Key question
Safe
You are protected from abuse and avoidable harm.
What people said matters to them
“I statements” from the draft framework, verbatim.
- I feel safe and am supported to understand and manage any risks.
- I know what to do and who I can contact when I realise that things might be at risk of going wrong or my health condition may be worsening.
- I can plan ahead and stay in control in emergencies. I know who to contact and how to contact them and people follow my advance wishes and decisions as much as possible.
- If my treatment, including medication, must change, I know why and am involved in the decision.Illustrative example, not an official TLAP statement
- When I move between services, settings or areas, there is a plan for what happens next and who will do what, and all the practical arrangements are in place.
- I have considerate support delivered by competent people.
The 7 key lines of enquiry
Compare across all 24 →Safety culture
Is there a positive and equitable safety culture where risks are proactively managed, concerns are listened to, incidents are thoroughly investigated, and lessons are learned to improve care?
- Safe culture
- Raising safety concerns
- Closed cultures
- Duty of candour
Managing risks during care and treatment
Are risks to each person monitored and managed so that their care and treatment is safe and supportive?
- Managing risk, deterioration and emergencies
- Positive risk taking
- People who are communicating a need, expressing feelings or an emotional reaction
- Restrictive practice
Safe systems, pathways and transitions
Are there systems to enable collaborative working across care pathways and services, to ensure that safety and continuity of care are prioritised?
- Care co-ordination and information sharing
- Continuity and transitions of care (including from children to adult services)
- Referrals
- Delegation (for example, clinical/healthcare activities)
Safeguarding
Does the service work with partners and people to protect their rights to live in safety and be free from abuse and improper treatment?
- Safeguarding and human rights
- Deprivation of liberty
- Bullying, harassment and discrimination
- Sexual safety and empowerment
Safe environments and infection prevention and control
Are potential risks within the care environment detected and managed appropriately to enable safe delivery of care for people and staff?
- Premises (including gas, electrical and fire safety)
- Equipment
- Infection prevention and control
- Environmental risks (including adverse weather such as heatwaves and flooding)
- Digital systems/technology assurance
Safe staffing
Are there enough qualified, skilled and experienced staff who receive adequate support, supervision and development to keep people safe and meet their needs?
- Workforce capacity and capability
- Safe recruitment (including Disclosure and Barring Service (DBS) checks)
- Staffing levels and skills mix
- Skills and qualifications/revalidation
- Learning, development and competency
- Support, supervision
- Performance management
- People in positions of trust
Safe medicines and treatments
Are medicines and treatments safe and delivered in a timely way, in line with people's needs and preferences?
- Roles and responsibilities and delegation
- Self-medication
- Safe administration and record keeping
- Consent/decisions/covert administration (including Mental Capacity Act 2005 and Mental Health Act 1983)
- Controlled drugs
- Storage and disposal
- Innovative medicines and MedTech safety
- Antimicrobial stewardship