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Inspection report

Date of Inspection: 25 June 2013
Date of Publication: 26 July 2013
Inspection Report published 26 July 2013 PDF | 81.32 KB


Inspection carried out on 25 June 2013

During an inspection to make sure that the improvements required had been made

This follow up inspection visit was carried out in order to assess if the provider had taken action to address concerns that had been identified at the previous inspection. These concerns related to supporting workers, complaints and notifications. We did not need to speak with people using the service on this occasion.

We found that systems had been implemented to ensure staff received regular supervisions and personal development planning; however these were not fit for purpose. A number of yearly appraisals had taken place; however, there were not appropriate systems in place to monitor appraisal scheduling or recording. We saw no evidence that action plans relating to the outcome of supervisions and appraisals had been created or that actions taken had been recorded.

We found that the service’s complaints policy had been updated to include the details of the local government ombudsman; however, details of the registered manager and the service provider had been removed. We saw copies of the reviewed complaints policy had been placed within ‘service user guides’ and placed in people’s rooms. Previous complaints had not been acknowledged and staff did not have access to the complaints policy.

We found the accidents and incidents folder had been brought up to date and any notifiable incidents had been referred to the correct parties.