Holistic Healthcare Leeds Also known as T/A Holistic Healthcare Cambridge 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. Staff told us they were able to speak up and raise concerns. Incidents and near misses were reported and investigated. Lessons learned were shared with staff and used to improve 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. One relative told us, “There was information from the Casework Manager and both the managers from the company phoned to introduce themselves, see how they could help and arranged the most appropriate time to meet and reassure us. They spent time with [name] to learn their needs and preferences and engaged with family so there was trust and confidence developing from the outset.”

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 can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In [care homes/hospitals], this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service.

Staff had the knowledge in relation to safeguarding. One staff member told us, “I would identify a safeguarding concern by observing any changes in a person’s physical condition, behaviour, or emotional state that could indicate abuse or neglect. If I have any concerns, I would then record what I’ve seen factually and report it immediately to my line manager or the designated safeguarding lead, following the organisation’s safeguarding policy.”

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 had risk assessments in place. One staff member told us, “Care plans are designed to meet everyone’s needs based on their condition and circumstances, ensuring they receive the best possible care and support. They help me understand each person’s needs, preferences, and potential risks, giving me a clearer picture of how they wish their care to be carried out. By following the care plan, I can provide the right level of support whilst keeping an eye out for any risks and ensuring the person’s safety and wellbeing.”

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. We saw people had an environment risk assessment in place. People told us staff arrived on time. One person told us, “Yes, the staff turns up on time and leaves on time.” A staff member told us,” If I notice any concerns about the safety of the premises or equipment, I report them immediately to my line manager or the maintenance team following the organisation’s reporting procedures. I also make sure to record the concern if required so there is a clear record of the issue.”

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. Recruitment procedures were in place, so people were cared for by suitably qualified staff who had been assessed as safe to work with people. Staff had completed training in multiple areas on the same day, however staff knowledge was very good, so this had been embedded through training. One staff member told us, “The training and support I receive help me feel confident and capable in my role. Regular training sessions keep me updated on care practices, health and safety, and safeguarding, which helps me provide safe and effective support to individuals. Ongoing guidance from my team and management helps me handle different situations and continue improving in my role.” A relative told us, “Staff couldn’t be nicer, attention to detail and always smiling.”

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. Noone raised any concerns in relation to infection control. A relative told us, “They use gloves when they do tasks that need it.”

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 had completed training, and the provider had policies and procedures in place. A staff member told us, “I support people by following their individual medication plans carefully, ensuring they take the right medicine at the right time. I have received training in safe medication administration, including checking doses, recording accurately, and reporting any concerns, which gives me confidence that I am supporting individuals safely.”