MemoryJane Healthcare 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 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 72 (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. Safety events such as accidents and incidents had been investigated and reported with actions taken to mitigate against recurrence. People, family members and staff confirmed they were updated following accidents and incidents. Formal processes under the duty of candour were followed where necessary.

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. Systems were in place to ensure continuity of care when people commenced a care service and there was involvement of the person, family members and external health or social care professionals. Senior staff undertook a preservice assessment to confirm MemoryJane Healthcare Limited was able to meet the person’s needs prior to agreeing and commencing a care service. This also ensured any required equipment or specialist staff training was in place. If a person needed to be admitted to hospital or transferred to another service the registered manager stated relevant information about medicines, health and care needs would be provided.

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 with local safeguarding teams. The management team had taken appropriate action where necessary in response to safeguarding concerns. Staff understood their safeguarding and consent responsibilities. People told us they felt safe. For example, a person said, “I feel safe with them [care staff] all.” Where necessary, people’s legal rights under the community provisions of Deprivation of Liberties (DoLs) were protected.

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. Although we found some minor aspects of care plans were out of date or inconsistent, the management team were able to describe how specific risks were being managed appropriately. Training records evidenced, and staff confirmed, they had been trained to use the equipment safely. Staff told us all necessary equipment was in place.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. Comprehensive risk assessments associated with the person’s home environment were completed before the service started supporting people. Where risks were identified discussions were held with people to help manage these risks. Care staff confirmed they had received relevant training to use any equipment and the management team understood how to access any additional equipment which may be required. A person told us, “I use a Rotunda and they [care staff] are all very competent at using that.”

There were enough staff who received effective training, support, supervision and development. However, not all pre-employment checks had been fully completed prior to staff commencing work. The registered manager promptly took the required action to seek the missing pre-employment information. People and family members told us they had continuity of care staff who attended on time and always stayed for the correct length of time. A person told us, “They [care staff] always stay as long as they have to and I get on with them all.”

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 had received food hygiene and infection control training and were encouraged to have relevant immunisations. People and family members confirmed Personal Protective Equipment (PPE) was used where needed. The management team understood the actions they should take should there be a specific infection risk or concern for an individual person.

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. There were policies and processes in place to ensure people received their medicines safely. Staff received training and competency checks. The registered manager audited records of medicines administration. Where issues were identified procedures were followed to establish what had happened and action taken to reduce the likelihood of further similar events. Some staff were supporting people with Insulin or medicines administered via a tube directly into a person’s stomach. They had received additional training and the registered manager, who was a registered nurse, had ensured their competency to undertake this procedure.