Safe
Are people protected from abuse and avoidable harm?
8 quality statements · each asked twice
Learning culture
Reg 17, 20(9)We have a proactive and positive culture of safety based on openness and honesty, in which concerns about safety are investigated and reported thoroughly, and lessons are learned to continually identify and embed good practices.
What happens
How many incidents has this service recorded in the last twelve months?
What can you evidence now
If an assessor followed one incident end to end, would the whole loop be in one place?
Safe systems, pathways and transitions
Reg 12, 17We work with people and our partners to establish and maintain safe systems of care, in which safety is managed, monitored and assured. We ensure continuity of care, including when people move between different services.
What happens
A patient asks you not to write to their GP. What happens then?
What can you evidence now
What could you show about correspondence out of your service in the last month?
Safeguarding
Reg 13; Care Act 2014 s.45; SI 2009/3112 reg 18(2)(e)We work with people to understand what being safe means to them as well as with our partners on the best way to achieve this. We concentrate on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect.
What happens
A Safeguarding Adults Board asks you for information about a patient. What happens?
What can you evidence now
What could you show about safeguarding training and concerns raised?
Involving people to manage risks
Reg 9, 11, 12We work with people to understand and manage risks by thinking holistically so that care meets their needs in a way that is safe and supportive and enables them to do the things that matter to them.
What happens
When does a paying patient hear what could go wrong — before or after they pay?
What can you evidence now
What could you show about how a recent patient's risks and costs were set out?
Safe environments
Reg 12, 15We detect and control potential risks in the care environment. We make sure that equipment, facilities and technology support the delivery of safe care.
What happens
Somebody arrives for a visit and the home is unsafe to work in. What do they do?
What can you evidence now
What could you show about premises, equipment servicing and the resuscitation equipment?
Safe and effective staffing
Reg 18, 19We make sure there are enough qualified, skilled and experienced people, who receive effective support, supervision and development. They work together effectively to provide safe care that meets people’s individual needs.
What happens
A visiting consultant sees patients here under practising privileges. Who checked they are who they say they are?
What can you evidence now
What could you show about registration, indemnity and supervision for everyone who treats patients here?
Infection prevention and control
Reg 12, 15We assess and manage the risk of infection. We detect and control the risk of it spreading and share any concerns with appropriate agencies promptly.
What happens
How is your infection prevention scaled to what you actually do?
What can you evidence now
What infection prevention evidence could you produce for your own procedures?
Medicines optimisation
Reg 12(2)(g)We make sure that medicines and treatments are safe and meet people’s needs, capacities and preferences by enabling them to be involved in planning, including when changes happen.
What happens
How does a private prescription for a controlled drug leave this service?
What can you evidence now