Global Healthcare Solutions

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 children 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 children 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 service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Accidents, incidents and events were recorded. The registered manager was informed of each incident and undertook reviews to identify trends. The registered manager had oversight and took action to prevent recurrence. Lessons learnt were shared in team meetings, supervisions and where appropriate, with health and social care professionals. The registered manager spoke highly of the support they had received from the local authority, which had enabled them to gain confidence and insight of wider systems and processes in place to protect children.

Staff told us, “The young people have a voice, one young person wanted a list of rules up for staff to follow and these are on display. They are very happy we heard, and respected, their wishes.”
 

The service worked with children 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 children moved between different services.

Children’s support needs were detailed within their support plans and risk assessments on the electronic system. Information was shared appropriately with other services supporting the child or young person to ensure continuity of care.

 

The service worked with children and healthcare partners to understand what being safe meant to them and the best way to achieve that. They 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 service shared concerns quickly and appropriately.

Relatives told inspectors what being safe meant to them and knew who to report concerns to if they felt their loved one was at risk. A relative commented, “Of course they keep my child safe. Without a doubt.”

Staff told us how they kept children safe. Safeguarding children was a mandatory training completed by all staff. Staff were confident all concerns would be investigated by the registered manager and the provider. Staff knew of external agencies such as the police and local authority safeguarding team who they could contact in the event the concerns were not acted upon. One staff member said, “I understand the process clearly. Internally, I would report to my team leader or the registered manager. Externally, I would contact the local safeguarding team or the CQC and Ofsted if needed.” Another stated, “I would not hesitate to raise and report any safeguarding issues because safeguarding is everybody's business.”
 

The service worked with children to understand and manage risks by thinking holistically. They provided care to meet children’s needs that was safe, supportive and enabled people to do the things that mattered to them.

The relatives of children told us they felt safe, and their risks were considered. Relatives confirmed they felt involved in planning for their child or young person’s needs in relation to risks and keeping safe.

The registered manager was able to provide examples of instances staff had been supported by professionals such as occupational therapists and social workers, to develop guidance for staff to keep children safe and encourage their independence. A health and social care professional informed us, “The team find solutions and improve the independence skills of the individual that they are supporting.”
 

The service detected and controlled potential risks in the children or young person’s own home and considered potential risks when supporting children in the community. They made sure equipment, facilities and technology supported the delivery of safe care.

Staff at Global Healthcare Solutions supported children with personal care in their own homes, at school and out in the local community. Although not directly responsible for a building environment, we noted each child and young person had risk assessments providing staff guidance on how to use equipment safely and emergency plans were in place detailing arrangements to keep children safe in the event their home needed to be evacuated.
 

The service 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 children’s individual needs.
Staff told us they felt fully supported to undertake all requirements of their role with support from the registered manager. Comments included, “The registered manager is efficient, kind and committed to staff as they listen and provide instant solutions to staff concerns when communicated” and, “The registered manager is always there if you need him; professional and friendly and fair.”

The service had effective processes in place to ensure staff had the necessary skills and competence to carry out their roles. Recruitment records showed staff were recruited safely. This included an enhanced Disclosure and Barring Service (DBS) checks for adults and children. DBS checks provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

Staff supported children to maintain their home environment. Where possible, children using the service were empowered to participate in activities to keep their property clean and increase their personal care skills.

Staff informed us they had access to Personal Protective Equipment, had received training in infection control and followed the provider’s policy.
 

The service made sure that medicines and treatments were safe and met children’s needs, capacities and preferences. The service consulted with relatives and other professionals to ensure care plans were up to date and communicated to staff when changes happened.

The provider had a medicines policy in place. Medicines were ordered, stored, and disposed of securely. Stock of medicines were managed by parents of children.
When medicines were prescribed to be taken ‘when required’ there were detailed and person-centred protocols in place to guide staff when these might be needed.