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Archived: West Lodge Residential Care Home

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Inspection report

Date of Inspection: 14 September 2012
Date of Publication: 19 October 2012
Inspection Report published 19 October 2012 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 14 September 2012, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

We saw that forms were sent annually to the people who used the service, their relatives and other professionals to obtain their feedback on the way the service was delivered. The Registered Manager informed us that although they do respond to feedback given in these forms, there was no audit trail or analysis of the findings. They told us that they have changed the 2012 feedback forms and that they will be conducting an analysis of these once all of the forms have been received. This demonstrated that, although during our inspection there were systems in place to assess and monitor the quality of the services delivered, there will be improvements made to addressing the feedback received.

There was a folder which contained complaints raised by the people who used the service. In January 2012, a complaint was raised about the departure of the activities co-ordinator. We saw that in February 2012, people who used the service were informed that a new activities co-ordinator had been found and that they would be starting work in May 2012. This demonstrated that the provider had regard to the comments and complaints raised by the people who used the service.

We saw that a monthly visit and report was completed by the provider. In their report, the provider looked at issues around the service, such as whether records and repairs were up to date. None of the reports we viewed found any concerns to be remedied, although they did detail what improvements had been made to the service in the relevant month. For example, improvements included building a canopy and fitting a new stainless steel worktop in the kitchen. In carrying out the monthly inspection, the provider had systems in place to regularly assess the risks around the service.