Libra Support 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. This is the first inspection for this service. This key question has been rated 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.

The service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. For example, the registered manager kept a log of any accidents or incidents, and if needed they would update peoples records or update internal processes to ensure learning and continuous improvement.

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. For example, the registered manager worked closely with people’s social workers and other independent providers to ensure people received appropriate joined up care.

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. There was a safeguarding policy in place, people told us they felt safe. Staff knew the correct course of action to take if they felt someone was being harmed or abused.

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. Risk assessments were informative and well recorded. For example, we saw a risk assessment in place for a person who was at risk of self-neglect. There were clear instructions for staff to follow if this person was to consistently refuse personal care.

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. There was a home environment risk assessment in place for each care package. This took into account any environmental concerns such as pets or slip and trip hazards to promote people’s safety.

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. Staff and people told us they felt there were enough staff. A person said “They always come on time, and are never late.” A staff member told us “My rotas are good, I can get where I need to be."

The service assessed and managed the risk of infection. They detected and controlled the risk of infection spreading and shared concerns with appropriate agencies promptly. People told us staff wore PPE when they provided care and support.

The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened. Records detailing medicines support were appropriately completed. Staff completed medicines training and had their competency assessed before they were able to give medicines.