The Safehouse BD Limited Also known as Primrose Close

Updated 9 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

The Safehouse BD Limited provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. However, there was evidence the provider was actively recruiting for a registered manager.

Notice of inspection

This inspection was announced.

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 12 December 2022 and ended on 26 December 2022. We visited the location’s office/service on 16 December 2022.

What we did before the inspection

We reviewed information we had received about the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

The person receiving care was not able to express themselves verbally because of complex needs. There were no relatives available to speak with us. However, we read feedback from people’s relatives. We spoke with a social care professional, the nominated individual, service director, manager and four care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at care records of one person using the service to see how their care and treatment was planned and delivered. Other records looked at included four staff recruitment files. We also looked at records relating to the management of the service along with a selection of the service's policies and procedures.

Updated 9 March 2023

About the service

The Safehouse BD Limited is registered to provide personal care. At the time of this inspection, the service was providing personal care to 1 person with mental health needs living in a supported living scheme.

People’s experience of using this service and what we found

People’s relatives told us their loved ones were safe. There were effective systems and processes in place to minimise risks to people. The assessments provided information about how to support people to ensure risks were reduced.

The manager and staff knew how to protect people from the risk of harm or abuse. There were enough numbers of staff available to meet people's needs. Staff were recruited safely and received an induction and training to ensure they could meet people's health and care requirements.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were systems in place to ensure proper and safe use of medicines. People received their medicines as prescribed. We observed from records people received their medicines on time.

People were protected from the risks associated with poor infection control because the service had processes in place to reduce the risk of infection and cross contamination.

There was an effective training system in place. Care workers demonstrated good knowledge and skills necessary for their role.

There was a complaints procedure in place, which people’s relatives were aware of. Quality assurance processes such as audits, accidents and incidents, were used to drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was registered with us on11 August 2021 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staffing recruitment. A decision was made for us to inspect and examine those risks.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.