24Hrs HC Home Care Services 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 69 (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.

There were appropriate incident recording policies and procedures in place. Staff knew how to record incidents. The registered manager reviewed any incidents and made sure any changes were made to improve practice and the care people received.

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.

There were appropriate incident recording policies and procedures in place. Staff knew how to record incidents. The registered manager reviewed any incidents and made sure any changes were made to improve practice and the care people received.

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.

There was a safeguarding policy in place and this was being followed. The registered manager was aware of their responsibilities under safeguarding. Staff had completed mandatory safeguarding and whistleblowing training. One person told us they felt safe with staff supporting them.

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.

There were appropriate incident recording policies and procedures in place. Staff knew how to record incidents. The registered manager reviewed any incidents and made sure any changes were made to improve practice and the care people received.

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 registered manager conducted risk assessments regarding the environment and made sure staff knew how to use equipment safely. Risk assessments were also completed to ensure the safety of staff when working on their own.

Some aspects of recruitment required improvement. We found some areas of the application form required additional detail to ensure all relevant information about people’s previous employment history was recorded in full. The provider showed us references had been received for staff however we could not always confirm the origin of these references. Other aspects of recruitment were safe. We discussed with the provider about best practice around recording of safe recruitment. We made a recommendation fortheprovider to implement best practice guidance around safe recruitment and implement this.

The provider’s training matrix showed staff had completed relevant mandatory training. Staff's knowledge was variable around safeguarding, whistleblowing and Mental Capacity Act. Training on learning disability and autism had not been completed by staff. We discussed this with the registered manager who told us they would complete knowledge checks on training completed by staff and would book staff onto relevant training.

Staff had received supervision. Spot checks on staff practice were completed.

People receiving care told us they were supported by a consistent team who were “very punctual” and if there was a change in the staffing team, the person was informed.

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.

There were appropriate incident recording policies and procedures in place. Staff knew how to record incidents. The registered manager reviewed any incidents and made sure any changes were made to improve practice and the care people received.

At the time of our assessment, the provider was not supporting people with their medication. However, one person was being supported by staff with their creams and there was a lack of recording in this area. We discussed this with the registered manager and they told us the action they would take. We made a recommendation for the provider to review and implement best practice guidance around application of creams.

There were policies and procedures in place to assess people’s needs around medication, and to implement support plans in this area. We reviewed blank forms the provider had developed and these were appropriate.