Restore7 Ltd

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. Incidents were recorded with actions. Staff listened to concerns about safety and relatives told us they felt staff continued to improve their practice to keep people safe. Lessons were shared to continually identify and embed good practice; however, the provider had only recently formalised this process.

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. The provider discussed people’s needs prior to admission. One relative told us, “We are involved in the preadmission process and all reviews.” People had robust pre assessment documents completed to capture their needs, wishes, preferences or current assessments to guide staff. This ensured people received care which met their needs safely.

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. Staff received the necessary training and demonstrated they knew what to do if they were concerned about abuse and felt able to report any concerns. A staff member told us “I know how to raise a safeguarding [concern]. There is also a safeguarding lead who guides us.” Any safeguarding concerns were recorded in detail and lessons learnt were shared with staff during their supervision to help improve practice and ensure people’s 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. People’s care and risk management plans contained information and guidance for staff on how assessed risks should be managed to keep people safe, these were updated in line with changing needs.People, their relatives and other healthcare professionals were involved in the management of risks, this was evidenced in care records. A relative told us “Yes, we have a review of risks. We are very much involved.”

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. Environmental risk assessments were carried out prior to a service being provided. People’s care plans included information for staff regarding potential environmental risks for example gas safety and fire.

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. Relatives we spoke to told us the staff ensured their loved ones were safe. A relative told us “They arrive on time and don’t leave early. The staff are adequate. [Person] has got to know them and staff know [person] well. [Person] likes them.” Staff received an induction when they started to enable them to provide safe care for people. Staff undertook regular training to keep their knowledge up to date. The processes for recruitment of staff were safely managed. The provider had clear records to show the interview process, reference requests and use of the Disclosure and Barring System (DBS).

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. Relatives, we spoke to did not share any concerns in relation to infection prevention and control.
 

Staff had undertaken infection prevention and control training and were provided with personal protective equipment (PPE) which was available in peoples home or could be collected from the office. Staff had regular spot checks and hand hygiene audits however, the recording of these lacked details.

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. Staff completed training to administer people’s medicines, and their competency was assessed at regular intervals. All staff administering medicines were up to date with the appropriate training. The provider audited medicines regularly and there were policies in place.