Quadrant Court

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 newly registered 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.

The provider promoted a positive culture of safety, where staff and professionals felt confident to raise concerns

Risks and observations were routinely discussed in weekly meetings, enabling the team to identify potential issues early. When concerns arose, they were addressed promptly, and adjustments were made to care plans or routines to improve safety. This approach ensured lessons were embedded into daily practice and contributed to continuous improvement in the service.

The provider demonstrated a learning culture where safety was prioritised, feedback informed practice, and improvements were made to reduce risks and strengthen care delivery.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They ensured continuity of care, including when people moved between different services.

The provider worked closely with healthcare partners and maintained communication during transitional periods. Referrals were carefully assessed to determine whether a person’s needs could be met, and where additional information was required, the registered manager liaised with social workers and representatives. The registered manager met with prospective people in person to ensure they felt comfortable and confident in those providing their care. Continuity of care was maintained when people moved between different services, with the provider ensuring information was shared appropriately and risks were managed effectively. Policies and processes were aligned with external partners to maintain continuity and promote shared learning.

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 worked with the person using the service to understand what being safe meant to them and supported them to raise concerns in ways that felt comfortable and accessible. Safeguarding systems were in place to protect people from abuse, neglect, discrimination and avoidable harm. The person said, “I’ve always felt safe here because the staff always know what I need and are quick to help if anything changes.”

Staff demonstrated a clear understanding of their safeguarding responsibilities and took appropriate action when concerns arose. The provider worked with external professionals, including social workers and advocacy services, to help maintain people’s safety.

Staff explained people’s rights under the Mental Capacity Act 2005 and the Equality Act 2010 and applied these in practice. Staff were approachable, listened to people, and provided reassurance, which helped people feel safe, supported and respected. The provider had an appropriate safeguarding policy in place.

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 provider actively involved the person in understanding and managing risks, ensuring care was safe and supportive. Risk assessments were person-centred, regularly reviewed, and considered physical, mental, and emotional wellbeing. Staff clearly explained risks to the person using the service and supported them to make informed decisions. The person said, “Staff always tell me what I need to watch for and help me understand how to stay safe.”

Care plans reflected foreseeable risks and strategies to reduce them, with any restrictions implemented only when necessary and lawful. Staff responded positively when the person expressed distress, protecting dignity while learning from incidents to improve future support. The person using the service was informed about changes in treatment or medication and involved in related decisions, promoting autonomy and confidence in managing risks.

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 maintained a safe environment that supported the person’s wellbeing and reduced risks. Equipment and facilities were routinely checked, and maintenance concerns were addressed promptly. Staff were vigilant in monitoring both communal and individual spaces. One staff member said, “We make sure equipment is safe and the environment is suitable for the individual’s needs.”

The person using the service reported feeling safe and confident in their surroundings, commenting, “I feel secure here because staff make sure everything is in order.”

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.

The provider ensured there were enough skilled and experienced staff to meet the person’s needs safely. Staff completed mandatory and role-specific training, and contingency arrangements were in place to maintain safe staffing levels when required. Management established recruitment processes to ensure staff were suitable and competent for their roles.

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.

Staff had completed infection control training and showed a clear understanding of how to minimise infection risks. As a result, staff had an effective approach to assessing and managing the risk of infection, which was in line with current relevant national guidance. One staff member stated, “Personal protective equipment (PPE) is always available for staff to use, keeping both people and staff safe.”

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 ensured that medicines and treatments were managed safely and met the person’s needs, capacities, and preferences. Where a person self-administered their medicines, staff completed regular assessments of their ability to do so safely. Risk assessments were in place to guide support, and staff provided reminders when needed, ensuring a person’s autonomy was maintained while being protected from potential errors.

Care plans clearly documented the level of support required and reflected preferences, ensuring the person was involved in decisions about their medicines. Staff followed professional guidance and legislation, including the Mental Capacity Act 2005 in relation to medicines management. Communication with GPs and other health professionals ensured accurate information was maintained and shared during any transitions or changes in care.

One staff member explained, “We always check the care plan, so they [people who use the service] stay involved and in control of their own routine.”

The provider demonstrated a robust approach to medicines management, balancing safety with empowerment, and ensuring that the person’s capacity, preferences, and independence were always respected.