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Inspection report

Date of Inspection: 31 May and 1 June 2012
Date of Publication: 18 July 2012
Inspection Report published 18 July 2012 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

Our judgement

The provider was meeting this standard.

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

User experience

We spoke to people using the service but their feedback did not relate to this outcome.

Other evidence

The provider carries our regular visits to monitor the quality of service and the manager told us that relatives of people who use the service visit individuals regularly which allows for ongoing informal contact.

We saw that care plans are evaluated on a quarterly basis and reviews take place annually. Minutes of one recent review included the views of a relative who reported that they were happy with the service being provided.

The provider may find it useful to note that an observational tool could be used as part of quality assurance processes to look critically at individual levels of engagement and wellbeing. This may help to ensure that all of the people using the service are receiving similar levels of engagement and occupation.

Systems in place for the administration of medication could be audited more regularly to ensure they are suitable