Supreme Care Services Limited Also known as 1-12502111923

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 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 practice was discussed as part of team meetings with an emphasis on learning and improving the quality of support offered. The registered manager used different communication methods to reach out to staff to raise awareness about practice issues and where changes were needed as a result of events happening within the service. The constant communication with staff meant issues could be addressed immediately if required. The staff told us how the provider was proactive in making sure their learning was continuous meaning staff were equipped with up to date knowledge and guidance.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed and monitored. The provider responded promptly with requests to carry out assessments of people referred to them. They gathered information from relevant sources, working with the person and other people close to them to create a robust care plan. The registered manager told us how they continued to monitor how people’s needs changed. They told us how staff worked alongside other services to make sure transitions into care settings such as a nursing facility happened smoothly.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve it. The staff we spoke with had a good understanding of how to keep people safe and a recognition of the types of abuse. They were able to tell us who they could approach if they had concerns, both inside and outside of their organisation. Records of clear actions were kept in relation to safeguarding and there was evidence the provider worked proactively with a range of agencies involved in people’s care.

Families told us about the professionalism and the staff’s attention to detail in making sure that the care and support was safe.

Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Comprehensive assessments were carried out and careful consideration was given to manage risk whilst maintaining people’s independence as much as possible. Staff were able to talk about the types of risks people faced and how the support they offered helped people overcome them.

A professional we spoke with told us how the provider placed a strong emphasis on safety and wellbeing. They added, “The risk management processes are well structured, and staff receive regular training to stay informed of their responsibilities.”

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

As part of the initial assessment the provider carried out a robust assessment of the person, their home and the surrounding area of the buildings to ensure staff were safe when visiting the person to support them. The provider told us they worked with people, their families and other agencies to address safety and maintenance issues people had with their properties.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. The provider’s recruitment procedures were robust with all checks required by current legislation taking place for each employee. Staff received an induction and continuous training to fulfil their roles. The staff we spoke with told us they felt their training equipped them with all the skills they believed were necessary to support this client group.

Families spoke warmly of the staff. One told us, “I feel confident [relative] is in the safe hands of the staff every single day. They give me complete peace of mind; nothing is ever missed.”

A person receiving care added, “The whole team is professional and caring, from management to the carers themselves”.

The providers records indicated staff were punctual and would stay longer to make sure people had the support they needed.

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 were supplied with as much personal protective equipment as they needed to keep themselves and the people, they supported safe from infections. Supplies were held within the provider’s head office and stocks were plentiful. The provider had policies and procedures in place to inform staff of the risks and the actions to take to prevent an unnecessary spread of diseases. Staff received regular training to provide them with the knowledge in managing situations that posed potential health risks to themselves and the people they supported.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff told us how they liaised with GP’s, pharmacies and other health professionals to help people get their medicines. Staff received training to support their knowledge and understanding of their responsibilities around all aspects of medicine management. The registered manager audited each person’s monthly management records ensuring where possible errors occurred were addressed and practice was continually monitored and improved upon.