Reva Healthcare Limited

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. At this assessment the rating has changed to good.

This meant people were safe and protected from avoidable harm.

The service kept people safe with clear policies and strong risk management. Staff received training to protect individuals from harm, abuse, and neglect. They followed safety procedures every day. Staff updated risk assessments often, including emergency evacuation plans, to stay prepared. Staff handled medicines carefully, keeping accurate records and conducting regular checks. They prioritised infection control and ensured PPE was always available. The service encouraged open communication, quickly addressing issues and being honest about mistakes. Families felt confident that staff kept their loved ones safe and well cared for.

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 service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

The manager said "Lessons learned are shared. We have a [messaging platform] group, and we conduct meetings. If it was a near miss, that’s how we would discuss it. Any concerns, that’s how we would raise them there. We have an open relationship, sharing information openly.

We engage people to give feedback. We conduct surveys and ask for feedback on how we are doing from staff, service users, and family."

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They ensured there was continuity of care, including when people moved between different services.

The service ensured safe systems and pathways by conducting assessments to confirm they could meet the person’s needs. They carefully planned the transition to ensure proper support and staffing were in place. The manager said, "We did an initial assessment and ensured we were capable of taking on the person." This process ensured the team could meet the person’s needs before starting care, with staff conducting regular follow-up assessments to ensure ongoing suitability.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They 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 service shared concerns quickly and appropriately.

The service safeguarded individuals by implementing clear systems and policies to ensure their safety and well-being. Staff maintained a monthly summary of safeguarding concerns but there were no safeguarding concerns since the last assessment. The provider had developed a safeguarding policy which had a clear process for reporting any concerns. The safeguarding policy included guidance for staff and the contact details for the local authority.

If concerns arose, the manager communicated with relevant parties, including families, and encouraged staff to report issues. When asked if they thought the person receiving care felt safe, a relative said “Yeah, I trust the agency”.

Staff received mental capacity and safeguarding training. One staff member explained, "Safeguarding is to keep [the person] safe, their information, well-being, from abuse… mental, physical, and financial abuse."

The provider ensured possible risks were identified and risk assessments developed., ensuring the safety and well-being of people supported. Staff followed comprehensive policies to guide risk assessments, including general risk protocols, positive risk-taking approaches (which support people to take measured risks to promote independence and decision-making), and capacity assessments when developing care plans.

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

The service maintained a safe environment safeguarding people against harm. Staff monitored incidents and accidents continuously, understanding clear policies for recording and responding to events. Staff created Personal Emergency Evacuation Plans (PEEPs) in consultation with the individual and their relatives to outline the support needed during emergencies.

The service 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 by maintaining contact and keeping each other updated about what had happened during their visit. Staff consistently arrived on time, provided care with appropriate skills and training, and attended regular supervision sessions. Managers reinforced these practices through on-site checks and team meetings. The service maintained comprehensive staff files, documenting thorough recruitment processes, ongoing training, and competency assessments in critical areas such as medicines management and infection control. The service fostered a culture of learning and improvement by encouraging staff to engage in ongoing training. They actively facilitated connections with external organisations. Staff shared lessons learned openly through communication channels like messaging platform groups and team meetings. A relative told us, “The carer that comes is trained and professional. She knows what she is doing.”

Staff confirmed that they had frequent opportunities to communicate with managers and access support when needed. One staff member told us, 'Yes, we do regular team meetings on [messaging platforms] every other month. We also talk to our managers a lot, so if we need any help, we let them know, and they help us with that.'

The service managed infection prevention and control by providing training to staff, monitoring best practice and ensuring staff had appropriate supplies of PPE (personal protective equipment) spreading by such as gloves and aprons. A staff member shared, "We have PPE... [it’s a] very important part of the job... gloves, apron, face mask." These measures reduced infection risks and safeguarded both staff and the people they supported.

The provider had processes in place to ensure medicines were administered safely and as prescribed.

The service managed medicines effectively using tools such as a Topical Medicines Application Record (TMAR) body map, Medication Care Plan, and Self-Medication Management Risk Assessment. These helped staff document, apply, and manage medicine-related risks accurately. The service conducted monthly audits of the Topical Medication Administration Record (TMAR), ensuring accurate documentation of the application of cream as prescribed. The service had a process to document medicine refusals, incidents and errors to ensure compliance with regulations. The manager explained, “If there is a mistake or error with medication, staff would inform the client, complete an incident report, inform the family, and ensure transparency throughout the process.”