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Inspection report

Date of Inspection: 11 October 2013
Date of Publication: 1 November 2013
Inspection Report published 01 November 2013 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 11 October 2013, observed how people were being cared for and talked with people who use the service. We 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 used the service and others.

Reasons for our judgement

People we spoke with who lived at Kilmar House told us that if they had any concerns they would speak with the staff or the provider.

During our inspection, we observed that the provider spent time speaking with people, and this informal approach gave people an opportunity to raise any concerns that they may have.

We saw that there was a suggestions box in the main entrance of the home. We asked the provider if the suggestions box was used. We were told it was, and a request made for a fish and chip van to visit the home had been arranged. We saw documentation to confirm this. This demonstrated people were listened to and their views and opinions were acted upon and their contributions were valued.

The provider confirmed that on an annual basis people were asked to complete a resident survey. The survey asked people to rate different areas of the home and service they received such as the environment, the care and staff. The provider told us that a survey had been carried out in 2013.

The provider told us that on a six month and annual basis he monitored the quality of the service; this would include looking at specific areas of the care home such as the quality of care planning. However, we did not see any formal process in place. It is important that a system for checking is formally documented so documentation relating to this is available for inspection. The provider may like to note, that we found areas for improvement relating to care planning, which may demonstrate that the system in place may not always be effective.