- Homecare service
Mabikacare Limited
Report from 11 December 2024 assessment
Contents
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
Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. This is the first assessment 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 72 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. Incidents and near misses were recorded and reviewed by the registered manager to ensure actions were implemented. Learning from incidents was shared with all staff to ensure they understood changes in the way they needed to work.
Safe systems, pathways and transitions
The provider 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 health conditions were documented, and they were supported to access a range of health care professionals. Assessments completed when people started using the service gained information about the services they were using, to ensure their support was maintained.
Safeguarding
The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff 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 provider shared concerns quickly and appropriately. People and relatives said they felt safe when staff visited them. Staff were aware of their safeguarding responsibilities.
Involving people to manage risks
The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. People and relatives told us they felt safe when receiving care. Risks to people’s health, safety and welfare had been assessed and plans developed with them to manage those risks. Staff demonstrated a good understanding of the risks and said the plans were updated quickly when people’s needs changed.
Safe environments
The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The registered manager assessed people’s home for risks and took action to ensure people and staff remained safe. The registered manager involved outside agencies where relevant, for example the fire service.
Safe and effective staffing
The service made sure there were enough qualified and skilled staff, who received effective support, supervision and development. However, the provider did not always complete all required checks before staff started work. On the first day of the site visit the provider did not have a full employment history for all staff. The registered manager took immediate action to obtain these documents during the assessment.
Infection prevention and control
The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Staff followed guidance for infection control to help keep people safe. Staff said they had completed infection prevention and control training. Staff said they had access to all the equipment they needed, such as personal protective equipment.
Medicines optimisation
The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened. People told us staff provided good support for them with their medicines. Staff received training in the safe management of medicines and the registered manager observed their practice to ensure they were doing this safely.