Caring Care 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 relatives told us they felt safe, and the care delivered met their individual needs. Detailed care plans and risk assessments were in place to protect people from the risk of harm. Assigned teams were in place to audit and monitor care calls to ensure visits were on time and not missed. Medication was audited regularly. This entailed a robust auditing system where any errors were picked up quickly and acted on promptly. Staff were skilled and recruited safely into their roles.

This service scored 59 (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.

People told us they were involved in the assessment process where staff at the service worked with them to identify their care needs. People confirmed that regular reviews of their care took place and any changes were accommodated. One person said, ‘If I want something changing then I speak to the office or 1of the carers.’ People told us they were confident that the service had processes and procedures in place to keep them safe.

The registered manager told us how they assessed people referred to the service. For example, where a person was discharged from hospital, a pre assessment was completed with the person before they started providing care. Guidelines on how to care for the person were created and put into place prior to staff providing care. Staff can access detailed information using a 'live' recording system. This was an application were staff had access with a secure login at any time. Detailed care plans recorded peoples health conditions, for example, where a person had diabetes, in their care plan, details of what a high sugar and low sugar reaction were recorded and what staff needed to do in these instances. Staff told us they had never gone to provide care to people without guidance being in place and if they were unsure about anything they would call the office.

Partners who worked alongside the provider raised no concerns with the assessment process completed by the care provider. Partners told us the provider engaged with them and were responsive to feedback.

Systems and processes were in place to ensure assessments were completed prior to people using the service. We found a review process was in place to ensure people’s needs were reassessed appropriately. The provider had a formal pre assessment process for when care packages came through as referrals. This process meant the provider completed a home visit to meet people and their relatives. As part of this visit a document was completed which Identified needs and learned about people’s characteristics. Once this process was undertaken the provider then looked at the skills of staff and decided if they could meet the care needs required. Where people had left the service to either move to another provider or discharge from the service, a formal handover of needs was provided and essential needs of people were discussed and shared.

Everyone we spoke with told us they felt safe and had no concerns about their safety. One person told us, ‘I can’t think of anywhere where I would feel unsafe with them’. A relative told us, ‘We feel mum’s 100% safe. We wouldn’t want any other carers.’

Staff were aware of people’s capacity and how to support people in the correct way. Staff told us they knew how to raise a concern if they felt a person’s capacity was changing or didn’t match what was in their care plan. The management team told us how they assessed peoples capacity and who they would involve when completing best interest decisions. Staff told us they knew how and when to raise potential safeguarding concerns. One staff member told us, ‘I have no concerns in reporting a safeguarding concern and trust this will be dealt with quickly and correctly’.

The provider had a team in place who reviewed safeguarding concerns along with incidents and accidents that had taken place each week. A Care and Service Manager was responsible for overseeing all safeguarding’s and concerns and analysing all information and identifying trends and actions alongside the Registered Manager. Actions included reviewing and amending peoples risk assessments and care plans. The management team were clear on the process to report and raise safeguarding concerns to the relevant authorities. We found the registered manager understood their responsibility to report and investigate safeguarding concerns. Staff and managers had completed safeguarding and mental capacity training. This was refreshed yearly, and staff told us they found the training informative. Staff and managers were aware of the safeguarding policy in place and understood the process to follow in line with the policy. Where restrictive practice was identified, we saw a process was in place to ensure best interest meetings were completed.

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.

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

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 and relatives told us their medication was administered safely and they trusted the staff with managing their medication where required. One person told us ‘I feel the staff are skilled and know what they are doing’.

Staff told us they received medication training, which included an observation from managers to ensure they supported people to take their medicines safely. Staff told us they participated in spot checks to ensure they were supporting people to take medicines safely. The management team told us they ensured all staff received medicines training at induction as well as regular refresher training.

Processes were in place to ensure people received their medicines safely. The provider had policies and procedures for managing medicines safely. Prior to people receiving care, a robust assessment was completed by the management team, this assessed what support people needed to take their medicines safely. Risk assessments were in place to protect people’s safety and records showed they were reviewed on a regular basis and updated as required. Peoples care plans contained information about how they wanted to be supported to take their medicines. Medicine audits were completed to ensure medicines were managed safely. Spot checks were in place to monitor and ensure staff were administering medicines safely and in line with the provider’s policy. We saw medication administration records (MAR) were completed and where any gaps in signatures were found these had been effectively identified following the providers auditing system.