Kapital Care (UK) 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.

At our last assessment we rated this key question Requires Improvement. The provider was previously in breach of the legal regulation 12 (Safe Care and Treatment). This was in relation to the safe management of medicines. At this assessment the rating has changed to Good as the previous breach had been addressed and medicines were now managed safely.

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 recorded incidents, accidents or other events that affected people and the day-to-day operation of the service. No serious or significant events had been recorded in the last twelve months apart from one concern that the provider responded to in conjunction with partner agencies. There was guidance for care staff about what to do to report events and other concerns. The provider audited the accident, and incident reports to monitor any emerging themes or trends and to take any actions that may be identified.

A care worker told us "Yes I am given opportunities to reflect on my work, receive feedback, attend training and learn from situations that happen while providing care and support. I can dicuss experiences with my co workers, field supervisor and my manager so that I can identify what went well, what could be improved and how I can provide better support in the future."

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.

A relative of someone using the service told us “Any equipment required to support care has always been available when needed. Staff ensure they have the appropriate resources to provide safe and effective care.”

An assessment of needs was required by the agency as a part of their consideration into whether they could provide care for the person. These assessments explored people’s needs in a, not only their physical support needs but their needs. The assessments described each person’s lifestyle, how they chose to live and their preferences when being supported by staff.

Some people were transitioning to new care providers as a result of changes to services initiated by a local authority. The provider showed us evidence of their liaison with the local authority to ensure the effective transition for these people.

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.

A relative told us, “My [relative] has no concerns about safety with her care staff.” Another person’s relative told us, “The staff are professional, caring and trustworthy. I am also confident that any concerns would be taken seriously and addressed promptly.”

The safeguarding policy and guidance for care staff was clear and described what action staff should take if concerns arose. If concerns did arise the provider worked with partner agencies to investigate and resolve concerns

A care worker told us. “I have received training on safeguarding and understand what to do if I believe someone I care for is at risk of harm or may be experiencing abuse. I know how to recognise signs of abuse, report concerns promptly to the appropriate person, the office, and follow the organisation’s safeguarding procedures to help keep people 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.

The risk assessment policy was detailed and outlined that risks for each person must be reviewed regularly if events occurred for people that increased potential risks to them. We looked at six peoples’ risk assessments and found that these reviews were taking place and considered people’s health, personal care needs and more general personal safety.

A care worker told us, “I, speak with people about the risks they may face and involve them in decisions about how to manage those risks safely.”

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

Risk assessments had improved and included consideration of people’s home environments to promote people’s safety and the safety of care staff. The risk assessments covered areas such as falls, fire safety and areas in relation to the direct personal care support provided. Comments that we received from a care worker showed that they understood potential risks for people and how to respond to risks.

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.

A relative told us, “In my experience there are sufficient staff to meet (relative’s) needs. Visits are reliable and punctual, including evenings and weekends. Any changes are communicated quickly and professionally.”

The provider carried out pre-employment checks including Disclosure and Barring Service checks [DBS], employment history and pre-employment interviews. The provider undertook the necessary recruitment checks prior to care staff commencing their employment, and this was recorded.

Care staff were usually allocated to work with specific people. Care staff maintained a daily log of all care and support activities that they engaged in and recorded anything of significance in their notes of each visit. Consistency of care staff visiting each person had the benefit of enabling people using the service and care staff to build positive relationships.

A care worker who gave us feedback was positive in their feedback about having the resources they needed to carry out their work and support people. They told us” If staffing levels were ever not sufficient, I would raise my concerns with the manager so that appropriate action could be taken to maintain people’s safety and wellbeing. We have support and always there is supervisors in the field to cover emergency.”

The staff training records we looked at showed that training topics were wide ranging and included safeguarding, equality and diversity and medication. Dates of completed training were however not recorded but were logged as the month of completion not the date of completion, which we suggest could be included for assurance of accuracy. The month and year of expected completion of refresher training were listed on the staff training record.

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.

A relative told us, “Staff consistently follow good infection control practices and appropriately use personal protective equipment when required.”

The provider provided evidence of how they adhered to infection prevention and control guidelines, not least in terms of supporting people to minimise the risk of infection. Care staff were trained to understand and take action to minimise any risks of infection.

A care worker told us that they were provided with personal protective equipment (PPE) for use when providing personal care. They said, “I am provided with the appropriate PPE, such as gloves, aprons and face masks and hand wipes when needed. I understand the importance of using PPE correctly to help prevent the spread of infection and protect both the people I care for and myself.”

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.

A relative told us, “Staff manage and discuss [relative’s] medication appropriately. Medication is administered correctly and on time, and any changes or concerns are communicated to me. Logs are kept should I chose to review them.”

The provider had a detailed policy and guidelines for care staff about the handling and management of medicines. There was training provided to staff about how to manage and administer medicines at times when they were required to provide assistance. Oversight of medication administration records had improved, and the process was now able to identify and respond if any gaps in these records were noted.

We viewed the monthly medication administration audits for each person who received care staff assistance to take medicines since January 2026. These demonstrated that the service maintained oversight regarding the safe handling and administration of people’s medicines.

A care worker told us “I am provided with appropriate training and guidance to administer and support people with their medicines safely. I follow the correct procedures, check medication carefully, record it accurately, and report any concerns or errors to the appropriate person.”