Care Promise 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

We assessed a limited number of quality statements in the safe key question and found some areas of good practice and some areas that required improvement. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. At this assessment, the rating has remained good. This meant people were safe and protected from avoidable harm. However, further improvements were identified when assessing risk and ensuring staff were trained in all health conditions people experienced. People told us they received safe care and support. People told us staff supported them to understand risks and respected their choices and decisions. Relatives told us staff arrived on time and stayed for the designated amount of time, they said staff telephoned them to let them know if they were going to be delayed. Staff told us how they followed safe infection prevention control practices and administered medicines safely. Staff told us about people’s health conditions. However, some risks to people from their health condition were not always risk assessed and staff had not received training in some health conditions experienced by people.

This service scored 69 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

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

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.

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

People told us they felt safe with the care provided. One person said, “Yes, I am very happy with the care I receive. I feel very safe.” People told us staff gave them relevant information before they made their own decisions. For example, one person said "Staff discuss the weather with me before I choose what clothes I am going to wear for the day."

Staff told us about health conditions people experienced and how they supported people to manage risks associated with these conditions. However, not all staff received training in these conditions. The registered manager responded to our feedback by resourcing the relevant training.

People’s care plans contained information about people’s health risks and recorded steps for staff to follow in order to support people safely. However, where people experienced certain health conditions such as diabetes, there was not always a risk assessment in place detailing the signs and symptoms of the condition for staff to monitor. The registered manager responded to our feedback and completed the relevant risk assessments.

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

Most people told us staff arrived on time and stayed for the correct amount of time. One person said, “Staff arrive at the correct time and stay with me for the right amount of time. Staff have a cup of tea and chat to me.” However, one person told us staff sometimes left early and another person told us they sometimes experienced communication barriers with staff where English was not the staff member's first language.

Staff told us they had enough time to support people safely. One staff member said, “We [staff] are given time to support people and the registered manager ensures we have enough time to drive between our care calls.”

Staff were recruited safely. Recruitment files showed all pre-employment checks had been made to ensure only staff who were suitable to work with people were employed, including the use of sponsorship for overseas workforce. Staff received induction, job shadowing opportunities and training. Job shadowing enables a new staff member to observe an experienced staff member with the purpose of gaining a better understanding of the role. However, where people experienced health conditions such as epilepsy or bipolar, staff had not received training in these conditions. The registered manager responded to our feedback by enrolling staff on the relevant training courses and by the close of this assessment, the registered manager told us only one staff member was yet to complete this training. It is important for staff to receive training around people's health conditions in a timely manner to ensure staff are knowledgeable about these conditions.

People told us staff wore personal protective equipment (PPE) and changed these when needed. One person said, “Staff are spot on, they wear their gloves and they change them when needed.”

Staff told us they received infection prevention control training. One staff member said, “It's important to make sure you wear your gloves and aprons. These have to be changed between each task.”

The provider completed infection prevention control (IPC) risk assessments and carried out spot checks on staff to ensure they followed safe IPC practices when supporting people. Team meeting minutes recorded how the IPC policy was discussed with staff.

People told us staff supported them to receive their medicines safely. One person said, “Staff make sure I get my medicine on time.” Another person told us how staff followed correct procedures when administering their eye drops.

Staff told us they received medicine administration training, and the provider regularly checked their competencies. One staff member said, “I have been spot checked many times to make sure I give medicines safely.”

Medication administration records confirmed people received their medicines at the correct time. However, where people received ‘as and when required’ medicines there were no protocols in place for staff to follow. This is important to ensure staff know how and when to administer the ‘as and when required’ medicines safely. The registered manager responded to our feedback by putting in place the relevant protocols.