Exodus Health Care Services

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 provider worked with people and partner agencies to understand what being safe meant to them and the best way to achieve that. Staff 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 provider shared concerns quickly and appropriately. People felt safe with staff. Comments included, “Very safe, they are the best care workers I’ve ever had. They are warm and they will do anything for you, they are so, so kind. Very professional, but they care, you can feel and know they care.” “Very safe, I feel confident and comfortable with them, they are better than most we have had.” “I predominantly only have one care worker who is amazing, I feel 100% safe.”

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Care records included risk assessments and identified any risks to people’s safety. Whilst care records contained information about how risks were managed, we found this information was not always in one place that was easily accessible to staff. The registered manager told us they would review and strengthen their records. People told us staff were knowledgeable of the risks to their safety and supported them accordingly. This included in relation to any health needs they had. They said if their health declined staff supported them to access healthcare services. They said, “They would phone my doctor if they needed to.” And “One day I couldn’t walk very well and they called the ambulance and stayed with me.” Staff told us, “If people have been to hospital then our care coordinators will visit them and update us about any changes.” This enabled them to have up to date information about any risks to people’s safety. They also told us they would liaise with the occupational therapy team so they had up to date information about what equipment was required to support people’s safety.

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 provider 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. Safe recruitment practices were in place to ensure suitable staff were employed.

People told us they felt there were enough staff, and they had not experienced any missed calls. Recently there had been a change to their schedule and this had had some teething problems. We received mixed feedback regarding timings of calls. People told us, “No, they keep coming at erratic times, you don’t know when they are coming, it’s annoying.” “There is a little bit of variation in the time they arrive, but not too much. They stay until they have done everything and they always ask if there is anything else they can do before they go.” The registered manager was already aware of concerns raised regarding timings of calls and had implemented a new initiative to address this. People told us they received consistency in care from a small team of care workers. They said, “They seem to be more consistent who I’m getting now.” “In the main I have two carers. One Sunday to Thursday and One Friday and Saturday.”

Staff completed mandatory training to ensure their knowledge and skills stayed up to date with best practice. People felt their care workers were skilled individuals. They said, “They are quite well trained; they know what to do” and “Absolutely, if she doesn’t, she will learn, she is adaptable and listens.”

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.