JADE Healthcare Services

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. At this assessment the rating has changed to good.

This meant people were safe and protected from avoidable harm.

At the last assessment, the service was in breach of legal regulation in relation to safe care and treatment. The provider had made improvements and was no longer in breach of this regulation at this assessment.

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.

Incidents, accidents and complaints were recorded, which enabled the provider to carry out trends analysis and learn where things had gone wrong. We found the management team were open, transparent and wanted to drive improvement at the service. Changes, action and learning happened where required.

The registered manager was very present and personally attended people’s homes to carry out reviews. This ensured that people received the care they liked.

Staff knew to prioritise making people safe.

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 shared information via an electronic staff messaging system when there were changes to people’s care needs. One staff member told us, “Any changes are documented in the care plan and on our electronic system. Key updates are communicated during handovers, team meetings, and via alerts to ensure all staff and leaders are informed promptly.”

People told us of the positive support when using other services. When staff told us about the management, one person told us, “[the registered manager] seems to be doing a good job. If they see a problem, they will ring the GP or district nurse.” A relative told us, “One time they weren’t well and needed to ring an ambulance and the carer stayed with me until the ambulance showed up”.

A staff member told us, “We liaise regularly with GPs, district nurses, and social workers. Referrals and updates are documented, and feedback from professionals is shared with the team to ensure continuity of care.”

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.

One staff member told us, “We follow detailed risk assessments and care plans, complete incident and accident reporting, and carry out regular audits. Medication is managed under strict procedures, and staff follow safeguarding and infection control policies. Concerns are escalated immediately to management.”

Staff had a clear understanding of safeguarding and had completed safeguarding training.

People who used the service told us they felt safe with Jade Healthcare Services supporting them. One family member told us, “I really do feel [they are] safe; they were absolutely fantastic with my [relative], and my [relative] is very happy with them.”

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.

Care plans and risk assessments were in place, and reflected the risks to people’s health and safety.

People told us they were involved in regular reviews of their care. One person told us, “It is reviewed every six months but they would change it on the fly if necessary.” A family member told us, “When things change, they are very proactive because they know her so well.”

Staff told us they could access people’s records easily to keep up to date with any changes in their needs. We reviewed documents that show staff had received training in key areas such as moving and handling, skin care, health and safety, and nutrition, ensuring they had the skills and knowledge to support people.

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

There was a lone working policy in place as well as an environmental risk assessment policy and procedure, which stated a risk assessment of people’s homes should be completed before care started.

Before people began receiving care, an initial assessment was completed to establish their needs, the suitability of their home environment, and any equipment required to support them safely.

People who used the service had care plans in place specific to their environments. These detailed potential hazards and how the person being support would like their environment to be.

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.

The provider showed us a dependency tool they used to help with required staffing levels.

Staff told us there was enough staff to support the service. Staff told us, “Staffing levels are planned according to people’s dependency levels. Rotas are reviewed regularly, and additional staff are arranged if needs increase or in cases of absence.”

People who used the service told us there was adequate staffing and they had regular staff support them. One person told us, “They do have enough. We have a regular crew.”

Staff received detailed supervisions, with the opportunity to share their opinions. Staff were provided with a space to discuss people they supported, which included care plans and risk assessments. Staff meetings were regularly carried out and a clear agenda was followed.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

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.

People were supported by staff who followed systems and processes to administer, record and store medicines safely. Audits were carried out and care plans reviewed with any changes and staff had medicines competency assessments in place.

There were care plans and protocols in place to support staff who administered medicines. Clear person-centred guidance to support the safe administration of ‘when required’ (PRN) medicines were in place.

One person told us, “As far as I can tell she always receives it when she needs it. They keep good records that I can look at.”

No one we spoke with had any concerns regarding medicines.