Dwell-In Social Care

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 since registration. 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.

The provider had a proactive and positive culture of safety, based on openness and honesty. Lessons were learnt to continually identify and embed good practice. Processes were in place to review incidents that occurred to identify any trends and patterns. The manager shared these alongside any lessons learnt with staff on a regular basis to reduce risks to people and improve safety within the service.

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. For example, the service made sure information about people’s individual support needs was available should other services require it. The persons relative told us, “[Person] has a hospital book which has all of their information in, they take that with [person] everywhere they go so they can give them it if [person] needs to go hospital.”

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. Leaders and support staff had received training in safeguarding and understood their responsibilities in reporting safeguarding concerns to the appropriate agencies. A staff member said, “I would report it to my line manager or the safeguarding lead without delay.”

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. Risk assessments had been completed to assess risks to people and provided information for staff on how to support people to keep safe. For example, how to support the person to remain safe out in the community including road safety. A staff member said, “I encourage independence but always stay close enough to offer support when needed.”

The provider had not assessed potential risks in the persons care environment to support the delivery of safe care. We discussed this with the manager who advised they would ensure this would be completed for the person and implemented for future assessments of people’s care and support needs.

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. Staff were recruited safely and had received training and ongoing support from the service to carry out their roles safely and effectively, including training in how to support autistic people and people with a learning disability.

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. Staff had received training in infection prevention and control and had access to personal protective equipment (PPE) such as gloves and aprons to prevent the spread of infection.

The provider had systems in place to ensure medicines and treatments were administered safely and met people’s needs, capacities and preferences. Whilst there were no people in receipt of support with taking their medicines at the time of the inspection, the provider had systems in place to ensure this was done safely when required. For example, the manager told us staff would receive training and have their competency assessed to ensure medicines were administered safely and as prescribed.