Ryssa Healthcare 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 newly registered service. This key question has been rated good.

This meant people were safe and protected from avoidable harm.

This service scored 72 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Lessons were learnt to continually identify and embed good practice.

The registered manager spoke about how they could use information to improve the service, this included that they would monitor any incident and accidents when they occurred. They told us they could then review this information to see if anything could be changed. They showed us the process they had in place that would be used as the service grew.

Although no incident had occurred there were systems in place to ensure lessons were learnt and improvements could be made to the service. The registered manager told us they would use our inspection as part of 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.

People and relatives confirmed to us they felt involved with the assessment process. We saw assessments had been completed for people before care was delivered, this included meeting with the person and those important to them face to face.

We saw care plans and risk assessments were developed based on this assessment. Records confirmed care was delivered in line with people’s assessed needs.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that.

People felt safe being supported by staff and they understood how to raise concerns about their safety if needed. One person told us, “I’m feeling very safe with them”.

There were systems in place to ensure safeguarding concerns were identified, reviewed and investigated, when needed. Staff had received training in this area and records we viewed confirmed this.

Risks to people were not always documented fully to ensure they were managed in a safe way.

People had care plans and risk assessments in place which contained basic information about their needs. Although areas of safety and risk were considered, improvements were needed to ensure there was evidence these contained further details about people and were regularly reviewed. More information was also needed to ensure these records were individual and specific to the person.

Despite this, people were happy with how their risks were managed and raised no concerns. One person said, “They are very careful with me and know what I need doing”.

The provider detected and controlled potential risks in people’s home environments.

People had individual risk assessments in place that related to their environment. This covered any risks staff may face in people’s homes. This information was available for staff, so they were aware of any risks that maybe present.

The provider had systems in place to ensure there were enough staff available to support people.

People were happy with their call times. Records we viewed confirmed this. One person said, “I can usually rely on them turning up on time. They cover all my duties and will do extra if you need them to”.

Staff received training to ensure they had the relevant knowledge and skills to support people. The registered manager was aware of which mandatory training and individual training staff may need in the future.

Staff received the relevant pre-employment checks before they could start working with people to ensure they were safe to do so.

The provider assessed and managed the risk of infection.

The registered manager confirmed PPE was available, and staff had received training in this area. There were processes in place to ensure staff protected people from the risk of cross infection.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences.

No one was currently being supported with medicines management. The registered manager told us how they may support someone in the future, this included ensuring staff had the relevant training and competency, there were care plans and risk assessments in place and they would ensure checks were completed in people’s homes. They also told us how they would record the administration of medicines for people.