About the service: Choices for Living Well (Killelea) is a care home providing short term adult rehabilitation and reablement support in people’s own homes. The service provides personal care and treatment for up to 36 people, mainly over 65 years old for up to six weeks to enable people to recover daily living skills, regain confidence and maximise their independence following a hospital admission or crisis at home.

The service compromises of the merger of two services previously registered with us Killelea, an intermediate care home and Bury Council Domiciliary Care (Bury Council Reablement Service as it was also known). Killelea received a good rating with requires improvement in safe and Bury Council Domiciliary Care also received an overall good rating with an outstanding rating in responsive.

The merger was made to support Bury Metropolitan Borough Councils, Intermediate Care Strategy (January 2019). The service continues to be registered with Bury Metropolitan Borough Council.

People’s experience of using this service:

Everyone told us they felt safe and were happy with the standard of care and the reablement process.

Killelea had recently been refurbished to support people to achieve their goals, for example by providing rehabilitation flats and kitchens. The service was clean and tidy throughout.

People were clear about the aims and objectives of the service, namely to help regain confidence and skills so that they could continue to live independently. Support was planned in partnership with them.

People who used the service had the capacity to make decisions about what their care and the choices they made.

People’s needs were assessed prior to admission to the service to ensure that they were medically fit enough to benefit from the service and return home.

People’s needs were risk assessed and the personal goals they wanted to achieve where identified to enable them to return home with ongoing support as quickly and as safely as possible.

Onsite health and social care professionals worked together to ensure people received the support and treatment they needed in a timely way.

The service was involved in looking at innovative ways of working with other regulated services within the local community, the use of equipment and new technology to help increase people’s independence and reduce social isolation.

Increasing people’s confidence and independence were optimised, for example, improving mobility, self-administering medicines and other daily living and personal care tasks to enable people to return home.

People told us there were enough staff to support them and they received good continuity of support from both health and social care professionals working together.

The provider and registered manager continue to work with the challenges of developing and working towards an integrated health and social care team as a single workforce providing support to people over seven days a week.

Rating at last inspection: This was the first inspection of the service after the merger of Killelea House and Bury Council Domiciliary Care (Reablement).

Why we inspected: This was a scheduled inspection in line with our methodology

Follow up: We will continue to monitor information and intelligence we receive about the service to ensure good quality care is provided to people. We will return to re-inspect in line with our inspection timescales for ‘Good’ rated services, however if any further information of concern 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