Transcare Secure Services - Birmingham

We reviewed learning culture, safe systems, pathways and transitions; safeguarding; involving people to manage risks; safe environments; safe and effective staffing; infection prevention and control and medicines optimisations for the safe key question. The rating for the safe key question has improved to good. The service had enough staff to care for patients and keep them safe. Staff mostly had training in key skills, understood how to protect patients from abuse, and managed safety well. The environment was safe and appeared clean and tidy. Staff assessed risks to patients, acted on them and kept good care records. However, the service did not have systems in place to ensure medicines were managed well. Policies in relation to infection prevention and control and medicines were not tailored to the specific needs of the service, often referring to irrelevant information. Some staff were working with vulnerable patients when not all essential background checks had taken place. Although incidents were reported and staff were debriefed on the incidents they had raised, we did not see evidence of how this learning was shared across all staff who worked at the service.