Holistic Quality 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 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. The leadership team explained when accidents and incidents occurred, staff took appropriate action including seeking medical attention. There were robust processes in place to review incidents and to identify any trends or patterns. Information from these reviews was shared effectively with staff to support learning, reduce risks and improve the quality of care.

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. Leaders told us they worked closely with external professionals when reviewing referrals. Care records evidenced detailed preadmission assessments. The registered manager shared examples of how they supported people to ensure transmissions into the service was seamless. For example, by arranging specialist equipment.

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. Staff demonstrated they were aware of signs of potential abuse, and how to report any concerns. They told us they were confident the leadership team would deal with any issues appropriately. Opportunities to share concerns were encouraged at all times, including during supervision and team meetings. People and their relatives told us they felt 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. Conversations with the leadership team evidenced people’s views were respected in decisions about risk. Staff demonstrated a good understanding of the potential risks relating to each person, such as mobility, smoking and health risks. Relevant support and equipment were provided as needed to help minimise potential risks. Risk assessments were regularly reviewed.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. Risks associated with people’s individual environments were continually assessed, and personalised environmental care plans were in place. The leadership team gave examples of how they supported people to reduce risks within their home, for example changing the flooring for someone who was at risk of falls.

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. Staff and relatives told us there were enough staff, who arrived on time and often stayed longer than the scheduled visit. Comments included, “They stay beyond what they should do,” and “[Staff] are very punctual.”

Safe recruitment procedures were followed by the provider and appropriate checks conducted. Staff received effective support and supervision.

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 confirmed they had completed the relevant training and had access to supplies of personal protective equipment (PPE). There were no concerns raised by people or relatives about the use of PPE.

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. Staff who administered medicines were up to date with medicine training. Medicine records were accurately completed, and processes were in place to ensure medicine was administered safely.