Triple M Healthcare 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. At our last assessment we rated this key question good. At this assessment the rating has remained 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. Although there had not been any accidents or incidents there was a process in place to ensure safety events such as accidents and incidents would be recorded, investigated and reported with actions taken to mitigate against recurrence. The registered manager understood their responsibilities under the duty of candour which requires providers to be open and honest following any safety incidents.

The provider worked with people, health and social care 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. Systems were in place to ensure continuity of care when people commenced a care service and there was involvement of the person, family members and external health or social care professionals. In person assessments were completed by the registered manager or care coordinator and followed a comprehensive formal assessment process. This helped ensure people’s needs were known and could be met prior to the commencement of a care service for a new person. Reviews were undertaken when people were discharged from hospital and care plans updated to reflect any changing needs ensuring these were then met.

The provider worked with people and health and social care 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 registered manager shared concerns quickly and appropriately. Family members said they felt their relatives were safe when receiving care.

The registered manager, care coordinator and staff understood their responsibilities to identify and report any safeguarding concerns. A staff member said, “If I see neglect or abuse, I report it to the manager straight away. If nothing is done, I know I can escalate to the local authority.”

The registered manager understood the processes they should follow if a person they supported was under constant care and supervision and lacked the mental capacity to consent to their care. This would ensure that if any restrictions were required, these were proportionate and in the person’s best interests.

The provider supported people in managing risks with a holistic approach. Staff delivered safe, supportive care tailored to individual needs. Risk assessments were completed after initial evaluation and updated regularly or as needed. Care staff had access to these assessments and consulted the office when unsure. They understood each person's risks and management strategies; for example, a staff member explained, “Some people have swallowing issues, so I support by giving small amounts of food.” They added, “When you transfer (support a person to move),you have to follow the moving and handling risk assessment.” This showed staff understood individual people’s risks and how these should be supported.

The provider identified and managed potential risks within the care environment, ensuring that equipment, facilities, and technology supported safe care delivery. Comprehensive risk assessments related to each person’s home were completed before starting the service. The registered manager knew how to obtain specialised equipment if needed, and staff confirmed they had received training to use all equipment safely.

The provider ensured there were enough qualified and experienced staff, who received proper support, supervision, and opportunities for development. Staff collaborated effectively to deliver safe care tailored to each person's needs. Suitable pre-employment checks were completed, and staff received all necessary training to ensure they had the skills required to support people safely. Staff spoke positively about their training experiences, noting that it was helpful and that they completed shadow shifts before working independently.

Feedback from people, family members, and visit records confirmed that staff stayed for the entire duration of their calls and completed all necessary tasks. Training was up to date and comprehensive, covering all essential topics.

The provider effectively assessed, managed, and controlled infection risks, promptly notifying relevant agencies when needed. Staff were trained in infection prevention, control, and food hygiene. Both management and care staff knew how to respond to specific infection concerns. People and family members confirmed Personal Protective Equipment (PPE) was used appropriately. A staff member stated, “My managers supply everything we need – gloves, aprons, masks. We always have enough PPE.”

The provider ensured that medicines and treatments were administered safely and tailored to individuals’ needs, capacities, and preferences. Medications wereadministered by staff members who had completed relevant training and demonstrated competency through assessment. Care plans contained comprehensive information regarding each prescribed medication, specifying its purpose and listing common side effects. Medication administration records confirmed that medicines were given as prescribed, with established procedures in place to address and document any discrepancies. A care staff told us, “I wash my hands, check the medication and records, give the medication with water, make sure it’s taken, and record it straight away.” People expressed satisfaction with the management of their medications.