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Archived: Littleover Manor

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Inspection report

Date of Inspection: 28 August 2013
Date of Publication: 25 September 2013
Inspection Report published 25 September 2013 PDF | 77.7 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 28 August 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 and talked with staff.

Our judgement

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

Reasons for our judgement

Observations on the day of our visit indicated that people using the service had a good rapport with staff and felt comfortable speaking with them. Meetings were held regularly for the people that used the service, some of these meetings were chaired by an independent advocate and this enabled people using the service an opportunity to express their views openly. Other meetings were chaired by staff working at the service. There was evidence to demonstrate that people’s views were listened to and acted upon; as actions had been taken to demonstrate this, such as trips out and activities arranged.

Annual satisfaction surveys were sent out annually to people using the service, their relatives and visiting professionals. There was evidence to demonstrate that people’s views were listened to and acted upon, for example one person’s relatives had suggested the service purchase new garden furniture, which had been done. Comments received from relatives in May 2013 demonstrated that they were happy with the support and services provided. Quotes included, ‘very happy with all aspects of care.’ ‘Very high standards, staff put clients first and stimulate clients with activities every day.’ And, ‘always offered a cup of tea and made to feel welcome.’

People told us that they knew who they could talk to if they had any concerns or complaints. Comments included, “If I had a problem about anything I would tell the staff.” Another person said, “we all get on really well, so staff would sort out any problems.” Independent advocates were also available to the people using the service and visited on a regular basis.

The provider may find it useful to note that information in one person’s care records indicated that an allegation made by them about a member of staff had been investigated by the registered manager. There was no evidence to demonstrate that the local authority had been informed of this allegation under safeguarding procedures. The registered manager confirmed that this person’s care manager had been informed of these allegations; however this was not recorded in the records seen. To ensure a transparent and open approach is evident, the local authority, under safeguarding procedures, should be informed of any allegations made.

Staff meetings were held regularly and minutes were available to all staff, so anyone unable to attend was kept up to date with any changes, developments and discussions. Minutes of staff meetings were seen to confirm this.

The medication records were checked on a weekly and monthly basis, and the competence of staff administering medication was also checked. Monthly audits of care records were also undertaken to ensure people were supported effectively.

Records were in place to demonstrate that the maintenance and servicing of equipment was undertaken as required. This included electrical and gas safety checks, fire alarm tests and a fire risk assessment.