled any support to be amended in a timely manner.

Staff had not always signed the medicine administration record to show they had supported a person to take their medicines. The registered manager had identified this shortfall and had asked staff what improvements were needed. The records were amended, and errors reduced. All other aspects of people's medicines were safely managed.

People were consulted about their support and encouraged to give their views about the service. This was within surveys or via telephone discussions. All written information was available within different formats such as large font, braille or other languages.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported

this practice.

People were complimentary about the staff and their rights to privacy and dignity were promoted. There was a very strong ethos of promoting independence and enabling people to reach their potential. This ethos was adopted throughout the staff team

Staff were safely recruited and there were enough staff to support people. Staff received a range of training to ensure they had the knowledge and skills to do their job. There were opportunities for career progression and to complete professional qualifications. However, the registered manager recognised some training had not been delivered in a timely manner due to the changing needs of the service. Further training had been arranged to address this.

There was a clear management structure and staff were aware of their role and responsibilities. Regular audits took place to assess the quality and safety of the service and there were overviews to identify potential trends.

Reflective practice took place to improve service delivery. This was particularly apparent whilst the service was developing and becoming established.