1 April 2019
During a routine inspection
Lewisham Enablement Service is a domiciliary care agency. It provides personal care to adults living in their own houses and flats. People also receive support through rehabilitation. This approach helped people to improve their level of independence following an accident or deterioration in their health. Rehabilitation was scheduled to be in place for up to six weeks, therefore the numbers of people using the service could vary each week. At the time of this inspection 90 people were using the service.
People's experience of using this service:
There were established safeguarding processes in place that were followed by staff. This helped staff to manage and report allegations of abuse while protecting people.
Staff assessed people to identify risks to their health and wellbeing. Plans were put in place to manage any risks found.
People were supported by staff when taking medicines. Medicine administration records were completed and audited for accuracy.
The provider and registered manager followed a robust recruitment process to employ suitable staff.
People and relatives contributed to an assessment of their care, treatment and support needs. An individual plan of care was developed and regularly reviewed which detailed people’s individual support requirements.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff contacted people and their relatives for their opinions of the service. People gave positive responses and feedback regarding the care and support they received.
People said staff were kind and respectful to them and their dignity and privacy was protected when people received personal care.
People chose the activities that they wanted to take part in, staff supported people to access their local community to continue to enjoy them.
People, relatives and staff said the service was well run. They said that the management team were available when they needed support or advice.
There were established systems used for monitoring and reviewing the quality of care and service delivery.
Rating at last inspection: At the last inspection on 11 August 2016, the service was rated overall Good. (Report published on 16 September 2016).
Why we inspected: This was a planned inspection based on the rating of the service at the last inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.