Jenner House

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. 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 72 (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. The provider had systems in place to review incidents and learn when things went wrong. Where incidents had happened, learning was shared with staff. Where accidents had happened individual risk assessments and care plans had been updated. Learning was shared following a review across the provider’s different locations. Staff confirmed learning from incidents was shared with them.

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 system in place to receive information from local commissioners and then a comprehensive assessment was completed to develop a support plan with a planned transition to the service if the provider felt they could meet the person’s needs. This assessment process included working with the person and other professionals and those involved in their care to ensure individual needs and risks were considered.

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 and their relatives told us they felt safe receiving support. A person told us, “I have no concerns. I could not be more comfortable with my care.” Staff had received training in how to recognise abuse and there were systems in place to report any safeguarding concerns. The manager understood their role and responsibilities and ensured any concerns were reported to the appropriate agency for investigation. The policies and procedures in place were understood by the manager and staff and they ensured people were safeguarded from the risk of abuse.

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 and relatives told us staff understood how to keep them safe. A relative told us, “The staff do the meals for [person’s name] and help them to change, and take medicines, they know what they are doing.” Staff could describe how they supported people to reduce risks to their safety including how to reduce the risk of falls and safely use equipment people needed to move around. Risk assessments and care plans were in place and regularly reviewed. Staff documented the care people received and checks were in place to ensure people’s needs were met in the way they needed to keep them safe.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The provider had a system in place to assess the individual risks to people from the care environment. This included checks on the building, trip hazards and fire safety. Staff could describe the information they received to help them keep people safe in their homes.

The provider’s recruitment policy was not consistently being followed. We saw some recruitment records lacked information relating to staff past employment. The provider had recognised the shortfall and was taking action to address this including using an audit and reviewing the recruitment policy. We will check for sustained improvements in this area at the next inspection.People and their relatives told us they felt staff had the skills to support them. A relative told us, “The staff are very good at what they do and are well trained.” People told us the call times were prompt, and they never had to wait for their support. Staff told us they had access to regular training updates and were supported in their role. There were systems in place to ensure staff were available to support people at the agreed times.

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. People and their relatives raised no concerns about staff practice with infection prevention and control. Staff had received training in this area and understood the policy and procedures. Staff had access to protective equipment and understood the steps to take to minimise the risk of cross infection.

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. People and their relatives told us staff supported them safely to take their medicines. A relative told us, “The staff help [person’s name] with their medicines and there have never been any issues.” Staff were able to describe for us how people received their medicines, and we saw this was documented in a medicines administration record. Where people received as required medicines there was guidance in place for staff about how and when to administer these medicines. People had individual risk assessments and care plans in place to guide staff on the support people needed with medicines.