Reablement - Urgent Homecare and Falls Response Service provides immediate care and support to people throughout Central Bedfordshire. They receive referrals when people have experienced a fall or require some urgent support with their individual care needs. Staff members undertake assessments of people's needs and are able to provide people with mobility aids, such as wheelchairs or walking frames. They can also instigate short term care packages to meet people's needs before long term care packages can be agreed with other provider. At the time of our inspection one person was receiving a homecare package from the service/

This inspection took place on 03 August 2016 and was announced. We also carried out telephone interviews on the 08 August 2016, to gain some insight from people who received care from the service and their family members.

The service did not have a registered manager; however they were in the process of interviewing for this 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. In addition, the registered manager was supported by two team leaders, who ensured the smooth running of the service in their absence.

People felt safe when staff from the service came to provide them with care and support. Staff member were trained in safeguarding principles and were able to report abuse if they suspected it. As part of the assessment process, risks to people's health and well-being were assessed and interventions put in place to help reduce the impact of these risks. There were sufficient numbers of staff on shift to meet people's needs and the provider was in a process of recruitment to help further develop the team. Where necessary, staff members were able to provide people with support or prompt them to ensure they took their medication correctly.

Staff members received training to help ensure they had the necessary skills to perform their roles. New staff had an induction to provide them with the basic skills they needed and all staff received additional specialist training to provide them with the skills necessary to carry out assessments of people's needs. Staff sought people's consent before providing them with care and there were systems in place to ensure the principles of the Mental Capacity Act 2005 were adhered to. Staff also supported people to make their own food and drinks if necessary, but promoted independence in this area. The service liaised with a range of healthcare professionals to ensure people received the care they needed.

There were positive relationships between people and members of staff, staff treated people with kindness and compassion and spent time getting to know them whilst providing them with care. People and their family members were involved in planning their care and were provided with information about the service and what they could expect from it. People's privacy and dignity were maintained and staff members worked hard to promote people's independence.

Assessments were carried out on an individual basis to ensure that people received person-centred care. Care plans described people's individual and specific needs and outlined the actions that staff would take to meet them. If people's needs changed while the service was providing them with care, care plans were reviewed and updated to reflect these changes. There was also a robust complaints procedure in place to receive people's comments and feedback, and to take appropriate action to manage complaints.

The service had a positive culture and ethos. People were happy about the care they received from the service and staff were positive and motivated to perform their roles. Staff members wanted to help promote people's independence