CN Healthcare 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

People received safe care that minimised risks to their health and welfare. Risk assessments were in place which identified risks to people’s safety and management plans were in place to minimise those risks. People felt safe being supported by staff. Staff had received training related to managing people’s health and safety. Processes were in place to support people with their medicines management and records were maintained of medicines administered.

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.

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

People felt safe whilst being cared for. One person said, “I feel very safe with all of the staff. They come when they should and they do everything I need them to and I am never rushed.” People and their relatives told us the staff ensured they were safe and their welfare was protected. This included supporting them from the risk of falls and the risk of developing pressure ulcers. One person said, “The staff are always checking me for bruises and checking my skin for breaks. A relative told us, “My wife is unable to really move about now so the care workers are very careful to monitor the condition of her skin and record if anything alters, her care plan is updated each time anything does change” One person told us staff acted appropriately when they had concerns about a person’s health and provided them with reassurance whilst waiting for medical support. They said, “When I was poorly the staff stayed with me till the ambulance came. They wouldn’t leave me until they were happy I was ok. I felt safe they were with me.”

There were processes in place to assess risks to people’s safety. Risk assessments were available in people’s care records which detailed how staff were to support people to minimise risks to their health and safety. These were regularly reviewed and updated in line with people’s needs.

Staff were knowledgeable of the people they were supporting and what level of support they required to stay safe. Care records included risk assessments and management plans. A staff member told us, “Information is available on the app about risk assessments and how to manage those. This information is also available in hard copy at people’s homes.” Staff told us they had received training on how to use the specific equipment people required to help them stay safe. A staff member said, “We have training on moving and handling equipment and mobility aids.”

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

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

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.

Staff told us there were simple systems in place which enabled them to adhere to safe medicines management. They were aware of what level of support people required with their medicine and how and when to administer people’s medicines. A staff member said, “Most people have blister packs so we just administer in accordance with the time and day from the blister packs. We record what we have given on our care notes.”

Most of the people we spoke with did not require support with their medicines. One relative told us they supported their family member with their medicines most of the time, but when they were unable to, the care workers supported with medicines administration and they recorded all of the medicines given.

Safe medicines management processes were in place. Staff assessed the level of support people required with their medicines and processes were in place to support the safe administration of medicines when required. This included assessments to ensure those who self-administered their medicines were safe to do so. Medicine administration records (MARs) were in place to record medicines administered. Whilst there were processes in place to instruct staff about the administration of pain relief patches, these were not detailed enough to document where patches were applied to ensure adequate rotation of the site of administration. Body maps were included in people’s daily notes to record that medicines such as patches and topical creams were applied.