Residential Care Providers Limited

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were safe and protected from avoidable harm.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Systems were in place to report, record and monitor incidents and to help support people safely. Management discussed accidents/incidents with staff during meetings to help ensure staff were familiar with their responsibilities and what action to take in such an event.

Records showed that the leadership team reviewed accident and incident records to help identify areas for improvement.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care.

Care plans included clear protocols for managing risks. There were detailed communication and hospital passports in use to support hospital admissions. These processes supported safe transitions and reduced the risk of avoidable harm.

Staff accompanied people to their appointments to provide support and reassurance.

Handover systems were in place and information was shared amongst staff so that people received continuity of care and support that met their individual needs.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect.

Procedures were in place to help safeguard people from abuse and improper treatment. Staff were able to recognise signs and symptoms of abuse and received training to help ensure they were up to date with best practice guidance. Staff told us they felt confident raising concerns with management.

Relatives told us their family members were safe in the home. A relative told us, “[My family member] is safe in the home, absolutely.” Another relative said, “Every time I go [to the home], [[my family member] is happy. They are definitely safe there.”

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Risk assessments included clear guidance for staff on how to manage risks associated with people’s care and support. These were comprehensive and included details of existing controls and proposed actions to eliminate/reduce risk. Risk assessments covered risks such as personal care, health conditions, accessing the community and taking part in activities. Staff encouraged people to remain independent as far as possible whilst mitigating risks. 

Information about people's mobility and medical conditions that could impact on their ability to leave the premises in the event of an emergency were documented and included guidance on how staff should support them.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Staff supported people to maintain a clean, tidy, and hazard-free home environment. Staff carried out environmental safety checks, including routine inspections of fire safety equipment and fire drills, to help ensure both people and staff understood the procedures to follow in the event of a fire.

Health and safety checks and maintenance of the building and equipment were carried out. A health and safety risk assessment of the premises had been completed to help ensure the home was maintained and any risks to people's health and safety were identified and addressed. Risks associated with the premises were assessed and relevant checks on gas and electrical installations were documented and up-to-date. The registered manager carried out a regular premises audit to help ensure the home was maintained and any potential risks to people's health and safety were identified and addressed.

The provider made sure there were enough qualified, skilled and experienced staff. Systems were in place to help ensure staff received training suitable for their role and that they have the required qualifications.

Staff confirmed that appropriate staffing levels were in place to safely meet people’s needs. Care and support were provided by a stable and regular workforce that people and relatives were familiar with.

Systems were in place to help ensure staff received training suitable for their role and that they had the required qualifications. This included additional training on learning disabilities, autism, and mental health needs. Staff were also supported to develop professionally through regular supervision, appraisals and opportunities to gain recognised qualifications.

The provider followed safe recruitment practices, including completing necessary pre-employment checks, to help ensure staff were suitable for their roles

The provider assessed and managed the risk of infection. Staff detected and controlled the risk of it spreading and were aware of the procedures to follow if any concerns had to be shared.

Staff followed infection control processes, including washing their hands, keeping people’s home’s clean and wearing personal protective equipment (PPE) where appropriate.

Staff had completed training about infection prevention and control. Staff said they had enough PPE.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened.

Medicines management systems were in place and people received their medicines as prescribed. People's medicine support needs were documented in their care plans. Staff received training to administer medicines to help ensure they had the appropriate knowledge and skills.

The provider worked in line with STOMP, which is national best practice guidance on Stopping the Over-Medication of People with a learning disability and or autistic people. There were systems to make sure people’s distressed behaviour was not inappropriately controlled by medicines.