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Inspection report

Date of Inspection: 24 January 2012
Date of Publication: 13 February 2012
Inspection Report published 13 February 2012 PDF | 47.73 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 reviewed all the information we hold about this provider and carried out a visit on 24/01/2012.

Our judgement

The service has appropriate systems and policies and procedures in place to assess and monitor the quality of the service that people receive.

Overall, we found that Tall Trees was meeting this essential standard.

User experience

We did not speak to people about this outcome area on this occasion, or have the

opportunity to observe it, so cannot report what people using the service said, or our


Other evidence

The provider undertakes regular monthly assessments and monitoring where the quality of care and the environment at Tall Trees is reviewed and checked.

The records seen indicated that the monthly assessments are completed and a report is then generated outlining the service and the environment of the home. The report will also make reference to any area where attention or action is to be made. The most recent report dated November 2011, highlighted an area of flooring between the toilet and hall on the ground floor where the seam in the vinyl covering had split and the floor below had become unstable and a possible trip hazard.

The deputy manager stated that all the people who use the service would be unable to complete a satisfaction survey. However the people who use the service have close links with their families, who are approached to provide feed back about the service and the care their relatives receive at Tall Trees.

We saw completed questionnaires from a wide source of people representing various groups involved in the care and support of the people who use Tall Trees. The completed questionnaires demonstrated a high degree of affirmation and conformation that the service and the care that is provided at Tall Trees has very positive outcomes for the people who use it.

There is a clear management structure with good lines of communication and accountability. A member of staff stated that the manager was very hands on and always put the needs of the people who use the service first.

Accidents and other incidents involving people using the service are recorded and reviewed by the manager and staff of the service.

The service has policies and procedures in place to ensure that any incident will be reported to the Commission, as part of the monitoring process.