Purple Skilled Healthcare - Main Office

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We identified one breach of legal regulations. There were systems in place to assess and monitor the quality of the service provided. However, these systems were not sufficiently robust to identify that improvements were needed in relation to risk assessments, call monitoring, recruitment and governance. The service had not registered to support people with mental health conditions. The registered manager was available for people and staff when they were needed. The service worked with healthcare professionals and took the views of people and staff into account when delivering the service.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The registered manager and staff aimed to support people to lead independent and fulfilling lives and worked together to try and achieve this.

The registered manager and staff worked collaboratively with people using the services and relevant healthcare services to ensure delivery of care. A person told us, “I have had reviews [of my care]. [Registered manager] will check in with me anyway. She reviews everything and makes sure everything has been done.”

Regular meetings between the registered manager and staff provided them with opportunities to discuss the running of the service and people's individual support needs.

The registered manager was available for people and staff when they were needed. A person told us, “If I have a problem, I can ring [registered manager] who always reassures me and says we will help you. Even when she can’t pick up the phone, [registered manager] will leave a message, there is always a response. I have the confidence to ring the manager and ask her anything.”

Staff told us they knew how to speak up if they had concerns or something went wrong. They felt the registered manager supported them and listened to them. Staff were able to discuss issues at supervision meetings and team meetings.

The registered manager promoted an open and inclusive culture which sought the views of people using the service and staff who worked for them.

Staff told us they were treated equally and they with the registered manager worked well together as a team.

Policies and procedures were in place for workforce equality, diversity and inclusion.

A clear management structure was in place. Staff had clear roles and responsibilities and were informed of their roles and reporting arrangements. Staff spoke positively about the management of the service.

The registered manager completed audits and checks covering areas such as accidents and incidents, moving and handling, medicines, PPE, trips and falls, infection control, First Aid, pressure prevention and care planning.

However, systems were not robust enough to identify the issues found during this assessment. We found improvements were needed in relation to risk assessments, call monitoring and recruitment.

Records were not maintained securely. During the onsite assessment, the registered manager was unable to provide records in a timely manner. The registered manager advised she was unable to retrieve care records due to technical issues. The registered manager told us copies of care records were available at people’s homes. However, when this was requested, the home files provided did not contain any care plans or risk assessments.

Complete and contemporaneous records had not always been kept about people’s care and treatment. We reviewed daily notes from July to September 2024 and found they had not been fully completed. For example, on some of the daily notes, there were no dates, times or the name of the staff members that attended the care calls. Some of these entries also stated, ‘client complain of their wrist and back.’ ‘client was in a little pain’ and ‘client look tired and restless’ but there was no further information. A person was supported out in the community and entries for this were at times generic such as ‘Took client around the community for shopping, leisure and for fresh air’ and did not detail the exact activities the person and staff participated in. Some entries only stated ‘10am – 12pm’ with no further information recorded. Incomplete records meant that we could not be assured people received safe and appropriate support in accordance with their needs.

The service was supporting people with mental health conditions; however, the registered manager had not registered with CQC to support people with mental health. The provider’s registration with CQC therefore failed to reflect the care and support being provided.

People were supported to access health and social care professionals and community organisations as and when they needed them.

The registered manager told us they would consult external health and social care agencies and community teams to support people.

The service worked in partnership with relevant services when required.

Staff meetings were held, minutes of these meetings showed aspects of people’s care were discussed and staff had the opportunity to share good practice and any concerns they had.

The provider obtained feedback from people and relatives about the service via surveys. Records showed positive feedback about the service had been received from people using the service.