Rebuild 4 Life 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 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.

There was an up-to-date incident reporting policy; staff documented accidents and incidents appropriately on handheld electronic devices and knew when to escalate concerns. The registered manager monitored incidents and analysed themes to learn from any mistakes. Improvements to care were made where required and staff were informed of any changes.

The provider always worked with people and healthcare partners to design, establish and maintain safe systems of care, in which safety was always well managed and monitored. They made sure there was always continuity of care, including when people moved between different services.

The provider directly employed health and care professionals such as occupational therapists, physiotherapists, nurses and social workers which meant people benefitted from having continuous input and care from the right service. Transitions between children’s and adult’s services were managed smoothly and effectively, with significant time spent building up positive working relationships and knowledge about people’s preferences.

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 completed safeguarding training and knew how to report concerns. There was a relevant safeguarding policy and information available to staff. People and their relatives said they felt safe. A person said, “I am happy to say that [relative] is 100% safe with his staff, they are so kind caring and respectful at all times to us all.”

The registered manager made referrals to the local authority to raise safeguarding concerns and made sure that any recommendations made were instigated and monitored.

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.

The registered manager conducted pre-admission assessments and ongoing risk assessments which were reviewed regularly. People and relatives were involved in their care and support plans. Staff completed training about how to care for different aspects of people’s health and wellbeing and had good knowledge about risk. Staff could identify when someone was experiencing distress and knew about different strategies to help and support people.

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 environmental risk assessments to make sure people and staff were safe, and to minimise any risks. The provider had contracts in place to manage different types of equipment such as hoists and were responsible for the maintenance and effectiveness. Servicing of equipment was in date.

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.

Staff completed relevant training for their roles and compliance rates were high. Staff completed a thorough induction and ‘shadow shifts’ when they first commenced. There were enough staff to meet people’s needs and people said they were supported by consistent staff.

The registered manager recruited staff safely and checked right to work information and references and made disclosure and barring service (DBS) checks.

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.

Staff were aware of policies to maintain infection prevention and control. Staff wore PPE when required, and there was a good supply available. Senior staff completed spot checks including hand washing. Staff maintained the cleanliness of any equipment used in people’s houses.

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.

The service used an electronic system to assist with safe management of medicines. Staff recorded when they administered medicines according to people’s prescriptions and this was time stamped on the electronic forms. Any gaps were flagged to the registered manager. Staff completed appropriate medicines training and senior staff observed staff competencies regularly. Some people or their relatives managed their medicines, and there were appropriate risk assessments to record this.