JM Kamau Ltd T/A ProField

SAFE

We reviewed all 8 quality statements under this key question: learning culture, safe systems, pathways and transitions, safeguarding, involving people to manage risk, safe environments, safe and effective staffing, infection prevention and control and medicines optimisation. Improvements were needed to ensure medicines policy and care plans were in line with current guidelines and being followed by staff. The manager addressed our concerns during the assessment. However we were not assured staff had been appropriately trained, observed and assessed as competent, specifically in medication management There were enough trained staff to meet people’s needs. There were effective infection prevention and control measures in place. Information was shared with staff to learn from and make improvements to the quality-of-service people received through staff meetings.

We reviewed all 6 quality statements under this key question: assessing needs, delivering evidence-based care and treatment, how staff, teams and services work together, supporting people to live healthier lives, monitoring and improving outcomes and consent to care and treatment. We found people were involved in their care and their consent to receive care, was sought by staff and the management team. People had their needs assessed before care commenced and expressed how they wished their care to be delivered. People were supported to have their nutrition and hydration needs met where required.

We reviewed all 7 quality statements under this key question: person-centred care, care provision, integration and continuity, providing information, listening to and involving people, equity in access, equity in experience and outcomes and planning for the future. People were supported to make decisions about their own care and support. Staff treated people as individuals, providing a person-centred approach. People had access to external health care professionals to ensure their health needs were met.

We reviewed 7 quality statements under this key question: shared direction and culture, capable, compassionate, and inclusive leaders, freedom to speak up, workforce equality, diversity and inclusion, governance, management and sustainability, partnerships and communities and learning, improvement and innovation. Staff were clear about their responsibilities and roles and felt supported by the registered manager and management team. Staff mainly spoke positively about the leadership and culture of the service and felt able to speak up, confident that the registered manager would actively listen and address any issues. The provider had quality assurance systems and processes in place to monitor the overall quality of the service however we found that the providers audits and quality monitoring had not consistently identified areas of concern and had not led to sustained improvement in all areas.