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GO Online: Inspection toolkit

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Safeguarding

People need to feel safe and safeguarding people is central to good quality care. It’s important that regulated providers understand what feeling safe means to the people you support.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Safeguarding

Duration 02 min 43 sec

The CQC focus on Safe begins by looking at how your service protects people from avoidable harm.

They’ll be wanting to know that you are consistent in how you protect people … and that your staff is trained, capable and confident to discuss Safeguarding with people.

This will require you to demonstrate how you engage with people and better understand what safe means to them, putting into practice what is needed to meet their needs.

The CQC will want to know there is Safeguarding expertise in your organisation, which might mean higher levels of training for your managers or Champions, as well as looking at how you connect with local experts, such as Safeguarding Teams.

You will be expected to deliver person-centred care that protects people from bullying, harassment, abuse, discrimination, avoidable harm, and neglect.

Your safeguarding policies and procedures will need to reflect the latest legislation and guidance. Keep them regularly reviewed and effectively communicated. This is equally true for your Whistleblowing policies.

Continue to monitor how you are performing in regard to Safeguarding, looking for opportunities to improve. Where problems are identified, clearly record the issues and what actions were taken to resolve them.

In advance of their monitoring and inspection, the CQC will be looking at the notifications and safeguarding alerts that have been raised by your service. Be prepared to discuss these with the inspectors, including what actions were taken.

The CQC inspector may choose to interview people, family, friends, and relatives. They’ll also want to speak to managers and staff.

The inspectors may choose to observe how your staff engage and interact with people, looking at how safety and safeguarding is supported.

The CQC inspectors may ask to review or view examples of the following:

safeguarding records, including alerts and investigations

notifications

complaints and compliments

and staff training and induction records.

So please take a look at the recommendations, examples, and resources in GO Online to help you to meet or exceed CQC Safeguarding expectations.

Watch the film here: https://vimeo.com/789624468

Recommendations

These recommendations act as a checklist to what the CQC will be looking for. Skills for Care has reviewed hundreds of inspection reports and identified these recommendations as recurring good practice in providers that meet CQC expectations.

The CQC is non-prescriptive, which means they don’t tell you what must be done in order to meet their Quality Statement. These recommendations are not intended to be a definitive list and some recommendations might not be relevant to your service. We hope they help you reflect on what evidence you might wish to share with the CQC.

Safeguarding

  • We can evidence how we support people to feel safe.
  • We involve people who need care and support in discussions about their safety. We understand what makes people feel safe and document this in care plans.
  • We use ongoing assessment to monitor how a person who needs care and support might be at risk of harm and how this could be avoided or minimised.
  • We ensure staff are trained to proactively recognise and report bullying, harassment, abuse and challenge discrimination. Our managers regularly check staff understanding.
  • We use non-discriminatory practice at all times in the protection of individual's age, colour, culture, disability, ethnicity, gender, medical condition, nationality, appearance, race, religion, sexual identity, sexual orientation, or social class.
  • We ensure our day-to-day practice complies with the Mental Capacity Act and Liberty Protection Safeguards.
  • Our managers and staff teams are empowered and supported to whistle blow, knowing their concerns will be thoroughly investigated.
  • We ensure safeguarding notifications are sent to CQC as required.
  • We ensure our safeguarding policies and procedures are aligned to the latest good or best practice, including local requirements.
  • We ensure our frontline managers and team members as appropriate are in regular contact with their local safeguarding team.
  • We do not hesitate to seek advice to discuss safeguarding thresholds with external agencies.
  • We ensure all safeguarding incidents are thoroughly investigated in an open and transparent way.
  • We clearly document evidence of safeguarding incidents, including how they were dealt with, which agencies were involved (where relevant), what follow up action was undertaken, and how learning was shared.
  • Our organisation regularly reviews safeguarding incidents to identify trends.
  • We ensure staff and people who need care and support know how to ‘blow the whistle’ on poor practice (both internally and to external agencies) without recrimination.
  • Our staff are confident that any concerns they raise would be listened to, taken seriously and be responded to with the appropriate actions.
  • We have a safeguarding champion (or champions), whose role is to be a specialist in this area, researching best practice and providing staff with advice and support.
  • We regularly include safeguarding discussions in staff supervisions and team meetings.

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