ADM Care Support 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. This is the first assessment for this service. This key question has been rated 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. Effective systems were in place to monitor and review accidents and incidents. The provider maintained clear records and analysed information to help them identify trends and to share learning with staff. Incidents were appropriately investigated, with input from relevant professionals where necessary. Actions were monitored to help prevent recurrence and improve safety.

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. Comprehensive assessments were carried out to ensure people’s needs could be met and that placements were suitable. As the service was supported living, this was a shared house. The provider adopted a holistic approach, considering people’s individual needs and the dynamics of shared living. This helped ensure people were well matched and supported to settle into the service. The provider supported people through a transition period. This involved them visiting the service, staying for some days, and getting to know the staff.

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.

Systems were in place to monitor safeguarding referrals, as well as accidents and incidents. The registered manager maintained a tracking system to record concerns raised and monitor their progress, ensuring appropriate action was taken. People told us they felt safe receiving care from the service. One person said, “Yes, I feel safe, the staff are nice. If I have any concerns, I just speak to them and the manager. I get on well with them.”

The provider had a safeguarding policy in place which clearly outlined how to raise concerns about potential abuse. Staff had received safeguarding training and were familiar with the policy and procedures. They demonstrated a good understanding of their responsibilities to protect people from harm. One staff member told us, “If I had any concerns, I would raise them as soon as possible with my registered manager, either verbally or in writing, following the service’s procedure. Concerns are treated confidentially where possible unless safeguarding requires escalation.” Another staff member told us, “If I have any concerns, I report them immediately to the registered manager, following safeguarding procedures. I would also complete an incident report or safeguarding form as required.

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. Each person had a comprehensive risk assessment and management plan in place, tailored to their specific needs. These plans were person-centred and reflected individual communication requirements, health conditions, and personal preferences. Where risks were associated with behaviours that may challenge, the assessments clearly outlined the nature of the risk, known triggers, and appropriate management strategies.

The registered manager regularly reviewed these assessments to ensure they remained accurate and effective. They provided clear, detailed guidance for staff on how to support individuals safely, helping to minimise risks and reduce the likelihood of harm while promoting each person’s wellbeing and dignity.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The provider assessed the environment to ensure it was safe for people living at the service. The service was a shared house, where some people lived independently and did not require personal care. Environmental risks had been identified, assessed, and appropriately managed. Regular checks of utilities were carried out, and detailed environmental risk assessments were in place to support a safe living environment.

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. People were supported by a small, consistent team of regular staff, which promoted continuity of care. Staff were supportive to cover the rota in the event of staff absence. Each person was funded for an allocated number of support hours each week and had a support plan, which outlined the days and times this was provided. Staff were safely recruited by the provider, with the appropriate pre-employment checks carried out. This included the completion of application forms, Disclosure and Barring Service (DBS) checks, references, and of the right to work in the UK.

Staff received effective support and supervision, which included regular one-to-one supervision meetings and spot checks of their practice to ensure care was delivered safely and in line with best practice. Staff had completed the appropriate mandatory training, and this included, safeguarding, first aid, moving and handling, infection control and managing behaviours that may challenge. We asked the staff what training they had received. A staff member told us, “I have completed safeguarding, manual handling, infection control, medication awareness, health and safety, drug and alcohol awareness, understanding eating disorders and understanding consent and capacity, with regular refresher training.” The registered manager maintained a training matrix with the dates recorded when this had been completed and was next due.

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. People were protected against the risk of infections. Staff had access to appropriate personal protective equipment (PPE), and this was worn when supporting people with personal care. People were supported to maintain their own rooms in line with their support plan, which was included within their allocated support hours. Infection control audits were carried out regularly by the registered manager.

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. People’s medicines were stored and administered safely by staff, who had received the appropriate training. Medicines administration charts detailed the medicines which were prescribed to people, with information about the dosage and how this was to be taken. We asked people if they felt their medicines were administered safely; one person told us, “Yes, the staff prompt me to take my medicines and I have no concerns.”