Kulera Care

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. Lessons were learnt to continually identify and embed good practice. The provider had oversight of all accidents which occurred and was able to adjust people’s care to minimise further risks. One member of staff told us, “If anything happens or changes, we do a new risk assessment.”

The service 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. People’s needs were assessed before they started to use the service. This helped to make sure the service was able to safely meet their needs. Staff told us they had robust handovers when carers changed to make sure people received consistent care.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They 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. Risks of abuse to people were minimised because all staff had received training in safeguarding and knew how to recognise and report concerns. One relative told us, “I have absolutely no concerns with safety. They are very safe. They [staff] notice everything.”

The service worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Staff worked with people to minimise risks and promote their independence. One relative told us how the provider had discussed a risk to their loved one’s safety and had worked with them to minimise this. They told us, “It has improved their safety and independence.”

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. People lived in their own homes and the provider made sure risk assessments were in place where appropriate. Staff liaised with family members and other professionals where needed, to make sure any equipment used was well maintained and regularly serviced.

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. People received their care from a consistent staff team who had been safely recruited. All staff received training to make sure they could effectively support people with their individual needs. People had small teams of staff who each stayed with them for agreed periods of time. One relative said, “The rota is impeccable, fantastic. All the carers we have are wonderful.”

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. People were cared for by staff who had received training in infection prevention and control and food hygiene. Staff had access to personal protective equipment such as disposable gloves and aprons. This helped to minimise risks to people.

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. People received their medicines safely from staff who had received specific training and had their competency assessed by the provider. We saw medicine administration records were well completed to show when people had taken or refused their medicines.