Honeydew Healthcare Ltd

The assessment was a fully comprehensive inspection, which looked at key areas which included infection prevention control, medicines management, staffing, choice and control, governance, management, leadership and safeguarding people. During the last inspection we found the service was in breach of regulation 12 regarding assessing, monitoring and mitigating risks to the health safety and welfare of people using the service, regulation 17 regarding systems to monitor people were receiving safe and effective care in line with their needs and a breach of regulation 19 regarding safe recruitment of staff. During this inspection we found improvements in all these areas had been made and the service was no longer in breach of regulations.

The provider demonstrated exceptional practice in ensuring people were put first. The provider had embedded a strong, proactive safety culture that prioritised openness, transparency and continuous learning. Staff consistently demonstrated an advanced understanding of risk management, enabling people to take positive risks while remaining safe.

People were fully involved in decisions about their safety, and care plans contained detailed, dynamic risk assessments tailored to individual needs. Leaders worked collaboratively with healthcare professionals and families to develop seizure-safe travel plans which included specialist training and emergency protocols. This approach empowered people to maintain independence and control over their lives.

Environmental safety was embedded into everyday practice. Staff were trained to identify hazards and escalate concerns promptly, supported by regular competency checks and scenario-based learning. Proactive referrals ensured homes were adapted to meet changing needs, enabling people to feel safe and respected in their own environment.

Staffing was consistently safe and effective. There were always enough qualified, skilled and experienced staff to meet people’s needs, and continuity of care was maintained even during sickness. Recruitment processes were effective, and training was embedded into practice through competency observations and team meetings.

The provider demonstrated strong lessons learned from incidents and shared these through ‘key points’ documents and additional training to ensure continuous improvement. People told us they felt safe, and they trusted staff, and relatives confirmed the service was highly responsive and inclusive.

This distinctive, person-centred approach to safety, combined with strong governance and a culture of learning, meant people consistently experienced care that was not only safe but empowering and enabling.