Treal Care UK Limited

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• 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

Safeguarding processes were in place to ensure people received safe care. Staff were trained in key areas to ensure people received safe care. Safe recruitment systems were in place. There were enough staff to support people safely in a timely manner. Medicines were being managed safely. Systems were in place to recruit staff safely. Robust risk assessments were required for people with specific health conditions.

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.

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.

People and relatives told us people were protected from abuse and felt safe. A person commented, “I do feel very safe because I have used them for about 3 years, and I always have the same 4 carers.” Another person commented, “As individuals, they [staff] are definitely kind and have a caring manner.” A relative told us, “Yes, I believe [person] is safe, there have never been any issues or injuries.” Another relative said, “[Person] feels safe because the carers are friendly and cheerful and always have a chat with her making her feel comfortable.”

Staff knew about safeguarding processes and had received training in this area. Staff were able to tell us the importance of reporting any concerns to the management team. Staff also felt they could be open to the management team if they had any concerns.

There were processes in place to safeguard people from abuse and harm. A safeguarding policy was in place that detailed the types of abuse and how to escalate concerns if staff suspected or saw abuse to ensure people were protected. Staff had been trained in safeguarding adults and understood how to protect people from harm and who to report to when required. A safeguarding guide was also in place for staff that summarised safeguarding processes for easy access. A whistleblowing policy was in place.

People and relative told us that staff looked after people well, which included minimising risks to ensure people were safe. A person told us, “I have a written care plan, which is very specific to my needs, some of which are quite complex, and the carers are very good at following it.” A relative commented, “I have no concerns about [persons] safety. Staff are always very approachable and kind and are very conscious about her limitations – especially regarding her pain when moving.”

The registered manager and staff were aware of the importance of having risk assessments in place to ensure risks were minimised and people received safe care and support at all times.

Robust risk assessments were not in place to ensure people received safe care specifically on people’s health conditions. We found risk assessments were not in place for people with specific health conditions such as diabetes and breathing issues. We fed this back to the management who told us this would be addressed immediately. We noted that staff had been trained on specific areas for people with certain health conditions. A relative told us, “The carers are brilliant and they seem to be very knowledgeable regarding how to care for [person].” Another relative commented, “The staff are very confident and competent, which suggests that they are well trained.” Risk assessments had been completed for people at risk of falls and skin complications.

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

There were enough staff to support people safely. A person told us, “Give or take 5 minutes, they are always punctual.” A relative commented, “They are very rarely late, in fact often early, but will always ring if there is a delay. They do not appear to be rushed or stressed and will always give [person] the attention she needs.” People and relative told us that staff knew them well and their support needs. A person told us, “Because I have consistent carers, they have learnt the skills and knowledge over time to properly support me. I am very happy.” A relative commented, “We are really pleased with the carers. They interact and involve [person] and myself all the time, engaging to understand her needs and we work together to achieve the best outcome for [person].”

Staff were supported in their role. The registered manager told us that staff were supported through training, supervisions and regular contact to ensure staff can receive support. Staff told us that they received regular supervisions and support from the management team. A staff member told us, “Our manager is helpful. She answers my phone call, and we talk about my rota. She fixes our problems too.”

We found staff had been trained in a number of key areas such as with safeguarding, medicines and basic life support. Specific training had been carried out on end of life care as the service predominantly supported people at end of life stages. Competency checks had also been carried out on medicines and English to ensure staff were competent in these areas. Systems were in place to recruit staff safely. Pre-employment checks had been carried out such as criminal and identity checks and references had been sought. Staff had received regular supervision to ensure they were supported in their roles. The service used a digital system to monitor staff time keeping. The system alerted if staff were late for calls, which then the office can monitor. The system gave the service oversight of staff timekeeping. Management also carried out audits on staff timekeeping as part of monthly operations audits. The data showed that staff were generally on time for care visits. This was also audited by the management team to ensure care was delivered in a timely manner.

Staff completed medicines training before they were able to complete medicines tasks. Medicine competency assessments was also completed to check if staff were competent to manage medicines. Staff signed the electronic medicines administration record (MAR) charts to show that medicines were given as prescribed. A person told us, “They do support me with taking my medicines and there are never any issues, they are very competent.”