Premium Healthcare Staffing 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 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 provider had an accidents and incidents log in place. The provider said they discuss lessons learnt with staff if any incidents occurred.

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 completed a pre assessment before care commenced with the person. The registered manager told us, “We spoke with the person and their relative to look at what their needs were and focused the care plan ensuring their needs would be met.”

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 were trained and understood their roles in relation to safeguarding. Staff told us they knew how to raise concerns and were confident their concerns would be listened to and acted upon. We spoke to a relative who told us, “I have no concerns they know [person’s] care needs.”

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.

We saw risk assessments in place and up to date in relation to the persons care needs. One staff member told us, ”I know [name of person] really well and I know risk assessments are put in place to protect them and me.”

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

The provider had completed an environmental risk assessment on pre assessment. These were reviewed if and when any changes occurred.

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 told us they felt supported and had regular spot checks and supervisions. We reviewed staff training which showed they had the skills and knowledge in place to support the person. There was enough staff to ensure people received consistent support at the times they needed it.

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.

The provider had a policy in relation to infection control and staff told us they had adequate personal protective equipment (PPE) in place.

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.

The provider had procedures in place to support people with medication if and when this was needed. At the time of this assessment, they were not supporting anyone with medication. However, staff had completing training in this.