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Archived: Beechlands EMI Residential Care Home

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Inspection report

Date of Inspection: 8 May 2014
Date of Publication: 17 June 2014
Inspection Report published 17 June 2014 PDF | 82.41 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 8 May 2014, 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 carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

Our judgement

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

Reasons for our judgement

There were systems in place to check the quality of the service. The provider may find it useful to note that we found that some checks had not been carried out in accordance with the homes procedures. For example, an audit of care plans was required to be carried out each month however records we viewed showed these had not taken place as required. If the audits had taken place each month the lack of care plan reviews may have been noted and acted upon.

There was a process in place for obtaining people’s views about the service. The manager told us that questionnaires should be handed out to people who used the service and their representatives at least twice a year. We viewed a copy of the questionnaires which provide people with the opportunity to rate and comment on different aspects of the service such as the quality of care, staff and food. We viewed a copy of the last questionnaire audit report which the manager compiled based on the results of the last questionnaires received. The report was dated November 2012 and took account of people’s views obtained several months earlier. We were told by the manager that no questionnaires had been handed out to people since then. However the manager told us that he operates an open door policy and would welcome at any time any comments or ideas for improving the service. We viewed the complaints log and found that no recent complaints had been made about the service.

We saw records of other checks which had been carried out on other aspects of the service including the environment and medication. Records showed that a recent check had been carried out on these areas. Certificates were in place to show that systems and equipment used at the home had been checked and maintained by a suitably qualified person to ensure their safety. This included gas, electrical and fire equipment and the passenger lift.