One Impact Care - Ealing

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.

Staff understood their responsibility to report concerns, and this was reinforced through meetings and supervision. Staff reported being able to raise issues and discuss concerns openly.

The provider encouraged communication about risks and expectations for reporting were clearly set. Staff were reminded regularly that all concerns must be escalated.

Leaders described clear processes for recognising and responding to incidents, stating, “We record every accident or incident; investigate and try to learn from that.” This showed the provider had systems in place to identify risks and take action, reducing potential harm to people.

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.

Care plans and assessments clearly set out how care should be delivered and identified roles for staff, family members and other services. Records showed that arrangements were in place with external providers, including medication support being completed by another agency, while staff monitored wellbeing and reported concerns.

The provider described a coordinated approach to care, explaining that the service worked with social workers, GPs, and hospital staff depending on the needs of the person. This demonstrated an understanding of partnership working and shared responsibilities.

People received coordinated and continuous care. Their needs were understood and shared across services, reducing the risk of gaps in support and helping to ensure safe and effective care delivery.

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 demonstrated a clear understanding of safeguarding and consistently described escalating concerns in line with established procedures, supporting timely action. Staff had completed safeguarding and training and understood their responsibilities to protect people from harm.

People and relatives confirmed they felt safe. Relatives described staff as “attentive, professional and considerate” and said care workers “always make sure she’s safe and comfortable”.

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 identifying and managing risks and the support provided balanced safety with independence. Care plans and assessments clearly identified risks such as falls, reduced mobility, fatigue and health conditions, and gave practical guidance on safe management, including supervision, activities and maintaining a safe environment.

These arrangements supported people to understand and manage risks, reduced the likelihood of harm and enabled them to maintain control and independence in daily living.

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

People received care in safe environments where risks were identified, monitored and reduced. Care plans and assessments clearly set out environmental risks, with practical guidance on safe movement, use of equipment and maintaining clear, well-lit spaces.

Staff followed this guidance in practice. They described checking the environment before providing support and maintaining safety during visits. Relatives confirmed staff ensured people were safe and comfortable in their homes.

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.

Recruitment files showed right‑to‑work checks, criminal record checks, induction records, competency assessments and regular supervision.

There were enough skilled and competent staff to meet people’s needs safely, supported by effective training, assessment and learning systems. Staff completed training and competency assessments in key areas, including manual handling, infection prevention and medicines, and records confirmed staff were assessed as competent before delivering care.

Staffing arrangements supported continuity of care. Rotas were organised to ensure visits were delivered at planned times and people were supported by familiar staff. Systems were in place to monitor attendance and address changes to scheduled visits.

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.

The provider had effective oversight of infection prevention and control. They monitored practice through spot checks, audits and direct observation to ensure safe standards were followed. They checked staff compliance with personal protective equipment (PPE), hand hygiene, waste disposal and cleaning routines.

Staff described following infection control procedures consistently, and records showed clear instructions to identify, report and manage risks, including sharing concerns with relevant agencies when required.

These arrangements reduced the risk of infection, supported early identification of concerns and helped maintain a clean and safe environment for care delivery.

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.

Medicines were managed safely through clear processes, staff competence and effective oversight. Staff completed medicines training and competency assessments, and demonstrated understanding of key safety checks, including the correct person, medicine, dose and time. They followed structured processes, such as reviewing care plans and medication administration records (MAR) and confirming details during visits.

Care plans clearly set out the level of support people required with their medicines. They also included guidance on observing wellbeing, identifying concerns such as missed doses or side effects, and reporting these promptly. Records showed medicines were recorded accurately.

The provider had systems to oversee medicines management, including audits and record checks. They had processes to ensure medicines were kept safe and were appropriately monitored. Staff confirmed they followed care plans and reported concerns to the office, supporting consistent oversight.