Loxley Chase

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 thisnewly registered service. This key question has been ratedgood.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. Accidents and incidents were monitored and steps taken to keep people safe. One person said, “I have felt safe since I first came here.”

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. People’s support needs and choices were appropriately shared with healthcare partners to ensure they received effective care. One person told us, “I know I'm safe and so well looked after.”

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 safeguarding training and said they would immediately raise any concerns they had. Where appropriate, restrictions on people’s liberty had been made in consultation with healthcare partners and following the principles of the Mental Capacity Act.

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. Risks were regularly assessed and actions taken to reduce the chances of them occurring. One person said, “I think we are all safe because the staff really care about us.”

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. Regular checks of the premises and equipment took place to ensure they were safe to use, and plans were in place to support people in emergency situations.

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. The provider and registered manager monitored the support people needed and used this to plan staffing levels. On the first day of our assessment this did not appear to have accurately captured people’s night support needs. We discussed this with the provider and registered manager, and immediate action was taken and night staffing increased.

The provider’s recruitment checks minimised the risk of unsuitable staff being employed. Staff were supported with regular training, supervision and appraisal and spoke positively about these. One member of staff said, “I enjoy the training given.”

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 premises were clean and tidy, with regular cleaning taking place.

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 administration was clearly recorded, and this was regularly audited to ensure it was being managed safely. Medicines were safely and securely stored, and during our visit improvements were being made to the treatment room to ensure this remained the case.