Mimarcare 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 promoted a positive culture of safety where staff were encouraged to raise concerns and take action when risks to people were identified. People, relatives and professionals consistently described care that promoted people's safety. Staff told us incidents and concerns were taken seriously. They described managers as encouraging reflective learning and supporting staff to raise concerns.

Professionals also described a responsive approach to managing risk. One healthcare professional explained they had raised concerns about a person's falls. The registered manager introduced reminder notices to reassure the person not to mobilise without support and maintained communication with the professional as the person's care requirements increased. This demonstrated the provider listened to professional advice and acted promptly to reduce risks to people.
 

The provider worked with people, families and healthcare professionals to help ensure care remained safe and consistent when people's needs changed. Care plans were reviewed and updated to reflect changes in people's health, mobility and support needs.
When one person's needs increased, the provider worked closely with their family to introduce additional visits and update care records before the changes were implemented. This helped ensure everyone involved understood the person's current needs and enabled care to continue safely and consistently without disruption.
 

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.
Staff understood their safeguarding responsibilities and knew how to recognise and report concerns. Staff completed safeguarding training appropriate to their roles, and the provider had safeguarding policies and procedures in place to guide practice.
Care plans included information about risks and the support people needed to help keep them safe.
 

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.
Risks were assessed and reviewed alongside people, their families and healthcare professionals. Care plans included guidance to help staff manage identified risks while supporting people's independence.

One relative described how staff supported their family member to safely access different rooms within their home, including those used for personal care, by providing reassurance and prompts that reduced confusion. This enabled the person to maintain their independence while managing risks in a way that reflected their needs and preferences.
 

The provider detected and controlled potential risks in people's home environments. They worked with people and healthcare professionals to ensure equipment and support promoted safe care and reflected people's changing needs.
Care plans included clear guidance about equipment and environmental risks to support staff to provide safe care within people's own homes. Staff understood how equipment should be used to reduce risks whilst maintaining people's independence.
 

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 records showed appropriate pre-employment checks were completed before staff started work. Where agency staff were used, the provider obtained assurances relating to training, right to work and criminal record checks before they provided care.

Staff completed an induction and training relevant to their roles, including safeguarding, moving and handling and medicines management. Staff told us they received the training and support they needed to carry out their roles safely and felt able to seek advice from the registered manager whenever required. One staff member said, "I feel supported. My colleagues and management team are available to advise and assist when needed."

Staff also told us they had sufficient travel time between visits to provide safe care. A healthcare professional commented that carers had enough time to support the person and discuss any concerns, helping ensure care was delivered safely and reflected people's individual needs.
 

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 received training in infection prevention and control (IPC) relevant to their roles. The provider had IPC policies and procedures in place to guide staff practice. Staff told us they had access to appropriate personal protective equipment (PPE) and understood how to use this safely. One staff member told us, "Risk assessments, PPE and safeguarding procedures are followed, and client needs are prioritised." These arrangements helped reduce the risk of infection and support the delivery of safe care.
 

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 policies and procedures in place to support the safe management of medicines. Staff received training relevant to their roles and told us they had the knowledge and support needed to administer medicines safely.

Where people's support needs evolved, the provider worked with people, families and healthcare professionals to review the support provided, helping ensure medicines and wider care continued to reflect people's current needs and preferences.