Sabir Care UK Ltd

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. At our last assessment there was insufficient evidence, and we did not rate this key question. At this assessment the service has been rated good. This meant people were safe and protected from avoidable harm.

This service scored 75 (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.

The provider had systems to ensure lessons were learnt and improvements were made to prevent mistakes happening again. Staff followed the provider’s policy to report and respond to accidents or incidents. Their comments included, “We report incidents as soon as they happen” and “The manager discusses accidents and ways to prevent them from happening again.” The registered manager ensured accidents, incidents and safeguarding were recorded. They undertook an analysis to identify patterns or trends and drive improvement. For example, 1 person had a history of falls. Staff ensured the person wore appropriate footwear and their environment was free of clutter. The provider held regular team meetings where they discussed lessons learnt and staff shared their experiences. They shared relevant guidance to promote learning and improvement.

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 had systems to ensure people’s needs were fully assessed before they started using the service. People were supported to access healthcare services in a timely manner. Care and support plans were updated to reflect changes to people’s health which ensured staff provided appropriate care to each person. The provider worked closely with people using the service, their relatives and external professionals to ensure safe discharge from hospital. The provider planned care packages to ensure people and the staff who supported them were a good fit and could meet their support needs.

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.

People were protected from the risk of abuse. One person told us, “I do feel safe.” A relative said, “[Person] feels very safe and there is certainly no sign of any form of abuse.” Staff knew the types of abuse and understood their responsibility to identify and report any concerns. They commented, “I check for bruises, changes in behaviour and listen when told about issues” and “I report any concerns I see to the [registered manager].” Staff undertook training about safeguarding. The registered manager told us they understood when to involve the local authority about any safeguarding concerns.

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.

People were protected from risk of avoidable harm. Comments from people using the service and their relatives included, “Carers use a safely hoist and transfer [Person] into a chair” and “[Person] is safe with the carers”.

The provider involved people and carried out risk assessments and management plans to ensure staff provided care in a safe manner. Care plans detailed what tasks people could safely do for themselves and when they required support. For example, managing their own medicines and or finances, washing and preparing meals. Records confirmed staff followed guidance and managed risks to people appropriately.

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 registered manager ensured people used suitable equipment which met their needs. The provider assessed people’s home environments. Staff supported people to maintain safe environments in their homes. Risk assessments identified trip and fire hazards. Staff told us they used equipment safely and left people’s mobility aids such as walking frames near them for ease of access when needed.

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.

People were supported by enough staff. People’s comments included, “We see the same carers for continuity, and they arrive and leave on time always” and “Carers are very well trained”. People and their relatives told us staff were punctual and did not rush. A relative told us, “[Person] receives care everyday with the hours spent as necessary to keep an eye on her. Visits are flexible and to check [person] does not fall.”

They were happy the same staff provided their support which enhanced the quality of care. One relative commented, “There is never a missed call.” Staff told us they received their rota in advance and felt staffing levels were adequate. People were cared for by regular staff and who were suitable for their roles. Recruitment processes were safe. The provider undertook checks to ensure staff were appropriate to support vulnerable people.

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. Staff undertook training about infection prevention and control procedures and followed good hygiene practices. Staff supported people to clean and to undertake daily cleaning chores. Comments from relatives included, “Carers do light housework and keep everywhere clean and hygienic” and “[Care staff] wear gloves, aprons and masks.

Staff told us they used personal protective equipment (PPE) such as aprons and gloves when preparing food or carrying out personal care to prevent contamination and spread of disease. The registered manager and care coordinator undertook regular spot checks, team meetings and communicated with staff to ensure consistent compliance in the use of PPE.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff completed medicine administration records. The registered manager carried out regular audits to ensure people received their medicines as prescribed. Staff were trained to manage people’s medicines and had their competency tested. Medicines policy and procedures were in place and reviewed when needed.