Green Cross Medicare 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

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question good. At this assessment the rating has remained 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.

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

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

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. People told us they felt safe in the care and support of the service. One person said, “I feel very safe.” Staff knew how to ensure people were protected from avoidable harm. They told us how they would raise concerns both within the service and externally. Staff were confident the registered manager would follow up any concerns. Staff had received training with regular updates and told us they understood how to ensure people’s rights were fully respected. The registered manager had a safeguarding log where each incident was detailed including actions taken. Records showed all referrals had been made to the local authority as appropriate, together with a statutory notification to CQC as required by law. A statutory notification is the process used for providers to inform CQC of certain events that occur within their service.

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. People and their relatives told us staff worked in safe ways; they did not have any concerns. Risks to people’s general health and wellbeing had been identified, assessed and staff knew how to support them. Records were clear and detailed. Records clearly showed people and where appropriate, their relatives, had been involved in the creation of care plans. The service carried out an annual review of care, as a minimum, this formal process had ensured people were in control of their care and support. One relative told us, “Oh yes, my loved one [name] is safe, they are very pleased with the service, and they get on well together.”

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

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 told us they had a small, regular team of staff. The registered manager worked to ensure continuity for people. The service had a thorough induction and shadowing programme, together with ongoing support. Training was in accordance with good practice guidelines for staff who worked with people to meet their care needs. Recruitment processes were in place; staff were recruited safely. Procedures were in place to ensure the required checks were completed prior to staff commencing their employment. This included enhanced Disclosure and Barring Service (DBS) checks for adults. DBS checks provide information including details about convictions and cautions held on the police national computer. The information helps employers make safer recruitment decisions. Support was ongoing and there was a schedule of supervisions and monitoring, records showed the conversations were two-way. Many staff had long service and told us they felt appreciated and supported by the registered manager and the provider.

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.

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