Reni Care Personnel 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.

At our last assessment we rated this key question requires improvement and there was a breach of regulation in relation to fit and proper persons employed. At this assessment, the provider had met the breach, and the rating has changed to 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.

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.

Care workers completed daily notes which included recording any incidents and accidents that had occurred when supporting people. The registered manager reviewed these periodically which helped to ensure appropriate action had been taken.

Staff were supported with training to improve their skills and knowledge. Mandatory training was refreshed every year which meant they were continuously updating their knowledge and skills.

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 ensured a safe transition of people into the service by working with health and social care professionals and commissioners to ensure people’s needs could be met.

Pre-admission assessments were sent to the provider who carried out assessments for people to see if they were able to meet people’s needs and preferences.

Relatives confirmed they met with the registered manager before they began to use the service and agree on the support needs of their family members.

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 were safeguarded from abuse and improper treatment. A relative told us, “Yes, absolutely safe. No problems.”

The provider had a current safeguarding policy in place. Managers and staff undertook safeguarding training to identify types and signs of abuse.

Staff understood what safeguarding meant and the steps they would take if they suspected people were at risk of harm. One care worker said, “Safeguarding is protecting them from harm and abuse. I would report anything to [The registered manager].

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’s risks were identified, assessed and mitigated. Staff had guidance in care records to keep people safe. One relative told us, “[Family member] is kept safe out in the community.”

Where people had behaviour that could be seen as challenging, the provider followed guidelines that were recorded in behaviour support plans that had been developed by clinical psychologists. These included spotting early warning signs and how to respond to behaviours.

Staff were aware of the risks to people, including their behaviours and how to support them when out in the community.

Risk assessments were reviewed when people’s needs changed, which meant that people were kept as safe as possible.

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 carried out a household safety hazards checklist which meant they were aware of the importance of ensuring the home environment was safe for people. This meant people were protected from avoidable harm.

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.

At our last inspection, we found the provider did not have robust recruitment checks in place when employing staff.

At this inspection we found enough improvements had been made to the way the provider now recruited staff which meant they were no longer in breach of this regulation.

Relatives told us they were supported by skilled and suitable staff. The provider followed robust recruitment processes to ensure staff were safe, these checks included references, identity, right to work and criminal records checks.

Staff received on-going training, giving them the necessary skills and knowledge to provide care and support safely and effectively. Staff received training in the Care Certificate. The Care Certificate is an identified set of standards that health and care professionals adhere to in their daily working life.

The registered manager ensured that staff received regular individual supervision. These meetings were opportunities to discuss work performance, future work target and training needs.

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 were protected from the risk and spread of infection. Staff followed safe hygiene practices when supporting people with personal care. This included the wearing of single use, disposable gloves.

Staff received training in infection prevention and control.

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.

At the time of the inspection, there was no one receiving support with medicines. However, the provider did consider people's needs in relation to medicine administration as part of care

planning. There was an up-to-date medicines policy in place and training available for staff to complete if people using the service should require medicines support in the future.