You are here

All reports

Inspection report

Date of Inspection: 7 April 2014
Date of Publication: 14 May 2014
Inspection Report published 14 May 2014 PDF | 75.33 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 7 April 2014 and talked with staff.

Our judgement

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

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

We looked at the procedures in place to ensure the quality of the service provided to people.

We found that there were audits in place to identify issues in service provision. Audits conducted included fire checks, checks on the environment, cleanliness checks, complaints audits, medication audits, mattress audits and care plan audits. These were carried out regularly, and where issues were identified, there was evidence that actions were put in place to make improvements to the service.

We reviewed complaints records for the service, and found that the service hadn't received a complaint in the year prior to our inspection. There was an effective complaints policy in place and people’s relatives were kept informed of how to complain. Previous complaints had been investigated in line with the policy, and to the complainant’s satisfaction.

The service did not undertake satisfaction surveys, this was because people using the service were unable to provide responses to direct questions about their experiences. However, staff told us that they were able to ascertain whether people were happy with the service based on how settled their behaviour was.

We looked at incident records at the service, and found that the service was recording any incidents that occurred. We found evidence that the service put in place actions following incidents, in order to reduce the risk of repeat incidents.