1Eclipse Care Solutions

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This is the first assessment for this service. This key question has been rated good. This meant people were safe and protected from avoidable harm.

This service scored 72 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

There was a leaning culture in place at the service. Where there had been accidents and incidents or safeguarding allegations these had been analysed to see what lessons could be learnt. This helped to reduce the likelihood of similar incidents re-occurring. The provider had policies related to safeguarding adults, complaints and accidents and incidents which helped provide staff with guidance about how to respond to these issues.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

The provider worked with others to help ensure a smooth transition between services. Senior staff carried out an assessment of people’s needs prior to the provision of care. People and their relatives were involved in these assessments to help ensure they reflected the needs and wants of the person. Assessments covered needs including personal care, medicine, nutrition and moving and handling.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

Systems were in place to help protect people from the risk of abuse. The provider had a safeguarding adults policy. Where there had been allegations of abuse these had been dealt with in line with the policy. Staff had undertaken training about safeguarding and understood their role in reporting any concerns. One member of staff told us, “If there is a possible safeguarding risk you can call a local authority hotline and investigation can be launched. I will also report to the manager and document everything so that information will always be there for reference if needed at a later date.”

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Risk assessments were in place for people. These set out the risks people faced and included information about how to mitigate those risks. They covered risks including mobility, the physical environment and skin integrity. Assessments were reviewed every 6 months to help ensure they reflected risks people faced as they changed over time. Staff had a good understanding of the risks individuals faced and how to support team in a safe way. People told us staff supported them in a way that was safe. One person said, “Yes they do [support me in a safe way], never had skin or transfer problems.”

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

The provider supported people living in their own homes and did not have responsibility for the maintenance of the premises or of any equipment used. However, to help ensure care was carried out in a safe environment, they had carried out environmental risk assessment. These looked at possible risks within people’s homes, such as trip and slip hazards.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

The provider told us that as they only had 2 people using the service at the time of inspection, it was easy to monitor that staff arrived on time and stayed for the full amount of time required. They told us staff punctuality was good and people confirmed this. A relative replied, “Oh yes, very punctual” when asked if staff were punctual. They added, “They don’t hurry to get away, they always ask if there’s anything else we want them to do.”

The provider had robust staff recruitment practices in place. These involved carrying out various checks on prospective staff, including employment references, proof of identification and criminal record checks.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

There were systems in place to help prevent the spread of infection. Staff wore personal protective equipment [PPE] when providing support with personal care. One member of staff said, “I use PPE such as gloves, aprons, face masks and hand sanitiser. The company supplies this.” Staf had also undertaken training about infection control. In addition, the provider had a policy on infection prevention and control to help guide good practice in this area.

The provider did not always make sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff did not always involve people in planning.

The medicines care plan for 1 person said they did not receive any support with medicines, but their skin integrity care plan said staff administered barrier creams to the person. The provider confirmed that staff did indeed administer these medicines to the person. We saw that medicine administration records were in place and that these were audited. These suggested that medicines were administered in a way that was safe. The provider told us they would review the care plan so it was consistent and accurate.

People told us they were happy with the support they received with medicines. One person said, “Yes, staff support me to a degree. In the care plan I self-administer when I can and if I get in bed they are brought to me. I have barrier creams applied. I’m very happy with how things are administered, staff check my skin to see if there any blemishes."