The Inspection took place on 12 September 2016 and 29 September 2016 and it was announced at short notice to ensure that the registered manager/provider was available.

Home Sweet Home Reablement Service is registered to provide personal care to older people, some of whom may be living with dementia. The service provides care and support to people in their own homes in order for them to remain as independent as they are able to be.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People received safe care and support. Staff had a good understanding of how to protect people from the risk of harm. There were sufficient staff that had been appropriately recruited to ensure they were suitable to work with vulnerable people. Where people were supported with their medication it was done so correctly and people received it as prescribed.

Staff were well trained and supported and had the knowledge and skills to carry out their role competently. They had access to guidance and information to support them when necessary. The registered manager and staff had a good understanding of the Mental Capacity Act (MCA) 2005 and had received training to ensure that where people lacked the capacity to make decisions they were protected. People were supported to maintain a healthy balanced diet and their healthcare needs had been met.

Staff were kind, caring and thoughtful and they knew the people they cared for well. They respected people and ensured that their privacy and dignity was always maintained. People expressed their views and opinions and were supported to follow their individual hobbies and interests. The service provided people with advocacy contact details for use if needed.

People’s care and support needs had been fully assessed and there were care plans and risk assessments in place to ensure that people were cared for in a way they preferred. The care plans provided staff with the information that they needed to meet individual’s needs and preferences and to care for them safely.

People were confident that their concerns or complaints would be listened to and acted upon. There was an effective system in place to assess and monitor the quality of the service and to drive improvements.