Sharon and Glen Arnott - 32 Beamont Way

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 72 (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. Leaders ensured accident and incidents were appropriately reviewed and acted upon. Learning was shared with the staff team through supervision and team meetings.

The provider ensured staff received training to enable them to safely support people. The provider was proactive in seeking out extra training that would benefit people and the staff team. They ensured this learning was shared with the staff team to support both them and people.

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, including when people moved between different services.

People moving into the service had support to manage the transition. Leaders made sure people had comprehensive support plans written prior to any move which enabled staff to know people’s needs. Feedback from people was that this enabled them to have positive experiences of moving into their new home and helped them to settle in.

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.

The provider shared concerns quickly and appropriately. The provider had a policy to ensure concerns were shared appropriately with the local authority. The provider had accessible information about keeping safe, which was available to people. People and their relatives had no concerns about their safety.

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.

. This included positive risk taking which enabled people to engage with their local community and follow their own interests.

Risks to people’s safety were recorded and staff had access to a range of risk management plans for guidance. These were reviewed regularly and updated when people’s needs changed. Records demonstrated the provider had proactively supported people to manage relationships in a safe way. This included supporting 1 person to access external professional support to enable them and staff to better understand their needs and how to safely manage them.

The provider did not always detect and control potential risks in the care environment. They did not always make sure equipment, facilities and technology supported the delivery of safe care.

Water temperature checks were being completed to ensure the risks of legionella were minimised, however the temperature of the water itself was not being recorded. This meant leaders could not demonstrate that the water temperatures were within the correct parameters. When we spoke to the registered manager about this andthey stated they would ensure this was something they would do from now on. The service had a recent visit from the fire brigade who had identified some changes to fire procedures. We found these changes had been implemented.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. There was a very established staff team who worked well with people to ensure they received appropriate support that was in line with the ‘Right Support, Right Care, Right Culture’ guidance. Leaders ensured there were enough staff working to support people. They did additional shifts at times of staff absence to ensure people received continuity of care

Leaders ensured staff had regular supervisions. People and their families spoke highly of the staff team. The provider had a very stable team and had not recruited any new staff for some time. Previous recruitment had been completed safely.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. The service was clean, and tidy and the provider ensured there was a schedule of works to ensure it was kept in a very good condition. Staff were observed to follow infection prevention and control measures when needed, this included ensuring they and people washed their hands before baking. Staff had completed infection prevention and control training.

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. The provider had recently moved to an electronic medication management system, however this had caused some issues related to inaccurate orders being delivered to them with how medicines were managed. In response to this, leaders had ensured they introduced a backup paper system to mitigate the risks associated with people not receiving their medicines.

One person was supported by staff to manage their health condition as independently as they could. This included administering their medicines when they needed them. Another person was on medicines that meant if they injured themselves, they could experience excessive bleeding. We saw comprehensive risk assessments to support them if this happened.

‘As required’ and homely medicines were managed in line with current best practice.