Respect 4Care 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 inspection 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 worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed and monitored. Staff understood how to report incidents and safeguarding concerns promptly. They described clear escalation routes, including contacting the local authority or CQC if needed. A staff member said, “If there was a safeguarding issue I would first approach my manager. If I felt like it wasn’t being taken seriously or nothing was done then I would approach CQC or the local authority.” Staff also gave examples of adapting care plans when people’s needs changed, such as following illness or hospital discharge. This demonstrated a culture of continuous learning and improvement.

People experienced safe transitions between home and hospital. The registered manager explained, “During client transitions between home and hospital, the team provides documentation to hospitals upon request and ensures any changes, especially to medication, are communicated and updated for continuity of care.” This proactive approach reduced risks during transfers and ensured people’s health needs were met consistently.A health care professional spoke positively about how the agency had worked alongside people to ensure a safe transition. They said, “I found them to be very responsive, visiting the ward in order to build rapport with the individual in order to support a safe discharge for them.” 

Staff were trained in safeguarding and understood their responsibilities to protect people from harm. They described safeguarding as “recognising signs of danger, making sure our clients are safe and ensuring everything we do is to protect their vulnerability.” Training was refreshed regularly, and staff were confident in using the provider’s policy. The registered manager confirmed there had been no safeguarding referrals since registration, and safeguarding was a standing agenda item at team meetings.

People and families were actively involved in developing care plans and risk assessments. A relative said, “We sat down with management and carefully went through what was required and what they will do. They have reviewed that plan a few times since we took on the package.” Staff encouraged positive risk-taking, enabling people to maintain independence while reducing hazards. For example, staff supported mobility exercises and hydration monitoring to prevent falls and dehydration.

People lived in safe environments. Environmental risk assessments were completed and reviewed regularly, including checks on equipment such as profiling beds and mobility aids. Staff ensured homes were clean and comfortable, reporting hazards promptly. A staff member said, “We make sure clients are clean, they have clean bedding and laundry is done. When we finish dealing with our clients we make sure they are comfortable and hoover around the home.”

People received care from a consistent and well-trained staff team. Recruitment checks were thorough, including Disclosure and Barring Service check, references, and competency assessments.These checks help employers make safer hiring decisions.Staff said, “There are enough staff. The calls are on time and for the full duration.” Supervisions, spot checks, and audits were completed monthly to maintain standards. Staff felt supported and described an open-door policy for raising concerns.

Staff followed infection control procedures and used Personal Protective Equipment (PPE) appropriately. People confirmed, “Yes, they use gloves and aprons all the time.” Staff had completed infection control training and described practices such as handwashing, using antibacterial gel, and safe disposal of clinical waste.Astaff member explained, “I wear my PPE, gloves, mask and apron and regularly wash my hands and I also carry anti-bacterial gel with me.”

People received medicines safely. Care records included detailed medication assessments, and audits were completed regularly.Arelative said about staff, “They do that[medicines]properly and tell us whenthey’reshort or running out of medicines. There was an occasion recently where they helped arrange replacement medication that had run out.” Staff were trained in medication administration and competency checks were carried out by management.