All-In-One MultiCare Service Ltd

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 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.

The registered manager told there had been no incidents at the service but showed us the systems in place to ensure staff knew how to deal with accidents and incidents, as well as the procedures to record them and take action as appropriate.

The provider worked with people and healthcare partners to establish and maintain safe systems of care. Thorough assessments were completed before commencement of care packages and input from relevant healthcare professionals was sought and recorded.

There was a safeguarding policy in place and this was being followed. The home manager was aware of their responsibilities under safeguarding. Staff had completed mandatory safeguarding and whistleblowing training. Relatives told us their loved ones had received safe care and did not raise any safeguarding concerns.

Overall, risks to people's care were assessed and planned for. The provider worked with people to understand and manage risks and put in place relevant risk assessments that guided staff in providing safe care to people. For example, risks linked to people’s skin and hydration were identified, and action put in place to manage these. In our conversations with relatives, they did not identify concerns about management of risks and told us staff worked collaboratively to assess risks to people’s health. One relative told us, “[Person was] safe definitely, if [person] was showing signs of not being [their] normal self, they would ring me.”

The provider detected and controlled potential risks in the care environment. The provider completed environmental risk assessments before commencement of the care packages and the registered manager told us they worked with people and relatives to manage any risks to people and staff.

Some aspects of recruitment required improvement. We found inconsistency in the level of detail in application forms and because of this we could not confirm if references provided were from previous employers or personal references. Other aspects of recruitment were safe. We recommend the provider reviews best practice guidance around safe recruitment and implements this.

The provider’s training matrix showed all staff had completed their training. Staff told us they had completed training before commencing work which included face to face moving and handling training and first aid; we asked but did not see evidence of this face-to-face training. Staff's knowledge was good when describing how to support people with their mobility or if they were unwell or had an accident and required medical assistance.



Staff were offered supervision, but supervision records were succinct and further detail about the conversations held should be recorded; we discussed this with the registered manager, and they told us they would review this. Spot checks on staff practice were completed.

The provider assessed and managed the risk of infection. There were relevant policies and procedures in place and staff had received appropriate training.

Overall, the processes and procedures in place to manage medication were safe. People’s needs around medication were assessed at the beginning of care package and a plan put in place. Staff had been assessed as competent to administer medication. The provider worked with relatives to support people to be safely supported with their medication in a way that respected their preference.