Anglia Prime Care Ltd

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

Leaders told us staff morale was good and the staff team enjoyed working with each other. There was a good sense of teamwork. Staff listened to concerns about safety and investigated and reported safety events.

Lessons were learnt to continually identify and embed good practice. The provider had a clear vision for the direction of the service which demonstrated ambition and a desire for people to achieve the best outcomes possible.

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.

The provider had processes in place to ensure safe systems, pathways and transitions were maintained. This included an initial needs assessment at the start of a service being provided. People were supported to access a range of external health care professionals to improve their well-being.

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.

Staff knew how to recognise and respond to abuse correctly. They had a clear understanding of the procedures in place to safeguard vulnerable people from abuse. Relatives told us they were confident any concerns reported would be fully investigated and action would be taken to make sure people were safe.

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.

People’s care and clinical records included information around individual risks and support staff needed to provide. For example, risks around mobility, falls and equipment use, skin integrity, health conditions, eating and drinking were assessed.

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 had been assessed and identified as part of the support and care planning process.

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.

Records confirmed a range of checks including application, interview and Disclosure and Barring Service (DBS) checks were conducted before staff started working at the service. However, we found gaps in recruitment records. The registered manager was responsive to the concerns raised and immediate action was taken for the records identified and a review of other records was to be completed.

All the people we spoke with thought the care staff were well trained to carry out care and support for them, or their relatives. One relative said, "There is good leadership and staff work hard to follow their example.”

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.

Systems were also in place to reduce the risk of cross infection in the service; this included the use of personal protective equipment (PPE) where necessary. People told us staff regularly used PPE and were aware of hygiene and infection control. One relative said, “The staff wear gloves, and they leave everything clean and tidy.” The provider had an infection prevention and control (IPC) policy in place and staff had received training which was completed annually in line with the provider’s policy.

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.

Medicines were managed safely and people were supported appropriately. There was clear guidance and policies for staff to support people with medicines. Staff told us they had received training in the safe handling of medicines and had a competency check completed on an annual basis, or before if required.

There were audits in place to ensure safe and consistent practice.

People who received support with medicines told us it was administered appropriately and in a timely manner. One relative said, "Staff got in touch with the GP because [relative] was struggling to swallow their tablets.”