# Reablement SkILs

*Operated by Leeds City Council.*

Reablement SkILs is a CQC-regulated home-care agency in Leeds.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 12/08/2023

## Practical info

- Postcode: LS7 3BE
- Registered manager: Fry-Jones, Mark
- Local authority: Leeds
- Region: Yorkshire & Humberside
- City: Leeds
- Last CQC check: 12/Aug/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The service worked in close partnership with other health and social care agencies.
  - Published: 2023-08-12
- Finding
  - Evidence: 100% of people surveyed in June 2023 had confidence and trust in the staff supporting them.
  - Published: 2023-08-12
- Finding
  - Evidence: The provider responded promptly to inspection findings, commissioning a comprehensive audit and action plan.
  - Published: 2023-08-12
- Finding
  - Evidence: Safe recruitment checks were in place to ensure only suitable staff were employed.
  - Published: 2023-08-12
- Finding
  - Evidence: Staff received induction, supervision, and training to carry out their roles effectively.
  - Published: 2023-08-12
- Finding
  - Evidence: Effective infection control measures were in place and staff had access to personal protective equipment.
  - Published: 2023-08-12
- Finding
  - Evidence: Staff received safeguarding training and had a good understanding of how to recognise and report abuse.
  - Published: 2023-08-12
- Finding
  - Evidence: Safe and consistent staffing levels were in place with good feedback on punctuality and call times.
  - Published: 2023-08-12
- Finding
  - Evidence: People and relatives spoke positively about person-centred care and felt safe and secure with staff.
  - Published: 2023-08-12
- **record_keeping** _(minor)_
  - Evidence: Care records could be improved to ensure they contained more individualised information about people's needs and goals.
  - Published: 2023-08-12
- **care_planning** _(moderate)_
  - Evidence: One person had fallen and there were no risk assessments in place.
  - Published: 2023-08-12
- **incident_learning** _(moderate)_
  - Evidence: Accidents and incidents were reported, and action taken to mitigate the risk of events occurring...the registered manager did not have a system to analyse and review themes and trends.
  - Published: 2023-08-12
- **governance** _(critical)_
  - Evidence: Robust systems were not in place to monitor, review and improve the quality and safety of the service. This placed people at risk of harm. This was a breach of regulation 17(1).
  - Published: 2023-08-12
- **medication_management** _(critical)_
  - Evidence: Where people were prescribed regular doses of medication, the time of administration was not recorded. This meant we were not assured there was the prescribed gap between doses.
  - Published: 2023-08-12
- **medication_management** _(critical)_
  - Evidence: Medicines administration records (MARs) were handwritten and did not always provide clear information to staff about how to administer people's medicines.
  - Published: 2023-08-12

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-08-12
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-08-12
- Finding
  - Staffing and recruitment
  - Published: 2023-08-12
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-08-12
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-08-12
- Finding
  - Using medicines safely
  - Published: 2023-08-12

### well_led

- Finding
  - Working in partnership with others; Continuous learning and improving care
  - Published: 2023-08-12
- Finding
  - Engaging and involving people, promoting a positive person-centred culture
  - Published: 2023-08-12
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2023-08-12

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-15879245872

HomeCare Compass is an independent guide and is not affiliated with the CQC.