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Doncaster Community Support

Overall: Good read more about inspection ratings

Unit 5, M&M Business Park, Doncaster Road, Kirk Sandall, Doncaster, DN3 1HR (01733) 873700

Provided and run by:
Royal Mencap Society

Important: This service was previously registered at a different address - see old profile

Assessment report published 7 May 2025

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Safe

Good

22 April 2025

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question good. At this assessment the rating has remained 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.

Learning culture

Score: 3

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 recorded, reported appropriately and analysed to ensure trends and patterns were identified. Actions were taken to mitigate future risks, and learning was shared between staff and leaders to improve the service. Staff knew what action to take to report incidents and leaders involved them in shared learning. Leaders were knowledgeable about their duty of candour and ensured they were open, honest and transparent when things went wrong.

Safe systems, pathways and transitions

Score: 3

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. The provider had a transfer policy in place to ensure people transferred between services effectively and with all the relevant information to ensure transitions were streamlined. Families and others important to people were included in any transitions to ensure people received appropriate and effective care and support.

Safeguarding

Score: 3

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. People we spoke with felt safe using the service. One relative said, “They [staff] treat [family member] well. I know [family member] is happy by the way they react to staff.” Staff knew what to do if they suspected abuse and were confident the management team would take swift and appropriate actions to safeguard people.

Involving people to manage risks

Score: 3

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 recorded, reported appropriately and analysed to ensure trends and patterns were identified. Actions were taken to mitigate future risks, and learning was shared between staff and leaders to improve the service. Staff knew what action to take to report incidents and leaders involved them in shared learning. Leaders were knowledgeable about their duty of candour and ensured they were open, honest and transparent when things went wrong.

Safe environments

Score: 3

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. Maintaining a safe and secure environment was a priority for the provider. Safety checks of supported living properties and equipment were carried out frequently. These included daily visual checks for hazards and faults. Routine safety inspections took place to check things such as fire exits and hoists. Maintenance logs were used to report any concerns. People had personal emergency evacuation plans [PEEPS] in place to ensure they could evacuate their home safely in an emergency.

Safe and effective staffing

Score: 3

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 recorded, reported appropriately and analysed to ensure trends and patterns were identified. Actions were taken to mitigate future risks, and learning was shared between staff and leaders to improve the service. Staff knew what action to take to report incidents and leaders involved them in shared learning. Leaders were knowledgeable about their duty of candour and ensured they were open, honest and transparent when things went wrong.

Infection prevention and control

Score: 3

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. Infection Prevention and Control (IPC) audits were completed at each supported living service to ensure they were kept in a clean condition. Staff had access to Personal Protective Equipment (PPE) and told us this was in good supply and that they used it were required. One relative said, “When I visit there is a warm, clean and friendly atmosphere.”

Medicines optimisation

Score: 3

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 recorded, reported appropriately and analysed to ensure trends and patterns were identified. Actions were taken to mitigate future risks, and learning was shared between staff and leaders to improve the service. Staff knew what action to take to report incidents and leaders involved them in shared learning. Leaders were knowledgeable about their duty of candour and ensured they were open, honest and transparent when things went wrong.