The Padle 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

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This is the first inspection 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 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 service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. For example, we saw lessons were learned following incidents and patterns and trends were regularly discussed during team meetings.

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. For example, the service provided support to people within other care services. They worked with these other providers to ensure support was joined up and information was shared to ensure continuity of support. This meant they made sure there was continuity of care, including when people moved between different services.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff received appropriate training and were aware of their responsibilities around keeping people safe. One staff member told us, “I feel well-prepared to handle any concerns. I know exactly who to report to and I feel confident that any safeguarding concerns would be taken seriously and acted upon. There is a strong culture of safeguarding within the organisation.” The service 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 service shared concerns quickly and appropriately.

The service worked with people to understand and manage risks by thinking holistically. The service had appropriate risk assessments in place, developed with the person. For example around managing falls and pressure area care and staff were aware of and followed this guidance. This meant they provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

The service detected and controlled potential risks in the care environment. They made sure equipment and the environment supported the delivery of safe care. For example, the service carried out risk assessments of people’s home environment to ensure people and staff were safe. A staff member said, “I feel safe on my shift because my organisation makes a suitable risk assessment of all work activities and of every service user's home before I am located at that home.”

The service 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. Staff were recruited safely. Calls were attended as scheduled most of the time, however some people told us there had been some inconsistencies. A relative told us, “We have had a few teething problems with the carers being late for the call. I believe this is because the carers have a long bus ride”, However, relatives also said the service would communicate and apologise for any lateness. A relative said, “[Staff] always ring to let us know if they are running late for the call.”

The service assessed and managed the risk of infection. Staff were provided with appropriate training and had access to personal protective equipment. This meant people were protected from the risk of infection.

The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened. For example, where ‘when required’ medicines were in place, the service had appropriate protocols to support staff with administration of these medicines. Staff told us they received training in medicines administration. One staff member said, “I assist people with their medication and have received excellent training from Padle in this area. The training was comprehensive and effective, ensuring I feel confident in administering medicines safely.”