Bloom Lilly Healthcare Limited

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 newly registered service. This key question 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. People were encouraged to raise safety concerns with staff and supported to do this in a variety of ways. Staff were responsive to safety concerns and reported incidents without delay. The manager carried out investigations into safety events and implemented appropriate measures to prevent similar issues in the future. Insights gained were shared with the team to support ongoing learning and promote safer practices. Staff were aware of their duty to document and report any accidents or incidents and were able to complete reports through the electronic logging system.

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.Information obtained about people’s needs and risks to their safety was used to develop and implement individualised care and risk management plans. This ensured people received safe and appropriate care and support as soon as they started using the service. Staff worked well with external professionals to ensure people received safe support and treatment.

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.

Robust safeguarding systems were in place and well understood by staff. They demonstrated a clear understanding of safeguarding processes and were able to explain how to identify and respond to potential signs of abuse, showing strong awareness of their duties. The manager was aware of their responsibility to report concerns without delay to the appropriate external bodies. Documentation confirmed concerns had been investigated thoroughly and safeguarding matters had been discussed with the team to reinforce their understanding. One staff member said, “Yes, I have received safeguarding training. I learnt how to protect vulnerable people both adults and children from abuse, neglect and harm, spotting signs of abuse and reporting concerns to relevant people."

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was not always safe and supportive.Risks linked to each person’s care and treatment were assessed and reviewed on a regular basis. Care plans included detailed risk assessments along with clear guidance, enabling staff to take appropriate steps to minimise potential harm. Staff were knowledgeable about the individuals they supported.

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 evaluated potential risks within people's home environments and implemented measures to help ensure their safety. Risk management plans were routinely monitored and reviewed to confirm the actions taken remained suitable and effective. Staff were informed about any hazards present in individuals’ homes and took steps to manage them appropriately.

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.There were systems in place which ensured thorough pre-employment checks were completed and staff were recruited in a safe and appropriate manner. Staff were organised and deployed effectively to provide safe and consistent care. Relatives told us staff arrived on time and there were always enough staff members available to support their loved ones.

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. The provider had policies and procedures aimed at promoting good infection prevention and control (IPC) practices. Staff had received training in infection prevention and control (IPC). One staff member told us, “Personal protective equipment (PPE) is available when required. I help control the spread of infections by putting on the correct PPE for the specific task or assignment.” They confirmed they followed hand hygiene procedures which included regular handwashing and using hand sanitiser.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened.Although staff did not routinely administer medicines, they had completed medicines management training and were assessed as competent to do so if required. The registered manager had systems in place to ensure medicines were handled safely, including monitoring and retraining staff where any shortfalls were identified.