# In Safe Hands Community Care Services

*Operated by In Safe Hands Community Care Services Limited.*

In Safe Hands Community Care Services is a CQC-regulated home-care agency in Alcester.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 18/10/2019

## Practical info

- Postcode: B49 6EL
- Registered manager: Fisher, Joanne
- Local authority: Warwickshire
- Region: West Midlands
- City: Alcester
- Last CQC check: 18/Oct/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Emotional needs of people and their families supported by registered manager and staff
  - Published: 2021-10-30
- Finding
  - People's independence promoted; privacy and dignity maintained during personal care
  - Published: 2021-10-30
- Finding
  - People supported with kindness, dignity and respect by staff who knew their individual preferences
  - Published: 2021-10-30

### effective

- Finding
  - Staff received induction, regular one-to-ones and unannounced observation checks
  - Published: 2021-10-30
- Finding
  - People supported to access healthcare professionals in a timely way
  - Published: 2021-10-30
- Finding
  - Mental Capacity Act principles understood and applied by staff
  - Published: 2021-10-30
- Finding
  - Staff trained and competent to meet people's needs effectively
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Registered manager demonstrated strong community commitment and quality-over-quantity ethos in accepting care packages.
  - Published: 2021-10-30
- Finding
  - Evidence: No complaints received since the previous inspection; people and relatives felt able to raise concerns freely.
  - Published: 2021-10-30
- Finding
  - Evidence: Registered manager proactively liaised with health professionals (GPs, district nurses, occupational therapists) on behalf of people.
  - Published: 2021-10-30
- Finding
  - Evidence: Care plans were individualised and kept on a computer system to ensure continuity if paper files were mislaid.
  - Published: 2021-10-30
- Finding
  - Evidence: Registered manager worked alongside all staff over a two-week period and conducted unannounced observation checks.
  - Published: 2021-10-30
- Finding
  - Evidence: People and relatives praised staff for kindness, dignity, respect and compassionate person-centred care.
  - Published: 2021-10-30
- Finding
  - Evidence: Safe recruitment processes including DBS checks and references before staff commenced work.
  - Published: 2021-10-30
- Finding
  - Evidence: No safeguarding referrals in the last 12 months; staff understood reporting responsibilities.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff were trained and assessed as competent in safeguarding, manual handling, medication administration and infection control.
  - Published: 2021-10-30
- Finding
  - Evidence: People felt safe with a consistent, small staff team who knew their individual needs, likes and preferences.
  - Published: 2021-10-30
- **incident_learning** _(moderate)_
  - Evidence: There was no structured system to return daily log records and MAR sheets in a timely way, so checks did not always identify current issues or risks.
  - Published: 2021-10-30
- **medication_management** _(moderate)_
  - Evidence: audits had not identified some concerns, such as MARs being completed correctly, especially when family had administered medicines.
  - Published: 2021-10-30
- **care_planning** _(moderate)_
  - Evidence: Care plan audits had not ensured important information was carried through to risk assessments.
  - Published: 2021-10-30
- **record_keeping** _(moderate)_
  - Evidence: checks on MAR charts had not recorded unexplained gaps and whether those medicines were administered.
  - Published: 2021-10-30

### responsive

- Finding
  - Complaints procedure in place; no complaints received since last inspection
  - Published: 2021-10-30
- Finding
  - Service flexible to changing needs; calls rescheduled on request without difficulty
  - Published: 2021-10-30
- Finding
  - Personalised care planned with involvement of people and relatives; care plans individualised
  - Published: 2021-10-30

### safe

- Finding
  - Safe recruitment processes including DBS checks and references
  - Published: 2021-10-30
- Finding
  - Sufficient staff to meet people's needs with consistent staffing and timely calls
  - Published: 2021-10-30
- Finding
  - Medicines were administered safely by trained and competent staff
  - Published: 2021-10-30
- Finding
  - Risks to people's safety were identified and managed; risk assessments mostly up to date
  - Published: 2021-10-30

### well_led

- Finding
  - Registered manager committed, approachable and proactive; staff felt listened to and supported
  - Published: 2021-10-30
- Finding
  - Quality assurance systems not consistently effective; limited audit records evidencing actions and improvements
  - Published: 2021-10-30

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-1453197965

HomeCare Compass is an independent guide and is not affiliated with the CQC.