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Sutton Village Care Home Good

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Inspection report

Date of Inspection: 22 January 2013
Date of Publication: 13 February 2013
Inspection Report published 13 February 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 22 January 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 carers and / or family members, talked with staff and talked with stakeholders.

Our judgement

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

During this inspection visit we found that people who used the service, their representatives and staff were asked for their views about care and treatment and they were acted on.

At the last inspection visit on 11 January 2012 we issued an improvement action because although the service had a quality assurance system it had not been initiated in the previous year. We checked what improvements had been made since then. We found improvements had been made in the quality assurance system as questionnaires were used to obtain views and a system of audits and checks were carried out.

We found that questionnaires had been sent to people who used the service, their relatives, staff and visiting professionals. These gave people the opportunity to express their views about the service. We checked a selection of the questionnaires and found positive comments about the service.

Audits and checks were carried out each month on specific areas in the service to make sure it remained safe for people who lived there and staff who worked there. For example, the environment, documentation, medicines, accidents, complaints, staff training and general cleanliness. When audits identified shortfalls the manager produced an action plan.

We saw evidence that an audit of records highlighted some gaps in the recording of administration of medicines and that this had been addressed with staff. This showed us the manager took action when required to improve the service.