Care at Home (High Street)

This was a targeted inspection that considered assessing risk, safety monitoring and management and preventing and controlling infection. Based on our inspection of these areas the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support ● People who experienced periods of distress had proactive plans in place which ensured restrictive practices were only used by staff if there was no alternative. ● Staff sought to minimise their use of restraint. Systems were in place to report and learn from any incidents where restrictive practices were used. Staff discussed techniques that promoted reducing restrictive practice. ● Management spoke about the challenges of recruiting staff throughout the pandemic. The provider had developed systems to reduce staff turnover and retention and provide greater consistency for people. However, they acknowledged work was still needed to recruit and embed a permanent and consistent staff team. In the absence of a permanent staff team the provider had block booked agency staff to ensure people received consistent care.

Right care ● Staff involved people and ensured individualised risk assessments were undertaken. Where appropriate positive risk taking was encouraged and enabled. ● Staff knew people well, and understood the risks aligned to each individual. ● Staff supported changes that individuals might want to make and assessed risks continuously

Right culture ● Managers and senior staff modelled good practice and led by example in relation to assessing risk, safety monitoring and management. ● Staff were trained in and had a good understanding of best practice models of care, such as Positive

Behaviour Support.

Action had been taken to reduce the risk of infection spreading which had included the correct use of personal protective equipment (PPE). Staff had received training and support in relation to infection control and COVID-19. Management observed staff practice ensuring they were following the correct use of PPE. People and staff were tested in line with national guidance.