Metis Care 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. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Systems were in place to identify, report and respond to incidents, accidents and concerns should they arise. There had been no accidents, incidents or safeguarding concerns since the package commenced.

Staff told us they felt confident raising concerns and described management as responsive when issues were identified. One staff member explained they would raise concerns immediately and felt concerns were taken seriously and acted upon appropriately.

One person told us, "I do not have any concerns at the moment."

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.

A comprehensive assessment was completed before support commenced. The care plan contained clear information regarding the support to be provided, staff responsibilities and expected outcomes.

Staff told us they had access to up-to-date care records and were informed promptly of any changes to the people’s’ s support needs.

Regular reviews ensured care continued to reflect people’s needs and preferences.

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.

There had been no safeguarding concerns, allegations or referrals since the service began supporting people. One person told us, "Staff know me very well all is ok with me.”

Staff had completed safeguarding training and demonstrated a good understanding of safeguarding responsibilities. They were able to describe how they would recognise potential indicators of abuse and report concerns appropriately.

The Registered Manager demonstrated a clear understanding of safeguarding procedures, including immediate actions to protect people, referral processes and regulatory responsibilities where concerns arose.

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 reflected people’s individual circumstances and covered identified risks including slips, trips and falls. Records demonstrated risks were reviewed regularly and considered alongside people’s preferences and desired outcomes.

Staff understood the importance of supporting independence while managing risks safely.

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

Environmental risks were appropriately identified and managed.

The Registered Manager demonstrated an understanding of balancing risk management with respecting the person's home environment and individual choices.

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 sufficient arrangements in place to ensure staff were suitably skilled, recruited and supported.

Training records demonstrated completion of mandatory training relevant to the people's current needs. Staff had received supervision and spot checks since the package commenced.

Staff told us they felt confident in their role and were able to seek guidance and support from the Registered Manager when required.

Personnel records confirmed appropriate recruitment checks had been completed, including references, proof of identity and DBS 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.

Staff demonstrated a good understanding of hand hygiene, infection control procedures and the correct use of personal protective equipment (PPE).

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences.

The service was not supporting anyone with the administration of medicines at the time of the assessment.

The Registered Manager demonstrated an understanding of current medicines legislation, guidance and best practice should medication support be introduced in the future.