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Archived: Marion House Good

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Inspection report

Date of Inspection: 1 October 2013
Date of Publication: 30 October 2013
Inspection Report published 30 October 2013 PDF | 78.37 KB

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 1 October 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff and reviewed information given to us by the provider.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. We spoke with four people and they all said they were happy with the care and support provided. We found that during keyworker sessions people were encouraged to comment on the service provision and make suggestions on what they would like. For example, areas explored included whether staff were following plans of care, any concerns an individual might have and whether they had sufficient contact with family and friends. Each person also had a weekly activity planner and goals they wished to achieve, such as going on holiday or specific skills they wished to develop.

We looked at the home's quality assurance system and found there was information in the office of an annual programme of audits on the service. For example, financial audits of monies held by the home for people. We saw staff ensured records were maintained of money spent and receipts for purchases kept in individual files. Staff also counted the amount of money taken and left prior to completing the records to ensure they were accurate and tallied with the amount held. Other audits carried out included a fire risk assessment, car checks on the vehicle used to transport people and gas and electrical safety.

There was evidence that learning from incidents / investigations took place and appropriate changes were implemented. We looked at the accident and incident record kept. There was an analysis of incident and trends identified with action taken if needed to reduce risk.

The provider took account of complaints and comments to improve the service. The home's quality assurance system showed that complaints and concerns were dealt with appropriately. When we looked at care plans and complaints records we were able to confirm this.