The Restored House 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.

This is the first assessment for this newly registered service. This key question has been rated 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.

Feedback from leaders confirmed safety was a top priority for everyone and that risks were not overlooked or ignored. Lessons were learnt with opportunities to learn from safety events being communicated to help support improvement. Policies were in place to help ensure people’s safety, such as a whistleblowing and safeguarding policy. Staff had completed training in topics of health and safety, including safeguarding. 

The registered manager explained, “It’s a lessons learnt culture here, we talk about any incidents at meetings, and if required, we have a full action plan in place to help address any issues.”

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.

Staff understood their responsibilities for ensuring safe systems of care including working with other professionals and services, to help ensure people received continuity of care. Staff told us they were confident in recognising and responding to any changes in people’s needs. A relative confirmed, “[Staff Name] is amazing, they always notice any changes in Mum and let me know.”

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.

Staff understood safeguarding and how to take appropriate action. Staff confirmed they had completed safeguarding training and that they knew about the providers whistle blowing policy and procedure. Staff understood their responsibilities about protecting people from the risk of abuse and harm.

The registered manager confirmed, “I have 100% faith staff would report any safeguarding concerns, and they have done.”

A relative confirmed, “I feel Mum is completely safe with the current carer she has now. I have no worries.”

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.

Risks to people were balanced with their freedom and choices to ensure risk management was not unduly restrictive. The registered manager explained, “We make sure risk management is aligned to people’s needs and so it’s very specific to that person,”

Staff were able to tells us how they managed risks to people and risk assessments were in place to provide guidance for staff. A member of staff told us, “Care plans contain all the information we need about risks and the person.”

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Processes were in place to help ensure the safety of people’s home environment and any equipment, such as mobility equipment. Assessments of the environment were carried out to ensure the safety and well-being of both people and staff.

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.

Processes were in place to ensure staff were recruited safely and supported to perform their role in a safe and competent way. Staff had completed a full induction and all mandatory training. One member of staff told us, “I had a good induction and had all my training, I feel very well supported. The manager is always there if I need to ask any questions.”

Staff could also access additional courses when needed. One member of staff told us, “I always ask to do extra courses, and I am fully supported with this.”

People and their relatives told us they thought staff were well trained and they had continuity of staff. One person told us, “I have got to know the staff well and they know me. Staff are always on time and stay for the right time. They are well trained the staff.” A relative confirmed, “Staff are well trained and know what to do.”

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.

There were clear roles and responsibilities around infection control. Staff confirmed they had completed IPC and PPE training and had access to IPC guidance. A member of staff told us, “I have full access to PPE and it's in people's homes; we have had training in IPC.”

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.

Although we were assured medicines and treatments were safe, met people’s needs and were administered in a safe way, we spoke with the registered manager about the need to use MARS (medication administration record) consistently to record medicines in line with best practice.

The registered manager had already identified this in an audit and had plans to introduce a new electronic medicines administration system. They also explained how they carried out regular staff competency and spot checks to help ensure medicines were given to people safely and effectively.

A relative told us, “Staff give medicines to Mum as they should.”