Destiny Jubilee 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 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. The staff team listened to concerns about safety and investigated and reported safety events. The provider had the appropriate systems, policies and processes in place to capture and record accidents and incidents. Discussions at team meetings and in staff supervision sessions identified where lessons could be learned after reflecting on practice.

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 was shared with partners appropriately and effectively to ensure smooth transitions between services. Records of people’s care and support evidenced how care staff responded effectively to emergencies, called the appropriate services for support and shared relevant information to ensure continuity of care and support.

The provider worked with people and healthcare partners to understand what being safe meant to them. 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. The provider had appropriate safeguarding adults and whistleblowing policies in place to keep people safe. Assessments of people’s capacity were carried out using the principles set out in the Mental Capacity Act 2005. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. Staff confirmed they knew how to report concerns about abuse. A member of staff told us, “I have access to safeguarding policies. Two portals are available for us to use. We have done training on safeguarding and we are being frequently reminded how crucial this policy is with regards to health and social care as it protects individuals from harm, abuse and neglect. If I suspected abuse I would report it to the relevant authorities. I would feel a strong obligation to report the incident to my managers this action is not only about protecting the patients but also about maintaining the integrity of the workplace and ensuring all staff stick to the highest standards of care.”

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs which was safe, supportive and enabled people to do the things which mattered to them. Care plans were personalised and contained clear descriptions of people, their family, personal histories and their likes and dislikes. There was detailed guidance about how care and support should be provided and delivered safely. Staff understood how to manage people’s risk safely. One member of staff told us, “[People’s care plans] are crucial to ensure their safety and well-being. It involves identifying potential hazards, assessing the risks and implementing effective communication and collaboration between care providers, families and the people receiving care. Policies and care plans must be followed to manage risks. Risk assessments should be done when providing care and support so risks are managed.”

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 maintained a record of equipment in people's home which included service dates to ensure it was safe to use. Staff had received appropriate moving and handling training to use equipment safely.

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 which met people’s individual needs. An analysis of people's care needs was carried out and used to determine the appropriate number of staff needed to deliver care and support. Staff were recruited safely and appropriate pre-employment checks were completed which included Disclosure and Barring Service (DBS) checks. DBS checks provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions.

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 an infection prevention and control (IPC) policy in place. Evidence from people's daily notes confirmed staff followed IPC processes to keep people safe and minimise the risk of cross-infections. Staff confirmed they had been trained to prevent and control infections and had access to personal protective equipment (PPE). One member of staff told us, "I have received training on infection prevention and control. It is critical to health and social care and ensures infections are prevented and controlled. I have access to PPE. PPE must be worn for infection prevention and control."

The provider made sure medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened. People had personalised medication care plans which were thorough and contained detailed explanations of dose, time of administration and side effects and information to be aware of. For example, for type 2 diabetes medications there was information about hypoglycaemia and instructions about what to do if members of staff noticed side effects. People prescribed medicines on an ‘as and when required’ basis (PRN) had detailed protocols which made it clear when and how these medications should be administered. Staff confirmed they understood how to administer medicines safely. One member of staff told us, "To ensure safe medication preparation and administration, I was trained to practice the '7 rights' of medication administration: right patient, right drug, right dose, right time, right route, right reason and right documentation. You need to understand the '7 rights' of medication and never force someone to take their medication."