Pendleton Care 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.

People and family members told us that staff were responsive when improvements were needed. One person explained the positive progress their family member had made since moving into the service.

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. Information was gathered from people, family members, their local authority to create care plans. Communication and health passports were developed to support individuals whilst moving between different services.

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.

Accessible procedures were in place for people using the service to report any concerns they had. Staff received safeguarding training and knew what action to take to protect people from potential abuse. The provider had an internal safeguarding board that monitored and gave oversight of any concerns raised.

The provider shared concerns appropriately under the local authority safeguarding procedures.

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. People were involved in the planning of their care and support. Where risks had been identified, wherever possible these had been mitigated.

Staff knew people well and were able to explain what support people needed at times of distress or upset. This included directions from the person.

We identified that a risk to a person had not been fully recorded, this was reviewed immediately by the provider who took appropriate action by producing an appropriate risk assessment.

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

Risks were considered, for example use of stairs, and where possible mitigated when care and support was planned and delivered around people’s home.

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.

Records showed that staff were safely recruited with appropriate checks being carried out at the time of recruitment. Newly recruited staff complete a comprehensive induction into their role and staff received on-going training for their role. Training included a mix of face to face and on-line learning. Staff comments included “Have had lots of training and will always ask (Name) for extra training if I feel I need some.”

Staff rotas were developed around the needs of people and organised around their plans and lifestyle choices, for example, evenings out or visits to family members.

A family member told us positive things about a staff member, they told us “(Name) is fantastic and always listens. Very understanding. Kind and firm.”

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. Procedures were in place and staff received training on infection prevention and control.

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. Policies and procedures were in place for the safe effective management of people’s medicines and staff received training in the administration of medicines.

People were in receipt of medicines prescribed on an ‘as and when required basis’. Signs and indicators of when these medicines should be offered were not always clearly recorded. We brought this to the attention of the provider who took immediate action to ensure the appropriate information was recorded.