Saxon Close

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• 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

People were safe living at the service. Care plans and risk assessments gave guidance how to keep people safe and people were supported safely with medicines. Staff kept the environment safe and clean. There were enough staff to support people safely.

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.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

People and their relatives told us they felt safe being supported by staff. One person said, ‘‘I like it here. Feels relaxed. It's good.’’ A relative told us, ‘‘I feel like [family member] is in a very safe and stable place at the service. They have lived there a long while and we have never had to worry.’’

Staff were trained in safeguarding and knew what signs may indicate people were not safe. They knew how to report concerns both internally and to other services such as the local authority safeguarding team. The registered manager spoke about safeguarding with staff in team meetings and supervisions.

People were happy and relaxed being supported by staff. One person was becoming upset, and staff were quick to speak with them and help them to feel better. Staff were patient and understanding when supporting people, enabling them to do their daily living tasks independently whilst being supported to stay safe. One person showed us how happy they were to be completing daily tasks, and this was an indication of how safe they felt.

Processes were in place to safeguard people. There was a safeguarding policy that was well understood and followed by the staff team. Incidents were reported to the local authority safeguarding team if this was necessary. Any safeguarding incidents were reviewed by the registered manager and staff team so lessons could be learned.

People were supported in line with their risk assessments. One relative said, ‘‘[Family member] lives with [health condition] but the staff team know how to support them in the best way possible. They have not had any issue in relation to [health condition] for years thanks to the support of the staff team.’’ Relatives also told us they were asked to feedback and review care plans and risk assessments at regular intervals. People and relatives felt staff kept the environment at the service safe and clean. One relative told us, ‘‘The service feels very homely, and I know [family member] is very happy living there.’’ People and relatives also told us they were supported safely with their medicines.

Staff spoke confidently about how to support people whilst mitigating risks as far as possible. They showed us the health and safety and infection prevention and control (IPC) checks they completed to help ensure risk relating to the environment and cleanliness were managed. Staff were competent in administering people’s medicines and had their knowledge and practical skills to do this checked regularly. The registered manager worked directly with the staff team on shift to help ensure risk assessments were being followed.

People were supported safely by staff in line with their risk assessments. One person was visibly happy to be supported to independently tidy away after their meal. Another person indicated to us they felt ‘good’ living at the service when we asked them if they felt safe. The environment at the service was safe including in relation to fire safety. The service was clean. Staff supported people safely with their medicines in line with their preferences.

Peoples risk assessments and support plans were detailed and gave good guidance to staff about how to minimise risks when supporting people. The staff team and registered manager completed checks and audits to help ensure the environment at the service was safe. The registered manager audited medicines to ensure they were being administered safely. People’s risk assessments and care plans were updated regularly.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

People and their relatives told or indicated to us there were enough staff to support them safely. One person said, ‘‘The staff are good, enough of them alright.’’ A relative told us, ‘‘There always seems to be enough staff when I visit the service, and I do not think [family member] ever has to wait long if they need anything.’’ Relatives also told us they felt staff were well trained to support their family members. One relative told us, ‘‘[Staff] know exactly what to do when [situation happens]. I think the training is really good.’’

Staff told us about the training they had to make sure they were skilled in their job roles and how they used this training on a day-to-day basis. Staff were happy with the current staffing levels and told us they had time to spend time interacting and engaging with people as well as supporting them with their essential needs. The registered manager held supervisions and completed competency assessments with staff to help them continually improve. They spent time working directly on shift to monitor and make sure staffing levels were safe.

There were enough staff to support people safely. Staff responded to people’s requests for support immediately and people were able to go out to pursue their interests. For example, one person was supported to go shopping and told us, ‘‘I loved it.’’ Another person became upset, and staff supported them to feel better immediately. We observed staff supporting people in line with best practice they learned in their training. For example, staff spoke with people in short sentences offering one or two choices to help support people make choices more easily.

The registered manager reviewed staffing levels on a regular basis to make sure they met people’s needs. They completed supervisions and staff meetings to support the staff team and help make sure training was effective. Staff were recruited safely in line with current legislation.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.