The Peaches Healthcare 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

People and staff were encouraged and supported to raise concerns. Lessons were learned from incidents and accidents and were shared to help prevent future occurrences. There were systems in place to safeguard people from abuse. The provider worked with people and other agencies to establish and maintain safe systems of care, in which safety was managed, monitored and assured.

There were robust and safe recruitment practices to make sure that all staff are suitably experienced, competent and able to carry out their role. Supervision and appraisal were carried out to review performance and identify areas of improvement. People received medicines safely. Staff completed training in medicines management and the provider carried out spot checks to assess staff knowledge and competency with the administration of medicines.

We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.

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.

People using the service, and their relatives told us they were informed when things went wrong, and that the agency learnt from these incidents.

Staff informed us that when incidents, accidents or concerns occurred there was an investigation to understand the causes of the incident, identify responsible parties, and ensure corrective actions are taken. Following incidents, staff explained that a review of procedures took place to prevent future occurrences, and additional staff training or support was provided to strengthen practices across the service.

People and staff were encouraged and supported to raise concerns. Incidents, accidents, and complaints were thoroughly documented, investigated, and tracked using a monitoring log.

Lessons learned from these incidents were shared during monthly staff meetings to help prevent future occurrences.

For example, the provider informed us that following a medicines overdose incident, they implemented a mandatory protocol requiring all staff to wear a DO NOT DISTURB tabard when administering medicines. This procedure was part of the monthly staff spot checks and medicines competency assessments to ensure consistent and safe practices.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

People told us they always feel safe with the care staff.

Staff told us they understood how to recognise and respond to safeguarding concerns. One staff member commented, ‘’I will call and report to my manager immediately and I will also fill in the incident form and document everything that happened. Information is shared, they share alerts on the platform’’.

There were systems in place to safeguard people from abuse. The provider worked with people and other agencies to establish and maintain safe systems of care, in which safety was managed, monitored and assured. We reviewed a safeguarding incident and found that the registered manager shared concerns appropriately with the other relevant professionals and agencies including the Multi-Agency Safeguarding Hub. As part of the investigation, they had met with the person using the service and their next of kin to extend their apology for this incident and to discuss the necessary measures and outcome of the investigation. Following the incident, all staff were offered refresher training and medicines competency assessments every quarter.

Staff completed Children and Adult Safeguarding training and demonstrated good understanding on recognising and responding to safeguarding concerns.

The provider followed The Herbert Protocol. This is a nation scheme designed to help police and other agencies quickly and safely locate missing people who have dementia.

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

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

People said that staff appeared to undergo an extensive training programme.

Staff told us they had enough training and support to provide effective care. One staff member commented, ‘’ l had training with respiratory experts from a local hospital. I did all the required care training in Health and Safety, Food and Nutrition, Adult and Child Safeguarding, Mental Health Awareness, Dementia, Autism, Moving and Handling and more’’.

Staff received training appropriate to their role. Staff at all levels had opportunities to learn and develop their practices. This included training about how to use specialist equipment people needed.

There were robust and safe recruitment practices to make sure that all staff are suitably experienced, competent and able to carry out their role. These included establishing staff employment history, obtaining references and completing Disclosure and Barring Service checks. A Disclosure and Barring Service check is a record of a person’s criminal convictions and cautions. The check helps employers make safer recruitment decisions.

Staff received the support they needed to deliver safe care. Supervision was carried out to discuss staff performance, support, care and concerns. Appraisals were carried out with staff to review performance, areas of improvement, development and plans of career development.

Monthly spot checks were carried out assessing staff knowledge, skills and competency. New staff also had their knowledge and skills evaluated at the end of their probation period to ensure they met the required standards before their probation ended.

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.

People told us that staff helped to administer medicines as required.

Staff told us they had training to understand how to manage medicines in a safe way.

Staff completed training in medicines management and had the opportunity to shadow observation of medicines administration during their induction.

People received medicines safely. The provider used an Electronic Medicines Administration Record System to improve the safety, accuracy, and efficiency of medicines administration.

The provider carried out spot checks to assess staff knowledge and competency with the administration of medicines.