INSPIRED CARE 4ALL 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. Systems were in place to support staff to report and record safety concerns and events when they arose.

The provider investigated safety concerns and incidents and used the learning from these to support staff to continually improve their practice, reduce risk and keep people safe. People knew who to raise concerns with and felt confident to do so.

Staff described how they recorded incidents, which were reviewed by management who communicated learning from incidents, which helped them reflect and make improvements This included team meetings and individual supervisions to embed good 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.

The provider implemented comprehensive pre-admission procedures to ensure safe, person-centred care. The process included a review of the referral information, including the identified care needs by the management team, involving the person, their relatives. The registered manager also provided care and support to people for their first week at the service to ensure personalised care plans were developed based on the person’s assessed needs.One staff member told us, “Before going to a new client I read the care plan thoroughly so that I can provide care efficiently.”

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.

People told us they felt safe being supported by the provider. One person said “I feel safe with all aspects of the care.”

The provider had an up-to-date safeguarding policy in place which the management team and staff understood. Where concerns were raised, the provider co-operated in subsequent investigations and shared the learning with the staff team.

Staff ensured people were protected from abuse and neglect. They were comfortable to raise any concerns and were confident any raised would be dealt with appropriately by the provider. One member of staff told us, “We are trained to identify signs of abuse such as unexplained injuries or sudden changes in behaviour.”

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.

The provider had developed risk assessment documents. This was completed by staff with the appropriate knowledge and skills with all people and/or their representative. This information informed care plans which provided staff with the information necessary to support people to keep safe. For example, the risk assessment and care plan for a person who lived with diabetes contained information to mitigate the risks associated with diabetes. This included information for staff to identify and respond to diabetic emergencies. Examples of other health issues also risk assessed, included moving and handling, and skin care. Where people experienced anxiety or distress, staff understood how to respond to this using active listening and distraction techniques identified in a person’s care plan.

Risk assessments and care plans were reviewed regularly. The provider was in the process of changing over to a new digital care planning system so staff could be kept up to date with changes to people’s needs promptly.

People felt safe and were happy with the support they received. It was identified during assessment there were areas for improvement to ensure information in relation to a person’s choking risk could be improved. This was handed over to the provider who used this as an opportunity to improve risk assessments and updated this immediately during the assessment.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

Records included environmental risk assessments describing risks to people's home environment and considered solutions to reduce risks such as additional equipment.

Staff understood their responsibilities to report any safety concerns and did so as required. Concerns were acted upon. Staff treated people’s homes with respect and followed people’s wishes and preferences whilst in their homes.

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.

People told us they received their care and support in a timely manner. One person told us,“I get the same carers, and I get on with them.” A relative said, “The carers come on time, and I’m satisfied with the duties carried out when they leave each visit.”

Staff received training appropriate and relevant to their role. Training was refreshed at regular intervals and staff competency checks were carried out to ensure required knowledge and skills were maintained.One staff member told us, “My training is fully up to date. I completed lots of training including moving and handling, medication, safeguarding, infection control, and dementia awareness.”

Appropriate checks were in place before staff started work including providing work histories, references and a Disclosure and Barring Service (DBS) check. DBS provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions. However, some staff recruitment files had unexplained gaps in their employment history record. This was handed over to the provider to action during the assessment.

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.

People were protected as much as possible from the risk of infection. They were supported to maintain their personal hygiene in line with their needs and preferences.

The provider had infection prevention and control policies and procedures in place. Staff had undertaken infection prevention and control training and were provided with personal protective equipment (PPE).People and their relatives confirmed staff adhered to IPC processes. One person told us, “They have high standards of cleanliness and always wear PPE and changing gloves.”

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. People were supported by staff who followed systems and processes to administer, and record medicines safely. Staff who administered medicines had been trained to do so and the registered manager completed regular competency checks to ensure procedures were followed.

The provider was in the process of introducing an electronic system for the management of the administration of medicines.