Re-enabled Support

Updated 13 January 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 21 August 2023 and ended on 17 October 2023. We visited the location’s office on 21 August and 14 September 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with 1 person who used the service and 1 relative of a person who used the service. We also spoke to the registered manager, the administrator, care co-ordinator and 16 staff individually. We reviewed a range of records which included 2 people's care records. We looked at 20 staff files in relation to recruitment and staff competencies. A variety of records relating to the management of the service including policies and procedures were also reviewed.

Updated 13 January 2024

About the service

Re-Enabled Support provides personal care to people in their own homes, some of whom may have a learning disability and mental health needs. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection there were 2 people receiving personal care.

People’s experience of using this service and what we found.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the statutory guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At our last inspection, the provider was not able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture. This inspection found that improvements had been made.

Right Support: Staff were now safely recruited with appropriate checks in place. Risk assessments now held sufficient information for staff to meet people's assessed care and health needs. Safeguarding processes now protected people from harm. Incidents and accidents were now better analysed to prevent future re-occurrence. People were now supported to have maximum choice and control of their lives.

Right Care: People’s assessed needs and care plans were in place and better outlined the risks they faced in their daily lives, their accommodation and wider community. Care plans were now more person-centred and contained all the details needed for them to be successfully supported. Information was provided to people through methods in line with their specific communication needs. Enough competent, well trained, and supervised staff supported people to meet their needs and to keep them safe.

Right Culture: Governance systems were effective and the provider had implemented systems to assess, monitor and improve the service. Staff now received support through training, supervision and meetings to ensure they had the knowledge and skills to meet people's needs. Lessons were now learned from accidents and incidents to drive improvements.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 15 December 2022) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made.

This service has been in Special Measures since 15 December 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

At our last inspection we recommended the provider consider current guidance on supporting people to access healthcare services, maintain accurate records and take action to update their practice accordingly. We also recommended the provider follows current guidance on meeting people's communication needs and take action to update their practice accordingly. At this inspection we found the service had maintained effective communication with people and assisted people to access healthcare agencies.

Why we inspected

We undertook this focused inspection to check whether the Warning Notices we previously served in relation to Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.

The overall rating for the service has changed from inadequate to good based on the findings of this inspection.

You can read the report from our last inspection, by selecting the 'all reports' link for Re enabled Support on our website at www.cqc.org.uk.

Recommendations

We have made one recommendation in relation to improving the services notification processes.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.