BPJ Case Management 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 learned to continually identify and embed good practice. The service had a strong and proactive learning culture. Managers ensured accidents, incidents and near misses were reviewed promptly, and learning and improvement actions were shared with staff. Staff felt supported and encouraged to raise concerns and told us there was an open and reflective culture. One staff member said, “They [managers] are so supportive. You can be honest if you make a mistake. We look at what we can learn, how we can do it differently.”

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. Managers and staff worked closely with people, their relatives and health and other professionals to ensure people had safe systems of care and support, that promoted continuity of care.

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. Systems were in place to ensure managers had oversight of any concerns or required actions. The provider shared concerns quickly and appropriately. Staff received safeguarding training and demonstrated clear knowledge of abuse indicators and how to raise any concerns. They were confident managers would respond promptly to any concerns they raised. People told us they felt safe with the staff who supported them. A person said, “Yes, absolutely safe.”

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 worked with people to understand and manage risks. Risk assessments were detailed, person‑centred, and ensured people were supported in a way that kept them safe and respected things that were important to them. Detailed positive behavioural support plans contributed to reducing restrictions, improving quality of life, and helping people achieve their aspirations.

The provider made sure equipment, facilities and technology supported the delivery of safe care. Staff ensured risks within people’s homes were identified and that action was taken to minimise risks to people and staff safety. One person told us, “[Staff] keep the house clean and tidy. They do what I can’t.”

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. Staff had regular supervision and were able to access a range of mandatory training. Staff were also designated as champions for topics that interested them and they received additional training and support; this included Dignity and Infection Prevention and Control (IPC) champions. There was also bespoke training specific to individuals or people’s health conditions. Staff deployment was arranged around each individual and their identified support and care needs. People were involved in recruitment of the staff who supported them. One person said, “We were involved in the recruitment, training and they [staff] shadowed us before they took over…. The [staff] we have got are really experienced.”

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 access to appropriate personal protective equipment (PPE) and people said that it was always used appropriately.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Strong systems were in place for safe and effective medicines management. Staff received appropriate training and competency checks. Policies were clear, and audits were routinely completed by managers.