Ashglade

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.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

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. A person told us, “The staff are all really nice to me. I feel safe.” Another person said, “I feel I’m safe, on the whole the staff are all nice.”

The provider had a policy and procedure for safeguarding adults from abuse. Staff completed safeguarding training and understood the different types of abuse and were aware of the action to take if they suspected someone had been abused including reporting their concerns to the registered manager, the local authority safeguarding team, and the CQC. Staff were aware about the procedure for whistleblowing and who to report and escalate concerns. There were systems and processes in place to manage and follow up on accidents and incidents. When safeguarding concerns had been raised, the registered manager worked with local authorities and relevant health and social care professionals, to address concerns and they notified the CQC of these as they were required.

The provider obtained appropriate legal authorisation to deprive people of their liberty to ensure their safety. However, there was no system of monitoring the conditions placed on the authorisation. Although there was no harm caused to any person, we brought this to the attention of the registered manager, who acted upon them straight away.

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.

The registered manager completed risk assessments and risk management plans that included guidance for staff. Individual risk assessments were in place which took account of people’s needs, about how to manage mobility, falls, eating and drinking, dehydration, and the home environment.

Risk assessments were regularly reviewed and updated as and when required. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. People were protected from avoidable harm. We saw staff supporting people to move, including using equipment, and caring for people in a safe way. They were gentle, followed appropriate techniques and gave people the information they needed to stay safe.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

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. One person told us, “I feel like there are enough staff. They are the same at night.” Another person commented, “I am very happy here. They [staff] are all great.”

The provider supported staff through induction, supervision, training, and appraisal to ensure they had the appropriate knowledge and skills to meet people’s needs. Training records confirmed staff had completed a range of training to help them understand how to meet people’s needs. One person said, “I feel they [staff] are trained and they know what they are doing.” Another person said, “They [staff] all know what they are doing.”

The provider carried out satisfactory background checks for all staff before they started working. These included checks on care workers’ qualifications and relevant experience, their employment history and consideration of any gaps in employment, references, criminal record checks, and proof of identification. This reduced the risk of unsuitable staff working with people who used the service.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.